A Case Report with Severe Thrombocytopenia Induced by Axitinib

Axitinib is an oral, second-generation tyrosine kinase inhibitor that is selective for vascular endothelial growth factor receptors (VEGFR). This agent is approved as monotherapy or in combination with immune checkpoint inhibitors for the treatment of metastatic renal cell carcinoma. Axitinib is ass...

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Main Authors: Ulkuhan I. Koksal, Janeiro Valle Goffin, Brian Lewis, Oliver A. Sartor, Elizaveta Belyaeva, Francisco Socola, Pedro C. Barata
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2020/7520783
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author Ulkuhan I. Koksal
Janeiro Valle Goffin
Brian Lewis
Oliver A. Sartor
Elizaveta Belyaeva
Francisco Socola
Pedro C. Barata
author_facet Ulkuhan I. Koksal
Janeiro Valle Goffin
Brian Lewis
Oliver A. Sartor
Elizaveta Belyaeva
Francisco Socola
Pedro C. Barata
author_sort Ulkuhan I. Koksal
collection DOAJ
description Axitinib is an oral, second-generation tyrosine kinase inhibitor that is selective for vascular endothelial growth factor receptors (VEGFR). This agent is approved as monotherapy or in combination with immune checkpoint inhibitors for the treatment of metastatic renal cell carcinoma. Axitinib is associated with a safety profile very similar to other anti-VEGFR inhibitors but usually with fewer hematologic adverse events, due to the selectivity for VEGF. In this report, we presented a rare case of grade 4 axitinib-induced thrombocytopenia, not observed with other antiangiogenic therapies. We discuss the differential diagnostic work-up, the necessary multidisciplinary approach, and the successful management of the case.
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institution Kabale University
issn 2090-6560
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publishDate 2020-01-01
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series Case Reports in Hematology
spelling doaj-art-9fa7166197724943bfc39e13b60afd772025-02-03T06:46:08ZengWileyCase Reports in Hematology2090-65602090-65792020-01-01202010.1155/2020/75207837520783A Case Report with Severe Thrombocytopenia Induced by AxitinibUlkuhan I. Koksal0Janeiro Valle Goffin1Brian Lewis2Oliver A. Sartor3Elizaveta Belyaeva4Francisco Socola5Pedro C. Barata6Tulane Cancer Center, School of Medicine, Tulane University, New Orleans, LA, USATulane Cancer Center, School of Medicine, Tulane University, New Orleans, LA, USATulane Cancer Center, School of Medicine, Tulane University, New Orleans, LA, USATulane Cancer Center, School of Medicine, Tulane University, New Orleans, LA, USATulane Cancer Center, School of Medicine, Tulane University, New Orleans, LA, USATulane Cancer Center, School of Medicine, Tulane University, New Orleans, LA, USATulane Cancer Center, School of Medicine, Tulane University, New Orleans, LA, USAAxitinib is an oral, second-generation tyrosine kinase inhibitor that is selective for vascular endothelial growth factor receptors (VEGFR). This agent is approved as monotherapy or in combination with immune checkpoint inhibitors for the treatment of metastatic renal cell carcinoma. Axitinib is associated with a safety profile very similar to other anti-VEGFR inhibitors but usually with fewer hematologic adverse events, due to the selectivity for VEGF. In this report, we presented a rare case of grade 4 axitinib-induced thrombocytopenia, not observed with other antiangiogenic therapies. We discuss the differential diagnostic work-up, the necessary multidisciplinary approach, and the successful management of the case.http://dx.doi.org/10.1155/2020/7520783
spellingShingle Ulkuhan I. Koksal
Janeiro Valle Goffin
Brian Lewis
Oliver A. Sartor
Elizaveta Belyaeva
Francisco Socola
Pedro C. Barata
A Case Report with Severe Thrombocytopenia Induced by Axitinib
Case Reports in Hematology
title A Case Report with Severe Thrombocytopenia Induced by Axitinib
title_full A Case Report with Severe Thrombocytopenia Induced by Axitinib
title_fullStr A Case Report with Severe Thrombocytopenia Induced by Axitinib
title_full_unstemmed A Case Report with Severe Thrombocytopenia Induced by Axitinib
title_short A Case Report with Severe Thrombocytopenia Induced by Axitinib
title_sort case report with severe thrombocytopenia induced by axitinib
url http://dx.doi.org/10.1155/2020/7520783
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