Indications

• Acute Lymphocytic Leukemia (ALL) (see Acute Lymphocytic Leukemia, [[Acute Lymphocytic Leukemia]])
• Chronic Myeloid Leukemia (CML) (see Chronic Myeloid Leukemia, [[Chronic Myeloid Leukemia]])

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Pharmacology

• Tyrosine Kinase Inhibitor (TKI):

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Adverse Effects

Pulmonary Adverse Effects

Pleural Effusion (see Pleural Effusion-Exudate, [[Pleural Effusion-Exudate]])

• xxx

Pulmonary Hypertension (see Pulmonary Hypertension, [[Pulmonary Hypertension]])

• Epidemiology
  • Case reports (12 cases confirmed by Swan) indicate a likely association
  • Over 13 cases have been observed in France in 2,900 CML patients treated with dasatinib -> suggests that the lowest estimate incidence of dasatinib-associated pulmonary hypertension is approximately 0.45%
• Risk Factors
  • Female Sex
  • Prior Treatment with Imatinib (Gleevec) (see Imatinib, [[Imatinib]]): imatinib is also a tyrosine kinase inhibitor
• Clinical: may occur at any time during treatment
  • Some cases occurred >12 mo after treatment
• Treatment/Prognosis: discontinue drug -> leads to improvement in some cases
  • Case Series: improvement was observed within 4 mo of drug discontinuation in all but 1 patient (however, after a median follow-up of 9 mo, most patients did not demonstrate complete recovery, and 2 patients died) [MEDLINE]

Other Adverse Effects

• xxx
• xxx
• xxx

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References

• Reversible severe pulmonary hypertension secondary to dasatinib in a patient with chronic myeloid leukaemia. Leuk Res 2009;33:861–4 [MEDLINE]
• Multi tyrosine kinase inhibitor dasatinib as novel cause of severe pre-capillary pulmonary hypertension? BMC Pulm Med. 2011 May 23;11:30. doi: 10.1186/1471-2466-11-30 [MEDLINE]
• Pulmonary arterial hypertension caused by treatment with dasatinib for chronic myeloid leukemia -critical alert-. Intern Med. 2012;51(17):2337-40 [MEDLINE]
• Pulmonary hypertension in patients treated by dasatinib. Circulation 2012;125:2128–37 [MEDLINE]