Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Luong D, Bickle I, Crizotinib associated interstitial pneumonitis. Reference article, Radiopaedia.org (Accessed on 18 Apr 2024) https://doi.org/10.53347/rID-92609
Crizotinib associated interstitial pneumonitis is a type of drug-induced lung disease precipitated by a tyrosine kinase/anaplastic lymphoma kinase (ALK) inhibitor Crizotinib used in the treatment of certain forms of non-small cell lung cancer that have certain mutations including the ROS1 mutation and the anaplastic lymphoma kinase (ALK) fusion oncogene positivity.
The overall reported incidence of pneumonitis was ~ 2% for all grades 3.
It can occur at any time after commencement of the agents with a median onset of 23 days (range 3-763 days) from the initiation of crizotinib therapy according to one study 1. Although rare, high mortality rates have been reported 1. Some publications report two forms of lung disease 5.
See also
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1. Yoneda KY, Scranton JR, Cadogan MA, Tassell V, Nadanaciva S, Wilner KD, Stollenwerk NS. Interstitial Lung Disease Associated With Crizotinib in Patients With Advanced Non-Small Cell Lung Cancer: Independent Review of Four PROFILE Trials. (2017) Clinical lung cancer. 18 (5): 472-479. doi:10.1016/j.cllc.2017.03.004 - Pubmed
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2. Mizuki Nishino, Hiroto Hatabu, Lynette M. Sholl, Nikhil H. Ramaiya. Thoracic Complications of Precision Cancer Therapies: A Practical Guide for Radiologists in the New Era of Cancer Care. (2017) RadioGraphics. doi:10.1148/rg.2017170015
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3. Takeshi Johkoh, Kyung Soo Lee, Mizuki Nishino, William D. Travis, Jay H. Ryu, Ho Yun Lee, Christopher J. Ryerson, Tomás Franquet, Alexander A. Bankier, Kevin K. Brown, Jin Mo Goo, Hans-Ulrich Kauczor, David A. Lynch, Andrew G. Nicholson, Luca Richeldi, Cornelia M. Schaefer-Prokop, Johny Verschakelen, Suhail Raoof, Geoffrey D. Rubin, Charles Powell, Yoshikazu Inoue, Hiroto Hatabu. Chest CT Diagnosis and Clinical Management of Drug-related Pneumonitis in Patients Receiving Molecular Targeting Agents and Immune Checkpoint Inhibitors: A Position Paper from the Fleischner Society. (2021) Radiology. doi:10.1148/radiol.2021203427
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4. Sahu A, Prabhash K, Noronha V, Joshi A, Desai S. Crizotinib: A comprehensive review. (2013) South Asian journal of cancer. 2 (2): 91-7. doi:10.4103/2278-330X.110506 - Pubmed
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5. Wu S, Liu K, Ren F, Zheng D, Pan D. Fatal interstitial lung disease associated with Crizotinib pathologically confirmed by percutaneous lung biopsy in a patient with ROS1-rearranged advanced non-small-cell lung cancer: a case report. (2018) BMC pulmonary medicine. 18 (1): 121. doi:10.1186/s12890-018-0682-9 - Pubmed
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6. Créquit P, Wislez M, Fleury Feith J, Rozensztajn N, Jabot L, Friard S, Lavole A, Gounant V, Fillon J, Antoine M, Cadranel J. Crizotinib Associated with Ground-Glass Opacity Predominant Pattern Interstitial Lung Disease: A Retrospective Observational Cohort Study with a Systematic Literature Review. (2015) Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer. 10 (8): 1148-55. doi:10.1097/JTO.0000000000000577 - Pubmed
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