Two cases suspected of panitumumab-induced interstitial lung disease
Noriko Hayamaa Shinji Sakaguchia Keishi Tsuzukia Hideki Yukia Satoshi Kuritab Morio Nakamuraa
aDepartment of Respiratory Medicie, Eiju General Hospital
bDepartment of Gastrointestinal Medicie, Eiju General Hospital
Panitumumab is a human monoclonal antibody against epidermal growth factor receptor (EGFR), which was approved for advanced or recurrent KRAS wild-type colorectal carcinoma. Two of 11 patients who received panitumumab-containing chemotherapy in our hospital developed interstitial lung disease (ILD), and these onsets were supposed to be associated with panitumumab. Case 1, a 79-year-old man: After two courses of panitumumab and FOLFIRI therapy for recurrent colon cancer, he developed ILD and recovered by steroid pulse therapy after discontinuation of the drug. Case 2, a 76-year-old man: After seven courses of panitumumab and FOLFOX therapy as postoperative adjuvant chemotherapy, he developed ILD. Although he had steroid pulse therapy, cyclophosphamide pulse therapy, and direct hemoperfusion using a polymyxin B immobilized fiber column (PMX-DHP) therapy, he died 22 days after admission. Autopsy findings showed a pattern of diffuse alveolar damage. Panitumumab may cause life-threatening ILD; therefore we must recognize and pay careful attention to this potential pulmonary toxicity.
Panitumumab Interstitial lung disease (ILD) Direct hemoperfusion using a polymyxin B immobilized fiber column (PMX-DHP) Anti-epidermal growth factor receptor (EGFR) monoclonal antibody Diffuse alveolar damage (DAD)
Received 14 Nov 2012 / Accepted 26 Feb 2013
AJRS, 2(4): 419-423, 2013