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Erschienen in: Journal of Gastrointestinal Cancer 1/2017

07.01.2016 | Case Report

Capecitabine-Induced Severe Toxicity Secondary to DPD Deficiency and Successful Treatment with Low Dose 5-Fluorouracil

verfasst von: Saranya Kodali, Venu Bathini, Paul Rava, Eswar Tipirneni

Erschienen in: Journal of Gastrointestinal Cancer | Ausgabe 1/2017

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Excerpt

Colorectal cancer is the third most common cancer and second leading cause of cancer-related death in the United States [1]. Fluoropyrimidines are the back bones of systemic chemotherapy in colorectal cancer. Currently, two forms of fluoropyrimidines, an intravenous 5-fluorouracil (5-FU) and its oral prodrug capecitabine, are widely used in the western world. Nearly 1/3 of patients with colorectal malignancies experience grade 3 or greater toxicities associated with the use of fluoropyrimidines, and treatment-related mortality rate approaches 0.5 % [2]. …
Literatur
3.
Zurück zum Zitat Van Kuilenburg ABP, Maring JG, Schalhorn A, Terborg C, Schmalenberg H, Behnke D, et al. Pharmacokinetics of 5-fluorouracil in patients heterozygous for the IVS14 + 1G> a mutation in the dihydropyrimidine dehydrogenase gene. Nucleosides Nucleotides Nucleic Acids. 2008;27(6–7):692–8. doi:10.1080/15257770802145009.CrossRefPubMed Van Kuilenburg ABP, Maring JG, Schalhorn A, Terborg C, Schmalenberg H, Behnke D, et al. Pharmacokinetics of 5-fluorouracil in patients heterozygous for the IVS14 + 1G> a mutation in the dihydropyrimidine dehydrogenase gene. Nucleosides Nucleotides Nucleic Acids. 2008;27(6–7):692–8. doi:10.​1080/​1525777080214500​9.CrossRefPubMed
4.
Zurück zum Zitat Ezzeldin H, Diasio R. Dihydropyrimidine dehydrogenase deficiency, a pharmacogenetic syndrome associated with potentially life-threatening toxicity following 5-fluorouracil administration. Clin Colorectal Cancer. 2004;4(3):181–9. doi:10.3816/CCC.2004.n.018.CrossRefPubMed Ezzeldin H, Diasio R. Dihydropyrimidine dehydrogenase deficiency, a pharmacogenetic syndrome associated with potentially life-threatening toxicity following 5-fluorouracil administration. Clin Colorectal Cancer. 2004;4(3):181–9. doi:10.​3816/​CCC.​2004.​n.​018.CrossRefPubMed
6.
Zurück zum Zitat Ciccolini J, Mercier C, Dahan L, Evrard A, Boyer J-C, Richard K, et al. Toxic death-case after capecitabine + oxaliplatin (XELOX) administration: probable implication of dihydropyrimidine deshydrogenase deficiency. Cancer Chemother Pharmacol. 2006;58(2):272–5. doi:10.1007/s00280-005-0139-8.CrossRefPubMed Ciccolini J, Mercier C, Dahan L, Evrard A, Boyer J-C, Richard K, et al. Toxic death-case after capecitabine + oxaliplatin (XELOX) administration: probable implication of dihydropyrimidine deshydrogenase deficiency. Cancer Chemother Pharmacol. 2006;58(2):272–5. doi:10.​1007/​s00280-005-0139-8.CrossRefPubMed
7.
Zurück zum Zitat Van Kuilenburg ABP, Vreken P, Abeling NGGM, Bakker HD, Meinsma R, Van Lenthe H, et al. Genotype and phenotype in patients with dihydropyrimidine dehydrogenase deficiency. Hum Genet. 1999;104(1):1–9. doi:10.1007/PL00008711.CrossRefPubMed Van Kuilenburg ABP, Vreken P, Abeling NGGM, Bakker HD, Meinsma R, Van Lenthe H, et al. Genotype and phenotype in patients with dihydropyrimidine dehydrogenase deficiency. Hum Genet. 1999;104(1):1–9. doi:10.​1007/​PL00008711.CrossRefPubMed
9.
Zurück zum Zitat van Kuilenburg ABP, Haasjes J, Richel DJ, Zoetekouw L, Van Lenthe H, De Abreu RA, et al. Clinical implications of dihydropyrimidine dehydrogenase (DPD) deficiency in patients with severe 5-fluorouracil-associated toxicity: identification of new mutations in the DPD gene. Clin Cancer Res. 2000;6(12):4705–12.PubMed van Kuilenburg ABP, Haasjes J, Richel DJ, Zoetekouw L, Van Lenthe H, De Abreu RA, et al. Clinical implications of dihydropyrimidine dehydrogenase (DPD) deficiency in patients with severe 5-fluorouracil-associated toxicity: identification of new mutations in the DPD gene. Clin Cancer Res. 2000;6(12):4705–12.PubMed
10.
Zurück zum Zitat Boisdron-Celle M, Remaud G, Traore S, Poirier AL, Gamelin L, Morel A, et al. 5-Fluorouracil-related severe toxicity: a comparison of different methods for the pretherapeutic detection of dihydropyrimidine dehydrogenase deficiency. Cancer Lett. 2007;249(2):271–82. doi:10.1016/j.canlet.2006.09.006.CrossRefPubMed Boisdron-Celle M, Remaud G, Traore S, Poirier AL, Gamelin L, Morel A, et al. 5-Fluorouracil-related severe toxicity: a comparison of different methods for the pretherapeutic detection of dihydropyrimidine dehydrogenase deficiency. Cancer Lett. 2007;249(2):271–82. doi:10.​1016/​j.​canlet.​2006.​09.​006.CrossRefPubMed
11.
Zurück zum Zitat Giorgio E, Caroti C, Mattioli F, Uliana V, Parodi MI, D’Amico M, et al. Severe fluoropyrimidine-related toxicity: clinical implications of DPYD analysis and UH2/U ratio evaluation. Cancer Chemother Pharmacol. 2011;68(5):1355–61. doi:10.1007/s00280-011-1709-6.CrossRefPubMed Giorgio E, Caroti C, Mattioli F, Uliana V, Parodi MI, D’Amico M, et al. Severe fluoropyrimidine-related toxicity: clinical implications of DPYD analysis and UH2/U ratio evaluation. Cancer Chemother Pharmacol. 2011;68(5):1355–61. doi:10.​1007/​s00280-011-1709-6.CrossRefPubMed
14.
Zurück zum Zitat Magnani E, Farnetti E, Davide N, Casali B, Savoldi L, Focaccetti C, et al. Fluoropyrimidine toxicity in patients with dihydropyrimidine dehydrogenase splice site variant: the need for further revision of dose and schedule. Intern Emerg Med. 2013;8(5):417–23. doi:10.1007/s11739-013-0936-8.CrossRefPubMed Magnani E, Farnetti E, Davide N, Casali B, Savoldi L, Focaccetti C, et al. Fluoropyrimidine toxicity in patients with dihydropyrimidine dehydrogenase splice site variant: the need for further revision of dose and schedule. Intern Emerg Med. 2013;8(5):417–23. doi:10.​1007/​s11739-013-0936-8.CrossRefPubMed
15.
Zurück zum Zitat Deenen MJ, Meulendijks D, Cats A, Sechterberger MK, Severens JL, Boot H, et al. Upfront genotyping of DPYD*2A to individualize fluoropyrimidine therapy: a safety and cost analysis. J Clin Oncol. 2015. doi:10.1200/JCO.2015.63.1325. Deenen MJ, Meulendijks D, Cats A, Sechterberger MK, Severens JL, Boot H, et al. Upfront genotyping of DPYD*2A to individualize fluoropyrimidine therapy: a safety and cost analysis. J Clin Oncol. 2015. doi:10.​1200/​JCO.​2015.​63.​1325.
Metadaten
Titel
Capecitabine-Induced Severe Toxicity Secondary to DPD Deficiency and Successful Treatment with Low Dose 5-Fluorouracil
verfasst von
Saranya Kodali
Venu Bathini
Paul Rava
Eswar Tipirneni
Publikationsdatum
07.01.2016
Verlag
Springer US
Erschienen in
Journal of Gastrointestinal Cancer / Ausgabe 1/2017
Print ISSN: 1941-6628
Elektronische ISSN: 1941-6636
DOI
https://doi.org/10.1007/s12029-015-9797-x

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