Article
Choosing Antifungals for the Midostaurin-Treated Patient: Does CYP3A4 Outweigh Recommendations? A Brief Insight from Real Life.
Chemotherapy - 1 Jan 2021
Menna Pierantonio, Salvatorelli Emanuela, Del Principe Maria Ilaria, Perrone Salvatore, Pagano Livio, Marchesi Francesco, Minotti Giorgio
Abstract excerpt
INTRODUCTION: Patients treated with midostaurin and chemotherapy are at risk of invasive fungal disease. Prophylactic posaconazole is recommended for these patients, but posaconazole strongly inhibits the CYP3A4 isozyme that metabolizes midostaurin. Posaconazole therefore introduces a risk of patient's overexposure to midostaurin. METHODS: Blood samples were obtained from 4 patients treated with midostaurin for...
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