Scientific article
OA Policy
English

Long-term outcomes of dasatinib-induced pulmonary arterial hypertension : a population-based study

Published inThe European respiratory journal, vol. 50, no. 1, 1700217
Publication date2017-07
First online date2017-07-27
Abstract

This study aimed to describe the long-term outcomes of pulmonary arterial hypertension (PAH) induced by dasatinib.21 incident, right heart catheterisation-confirmed cases of dasatinib-induced PAH were identified from the French Pulmonary Hypertension Registry. Clinical and haemodynamic variables were compared from baseline to last follow-up (median (range) 24 (1-81) months).Median age was 52 years and 15 patients were female (71%). 19 patients received dasatinib for chronic myelogenous leukaemia for a median (range) duration of 42 (8-74) months before PAH diagnosis. No bone morphogenic protein receptor-2 (BMPR2 ) mutations were found in the 10 patients tested. Dasatinib was uniformly discontinued and 11 patients received PAH medications. Four patients died during follow-up. New York Heart Association functional class improved from 76% in class III/IV to 90% in class I/II (p<0.01). Median (range) 6-min walk distance improved from 306 (0-660) to 430 (165-635) m (p<0.01). Median (range) mean pulmonary arterial pressure improved from 45 (30-70) to 26 (17-50) mmHg (p<0.01) and pulmonary vascular resistance from 6.1 (3.2-27.3) to 2.6 (1.2-5.9) Wood units (p<0.01). Patients treated with PAH medications had worse baseline haemodynamics but similar long-term outcomes to untreated patients. PAH persisted in 37% of patients.Dasatinib-induced PAH frequently improves after discontinuation but persisted in over one-third of patients, therefore systematic follow-up is essential.

Keywords
  • Adolescent
  • Adult
  • Aged
  • Dasatinib / adverse effects
  • Female
  • Follow-Up Studies
  • France
  • Humans
  • Hypertension, Pulmonary / chemically induced
  • Kaplan-Meier Estimate
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / drug therapy
  • Male
  • Middle Aged
  • Protein Kinase Inhibitors / adverse effects
  • Registries
  • Retrospective Studies
  • Vascular Resistance
  • Young Adult
Affiliation entities Not a UNIGE publication
Citation (ISO format)
WEATHERALD, Jason et al. Long-term outcomes of dasatinib-induced pulmonary arterial hypertension : a population-based study. In: The European respiratory journal, 2017, vol. 50, n° 1, p. 1700217. doi: 10.1183/13993003.00217-2017
Main files (1)
Article (Published version)
Identifiers
Journal ISSN0903-1936
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