Imatinib mesylate therapy in patients with gastrointestinal stromal tumors and impaired liver function.

Abstract:

:Hepatic and peritoneal metastases are the most frequent metastatic lesions in patients with gastrointestinal stromal tumors (GIST), and may result in intra- or extrahepatic cholestasis and altered drug metabolism. While the tyrosine kinase inhibitor imatinib, which has been recently shown to represent the treatment of choice for GIST, is primarily metabolized by the liver, data on the pharmacokinetics and the tolerability of imatinib in patients with increased cholestasis parameters are not yet available. We here report on two patients who received imatinib in the presence of increased bilirubin and/or cholestasis parameters. With a follow-up duration of 3-4 months, we observed no toxicities outside of well-known side effects including some degree of myelosuppression and fluid retention. This report may aid in the decision of imatinib being given under close surveillance to this kind of patients.

journal_name

Anticancer Drugs

journal_title

Anti-cancer drugs

authors

Bauer S,Hagen V,Pielken HJ,Bojko P,Seeber S,Schütte J

doi

10.1097/00001813-200209000-00010

subject

Has Abstract

pub_date

2002-09-01 00:00:00

pages

847-9

issue

8

eissn

0959-4973

issn

1473-5741

journal_volume

13

pub_type

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