Corticosteroids can reverse severe imatinib-induced hepatotoxicity.

Abstract:

BACKGROUND:Imatinib can induce severe hepatotoxicity, in 1-5% of CML patients, many of whom need permanent imatinib discontinuation. DESIGN AND RESULTS:We report 5 CML patients who developed grade 3-4 hepatotoxicity after 2-8 months in imatinib. Different aetiologies of liver damage were ruled out and toxicity recurred in 2 patients with further attempts at low dose imatinib. In all patients prednisone or methylprednisolone at 25- 40 mg/day resolved hepatotoxicity in 3-8 weeks and allowed imatinib to be resumed at full doses. Corticosteroid were tapered off in 3-5 months without hepatotoxicity recurrence. CONCLUSIONS:Corticosteroid may avoid discontinuation for hepatotoxicity of the most effective anti-CML therapy.

journal_name

Haematologica

journal_title

Haematologica

authors

Ferrero D,Pogliani EM,Rege-Cambrin G,Fava C,Mattioli G,Dellacasa C,Campa E,Perfetti P,Fumagalli M,Boccadoro M

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

ECR27

issue

6 Suppl

eissn

0390-6078

issn

1592-8721

journal_volume

91

pub_type

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