PMID- 30278813 OWN - NLM STAT- MEDLINE DCOM- 20210104 LR - 20210104 IS - 1531-1937 (Electronic) IS - 0897-1900 (Linking) VI - 33 IP - 2 DP - 2020 Apr TI - Carfilzomib Induced Tumor Lysis Syndrome and Other Adverse Events. PG - 213-216 LID - 10.1177/0897190018802129 [doi] AB - In the area of multiple myeloma (MM) therapy, proteasome inhibitors (PI) have emerged with promising responses both in the first- and second-line setting. Carfilzomib (CFZ) is a second-generation, selective PI approved in 2012 for the treatment of relapsed/refractory multiple myeloma (RRMM) in patients who received 2 prior therapies or have evidence of disease progression within 60 days of completion of last therapy. Its safety profile reported adverse events (AEs) ranging from drug-related AEs (nausea and vomiting), hematologic AEs (neutropenia and thrombocytopenia), and nonhematologic AEs (electrolyte imbalances). As CFZ use is gaining popularity, various hematological, renal, cardiovascular, pulmonary, and neurological toxicities have been reported. We are presenting this case to describe a rare occurrence of tumor lysis syndrome (TLS) with the use of this novel targeted therapy. FAU - Sandy, El Bitar AU - Sandy EB AUID- ORCID: 0000-0002-2625-9171 AD - Department of Internal Medicine, Northwell Health Staten Island University Hospital, Staten Island, NY, USA. FAU - Weerasinghe, Chanudi AU - Weerasinghe C AD - Department of Hematology and Oncology, Northwell Health Staten Island University Hospital, Staten Island, NY, USA. FAU - Terjanian, Terenig AU - Terjanian T AD - Department of Hematology and Oncology, Northwell Health Staten Island University Hospital, Staten Island, NY, USA. LA - eng PT - Case Reports PT - Journal Article DEP - 20181002 PL - United States TA - J Pharm Pract JT - Journal of pharmacy practice JID - 8900945 RN - 0 (Antineoplastic Agents) RN - 0 (Oligopeptides) RN - 0 (Proteasome Inhibitors) RN - 72X6E3J5AR (carfilzomib) SB - IM MH - Aged MH - Antineoplastic Agents/*adverse effects MH - Humans MH - Male MH - Multiple Myeloma/*drug therapy MH - Nausea/chemically induced MH - Neutropenia/chemically induced MH - Oligopeptides/*adverse effects MH - Proteasome Inhibitors/*adverse effects MH - Thrombocytopenia/chemically induced MH - Tumor Lysis Syndrome/*etiology MH - Vomiting/chemically induced MH - Water-Electrolyte Balance/drug effects OTO - NOTNLM OT - adverse events OT - carfilzomib OT - multiple myeloma OT - proteasome inhibitor OT - tumor lysis syndrome EDAT- 2018/10/04 06:00 MHDA- 2021/01/05 06:00 CRDT- 2018/10/04 06:00 PHST- 2018/10/04 06:00 [pubmed] PHST- 2021/01/05 06:00 [medline] PHST- 2018/10/04 06:00 [entrez] AID - 10.1177/0897190018802129 [doi] PST - ppublish SO - J Pharm Pract. 2020 Apr;33(2):213-216. doi: 10.1177/0897190018802129. Epub 2018 Oct 2.