Loading…

Romidepsin-associated cardiac toxicity and ECG changes: A case report and review of the literature

Background Romidepsin is a novel histone deacetylase inhibitor that is approved for the treatment of cutaneous and peripheral T-cell lymphoma in patients who have had at least one prior therapy. Romidepsin is generally well tolerated, though it comes with a risk of cardiac toxicities. Objective We r...

Full description

Saved in:
Bibliographic Details
Published in:Journal of oncology pharmacy practice 2018-01, Vol.24 (1), p.56-62
Main Authors: Rivers, Zachary T, Oostra, Drew R, Westholder, James S, Vercellotti, Gregory M
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c431t-5e5d37b197e9530f7b58d0ef80d423808eba5595f00b1eaeaa8c9512dd56d8973
cites cdi_FETCH-LOGICAL-c431t-5e5d37b197e9530f7b58d0ef80d423808eba5595f00b1eaeaa8c9512dd56d8973
container_end_page 62
container_issue 1
container_start_page 56
container_title Journal of oncology pharmacy practice
container_volume 24
creator Rivers, Zachary T
Oostra, Drew R
Westholder, James S
Vercellotti, Gregory M
description Background Romidepsin is a novel histone deacetylase inhibitor that is approved for the treatment of cutaneous and peripheral T-cell lymphoma in patients who have had at least one prior therapy. Romidepsin is generally well tolerated, though it comes with a risk of cardiac toxicities. Objective We report a case of electrocardiogram changes in a 64-year-old male with enteropathy-associated T-cell lymphoma, type 2, treated with salvage romidepsin therapy who relapsed after non-myeloablative allogeneic sibling peripheral blood stem cell transplant. Discussion Although histone deacetylase inhibitors have been investigated for many years, they have only recently been translated to clinical use as a therapy for malignancies. Furthermore, given their approval for a rare disease, clinicians often have limited experience with the dosing and side effects of histone deacetylase inhibitors. Conclusion This case report and literature review investigates the cardiac side effects of histone deacetylase inhibitors and illustrates the importance of cardiac monitoring prior to and during treatment.
doi_str_mv 10.1177/1078155216673229
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_1979815204</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1078155216673229</sage_id><sourcerecordid>1979815204</sourcerecordid><originalsourceid>FETCH-LOGICAL-c431t-5e5d37b197e9530f7b58d0ef80d423808eba5595f00b1eaeaa8c9512dd56d8973</originalsourceid><addsrcrecordid>eNp1kMFLwzAYxYMobk7vniTguZqkzZJ4G2NOYSCIgreSNl-3jK2tSaruvzdzU0Tw9H3wfu89eAidU3JFqRDXlAhJOWd0OBQpY-oA9WkmREIUezmMf5STrd5DJ94vCSFSMHmMekwIIqlifVQ8NmtroPW2TrT3TWl1AINL7YzVJQ7Nhy1t2GBdGzwZT3G50PUc_A0eRcYDdtA2LnzJDt4svOOmwmEBeGUDOB06B6foqNIrD2f7O0DPt5On8V0ye5jej0ezpMxSGhIO3KSioEqA4impRMGlIVBJYjKWSiKh0JwrXhFSUNCgtSwVp8wYPjRSiXSALne5rWteO_AhXzadq2NlHkNVHIqRLFJkR5Wu8d5BlbfOrrXb5JTk21Hzv6NGy8U-uCvWYH4M3ytGINkBXs_hV-t_gZ89kH5A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1979815204</pqid></control><display><type>article</type><title>Romidepsin-associated cardiac toxicity and ECG changes: A case report and review of the literature</title><source>Sage Journals Online</source><creator>Rivers, Zachary T ; Oostra, Drew R ; Westholder, James S ; Vercellotti, Gregory M</creator><creatorcontrib>Rivers, Zachary T ; Oostra, Drew R ; Westholder, James S ; Vercellotti, Gregory M</creatorcontrib><description>Background Romidepsin is a novel histone deacetylase inhibitor that is approved for the treatment of cutaneous and peripheral T-cell lymphoma in patients who have had at least one prior therapy. Romidepsin is generally well tolerated, though it comes with a risk of cardiac toxicities. Objective We report a case of electrocardiogram changes in a 64-year-old male with enteropathy-associated T-cell lymphoma, type 2, treated with salvage romidepsin therapy who relapsed after non-myeloablative allogeneic sibling peripheral blood stem cell transplant. Discussion Although histone deacetylase inhibitors have been investigated for many years, they have only recently been translated to clinical use as a therapy for malignancies. Furthermore, given their approval for a rare disease, clinicians often have limited experience with the dosing and side effects of histone deacetylase inhibitors. Conclusion This case report and literature review investigates the cardiac side effects of histone deacetylase inhibitors and illustrates the importance of cardiac monitoring prior to and during treatment.</description><identifier>ISSN: 1078-1552</identifier><identifier>EISSN: 1477-092X</identifier><identifier>DOI: 10.1177/1078155216673229</identifier><identifier>PMID: 27708192</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Case reports ; Chromatin ; EKG ; Heart ; Heart diseases ; Hematopoietic stem cells ; Histone deacetylase ; Inhibitors ; Literature reviews ; Lymphocytes T ; Lymphoma ; Peripheral blood ; Salvage ; Side effects ; T-cell lymphoma ; Toxicity</subject><ispartof>Journal of oncology pharmacy practice, 2018-01, Vol.24 (1), p.56-62</ispartof><rights>The Author(s) 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c431t-5e5d37b197e9530f7b58d0ef80d423808eba5595f00b1eaeaa8c9512dd56d8973</citedby><cites>FETCH-LOGICAL-c431t-5e5d37b197e9530f7b58d0ef80d423808eba5595f00b1eaeaa8c9512dd56d8973</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,79364</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27708192$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rivers, Zachary T</creatorcontrib><creatorcontrib>Oostra, Drew R</creatorcontrib><creatorcontrib>Westholder, James S</creatorcontrib><creatorcontrib>Vercellotti, Gregory M</creatorcontrib><title>Romidepsin-associated cardiac toxicity and ECG changes: A case report and review of the literature</title><title>Journal of oncology pharmacy practice</title><addtitle>J Oncol Pharm Pract</addtitle><description>Background Romidepsin is a novel histone deacetylase inhibitor that is approved for the treatment of cutaneous and peripheral T-cell lymphoma in patients who have had at least one prior therapy. Romidepsin is generally well tolerated, though it comes with a risk of cardiac toxicities. Objective We report a case of electrocardiogram changes in a 64-year-old male with enteropathy-associated T-cell lymphoma, type 2, treated with salvage romidepsin therapy who relapsed after non-myeloablative allogeneic sibling peripheral blood stem cell transplant. Discussion Although histone deacetylase inhibitors have been investigated for many years, they have only recently been translated to clinical use as a therapy for malignancies. Furthermore, given their approval for a rare disease, clinicians often have limited experience with the dosing and side effects of histone deacetylase inhibitors. Conclusion This case report and literature review investigates the cardiac side effects of histone deacetylase inhibitors and illustrates the importance of cardiac monitoring prior to and during treatment.</description><subject>Case reports</subject><subject>Chromatin</subject><subject>EKG</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Hematopoietic stem cells</subject><subject>Histone deacetylase</subject><subject>Inhibitors</subject><subject>Literature reviews</subject><subject>Lymphocytes T</subject><subject>Lymphoma</subject><subject>Peripheral blood</subject><subject>Salvage</subject><subject>Side effects</subject><subject>T-cell lymphoma</subject><subject>Toxicity</subject><issn>1078-1552</issn><issn>1477-092X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kMFLwzAYxYMobk7vniTguZqkzZJ4G2NOYSCIgreSNl-3jK2tSaruvzdzU0Tw9H3wfu89eAidU3JFqRDXlAhJOWd0OBQpY-oA9WkmREIUezmMf5STrd5DJ94vCSFSMHmMekwIIqlifVQ8NmtroPW2TrT3TWl1AINL7YzVJQ7Nhy1t2GBdGzwZT3G50PUc_A0eRcYDdtA2LnzJDt4svOOmwmEBeGUDOB06B6foqNIrD2f7O0DPt5On8V0ye5jej0ezpMxSGhIO3KSioEqA4impRMGlIVBJYjKWSiKh0JwrXhFSUNCgtSwVp8wYPjRSiXSALne5rWteO_AhXzadq2NlHkNVHIqRLFJkR5Wu8d5BlbfOrrXb5JTk21Hzv6NGy8U-uCvWYH4M3ytGINkBXs_hV-t_gZ89kH5A</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Rivers, Zachary T</creator><creator>Oostra, Drew R</creator><creator>Westholder, James S</creator><creator>Vercellotti, Gregory M</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20180101</creationdate><title>Romidepsin-associated cardiac toxicity and ECG changes: A case report and review of the literature</title><author>Rivers, Zachary T ; Oostra, Drew R ; Westholder, James S ; Vercellotti, Gregory M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-5e5d37b197e9530f7b58d0ef80d423808eba5595f00b1eaeaa8c9512dd56d8973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Case reports</topic><topic>Chromatin</topic><topic>EKG</topic><topic>Heart</topic><topic>Heart diseases</topic><topic>Hematopoietic stem cells</topic><topic>Histone deacetylase</topic><topic>Inhibitors</topic><topic>Literature reviews</topic><topic>Lymphocytes T</topic><topic>Lymphoma</topic><topic>Peripheral blood</topic><topic>Salvage</topic><topic>Side effects</topic><topic>T-cell lymphoma</topic><topic>Toxicity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rivers, Zachary T</creatorcontrib><creatorcontrib>Oostra, Drew R</creatorcontrib><creatorcontrib>Westholder, James S</creatorcontrib><creatorcontrib>Vercellotti, Gregory M</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><jtitle>Journal of oncology pharmacy practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rivers, Zachary T</au><au>Oostra, Drew R</au><au>Westholder, James S</au><au>Vercellotti, Gregory M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Romidepsin-associated cardiac toxicity and ECG changes: A case report and review of the literature</atitle><jtitle>Journal of oncology pharmacy practice</jtitle><addtitle>J Oncol Pharm Pract</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>24</volume><issue>1</issue><spage>56</spage><epage>62</epage><pages>56-62</pages><issn>1078-1552</issn><eissn>1477-092X</eissn><abstract>Background Romidepsin is a novel histone deacetylase inhibitor that is approved for the treatment of cutaneous and peripheral T-cell lymphoma in patients who have had at least one prior therapy. Romidepsin is generally well tolerated, though it comes with a risk of cardiac toxicities. Objective We report a case of electrocardiogram changes in a 64-year-old male with enteropathy-associated T-cell lymphoma, type 2, treated with salvage romidepsin therapy who relapsed after non-myeloablative allogeneic sibling peripheral blood stem cell transplant. Discussion Although histone deacetylase inhibitors have been investigated for many years, they have only recently been translated to clinical use as a therapy for malignancies. Furthermore, given their approval for a rare disease, clinicians often have limited experience with the dosing and side effects of histone deacetylase inhibitors. Conclusion This case report and literature review investigates the cardiac side effects of histone deacetylase inhibitors and illustrates the importance of cardiac monitoring prior to and during treatment.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>27708192</pmid><doi>10.1177/1078155216673229</doi><tpages>7</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1078-1552
ispartof Journal of oncology pharmacy practice, 2018-01, Vol.24 (1), p.56-62
issn 1078-1552
1477-092X
language eng
recordid cdi_proquest_journals_1979815204
source Sage Journals Online
subjects Case reports
Chromatin
EKG
Heart
Heart diseases
Hematopoietic stem cells
Histone deacetylase
Inhibitors
Literature reviews
Lymphocytes T
Lymphoma
Peripheral blood
Salvage
Side effects
T-cell lymphoma
Toxicity
title Romidepsin-associated cardiac toxicity and ECG changes: A case report and review of the literature
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T22%3A10%3A16IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Romidepsin-associated%20cardiac%20toxicity%20and%20ECG%20changes:%20A%20case%20report%20and%20review%20of%20the%20literature&rft.jtitle=Journal%20of%20oncology%20pharmacy%20practice&rft.au=Rivers,%20Zachary%20T&rft.date=2018-01-01&rft.volume=24&rft.issue=1&rft.spage=56&rft.epage=62&rft.pages=56-62&rft.issn=1078-1552&rft.eissn=1477-092X&rft_id=info:doi/10.1177/1078155216673229&rft_dat=%3Cproquest_cross%3E1979815204%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c431t-5e5d37b197e9530f7b58d0ef80d423808eba5595f00b1eaeaa8c9512dd56d8973%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1979815204&rft_id=info:pmid/27708192&rft_sage_id=10.1177_1078155216673229&rfr_iscdi=true