When crizotinib-induced bradycardia becomes symptomatic: role of concomitant drugs

Expert Rev Anticancer Ther. 2015;15(7):761-3. doi: 10.1586/14737140.2015.1045493. Epub 2015 May 11.

Abstract

Crizotinib is an orally active multi-target tyrosine kinase inhibitor which is the standard of care in patients with anaplastic lymphoma kinase translocated non-small-cell lung cancer. Common adverse events in clinical trials with crizotinib included visual disorders, nausea-vomiting, diarrhea and elevated transaminases. Less common toxicities are emerging, such as bradycardia and QT interval prolongation. We report on a case of a presyncopal episode which occurred under crizotinib and metoclopramide treatment.

Keywords: cardiotoxicity; crizotinib; drug interactions; metoclopramide; non-small-cell lung cancer.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / drug therapy*
  • Adenocarcinoma of Lung
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Bradycardia / chemically induced*
  • Crizotinib
  • Heart Rate / drug effects
  • Humans
  • Lung Neoplasms / drug therapy*
  • Male
  • Metoclopramide / administration & dosage
  • Middle Aged
  • Pyrazoles / administration & dosage
  • Pyrazoles / adverse effects*
  • Pyridines / administration & dosage
  • Pyridines / adverse effects*

Substances

  • Pyrazoles
  • Pyridines
  • Crizotinib
  • Metoclopramide