Cardiovascular toxicities with pediatric tyrosine kinase inhibitor therapy: An analysis of adverse events reported to the Food and Drug Administration

Pediatr Blood Cancer. 2023 Feb;70(2):e30059. doi: 10.1002/pbc.30059. Epub 2022 Nov 17.

Abstract

We sought to examine cardiovascular toxicities associated with tyrosine kinase inhibitors in pediatrics. We examined 1624 pediatric adverse events with imatinib, dasatinib, sorafenib, pazopanib, crizotinib, and ruxolitinib reported to the Food and Drug Administration between January 1, 2015, and August 14, 2020. There were 102 cardiovascular event reports. Hypertension was the most commonly reported cardiovascular event and was most frequently associated with sorafenib and pazopanib. The presence of infection increased the reporting odds of cardiovascular events overall and specifically cardiac arrest, heart failure, and hypertension. These data provide early insight into cardiovascular toxicities with tyrosine kinase inhibitor use in pediatrics.

Keywords: cardiotoxicity; hypertension; pediatric cancer; tyrosine kinase inhibitor.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Antineoplastic Agents* / adverse effects
  • Child
  • Heart Failure* / chemically induced
  • Humans
  • Hypertension*
  • Protein Kinase Inhibitors / adverse effects
  • Sorafenib / adverse effects
  • Tyrosine Kinase Inhibitors
  • United States
  • United States Food and Drug Administration

Substances

  • pazopanib
  • Sorafenib
  • Tyrosine Kinase Inhibitors
  • Protein Kinase Inhibitors
  • Antineoplastic Agents