Experiences of the combined use of Favipiravir in patients using Lorlatinib and Brigatinib

Introduction The SARS-COV-2 (COVID-19) pandemic is challenging the management of cancer patients. In this article, we present two patients diagnosed with anaplastic lymphoma kinase (ALK) + non-small cell lung adenocarcinoma (NSCL CA), infected with COVID-19, who had a previous multi-line therapy wit...

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Veröffentlicht in:Journal of oncology pharmacy practice 2022-12, Vol.28 (8), p.1906-1909
Hauptverfasser: Buyukkor, Mustafa, Tay, Fatih, Ates, Ozturk
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container_title Journal of oncology pharmacy practice
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creator Buyukkor, Mustafa
Tay, Fatih
Ates, Ozturk
description Introduction The SARS-COV-2 (COVID-19) pandemic is challenging the management of cancer patients. In this article, we present two patients diagnosed with anaplastic lymphoma kinase (ALK) + non-small cell lung adenocarcinoma (NSCL CA), infected with COVID-19, who had a previous multi-line therapy with Brigatinib and Lorlatinib, and received Favipiravir for their current infection. Case reports A 58-year-old man and a 65-year-old woman were diagnosed as ALK ( + ) NSCL CA. Both patients received tyrosine kinase inhibitors (TKI) for lung cancer when diagnosed with COVID-19. No adverse effects were observed with the concurrent use of Favipiravir, an antiviral drug currently used for COVID-19 and TKI. Management and outcome Considering the pharmacokinetic effects of favipiravir and the ALK inhibitor TKI's used on our cases (Brigatinib-Lorlatinib), the concurrent use of these drugs was safe and prevented the delay in the primary treatment of the malignancy of our patients. Discussion To our knowledge, these are the only reported cases diagnosed as ALK ( + ) NSCL CA who received favipiravir because of COVID-19 while using TKI, and both patients recovered completely without any side effects.
doi_str_mv 10.1177/10781552221083321
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subjects Adenocarcinoma
Antiviral agents
Case reports
Coronaviruses
COVID-19
Lung cancer
Malignancy
Patients
Pharmacokinetics
Protein-tyrosine kinase
Severe acute respiratory syndrome coronavirus 2
title Experiences of the combined use of Favipiravir in patients using Lorlatinib and Brigatinib
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