PMID- 33467441 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240330 IS - 2227-9032 (Print) IS - 2227-9032 (Electronic) IS - 2227-9032 (Linking) VI - 9 IP - 1 DP - 2021 Jan 15 TI - May Ibrutinib Have Activity in Respiratory Complications by SARS-CoV-2? Clinical Experience in a Patient with Chronic Lymphocytic Leukemia. LID - 10.3390/healthcare9010078 [doi] LID - 78 AB - COVID-19 is affecting many countries all around the world. Unfortunately, no treatment has already been approved for the management of patients infected by SARS-CoV-2. It seems that SARS-CoV-2 can induce the activation of an exaggerated immune response against itself according to different mechanisms that are not really well known. Inflammatory interleukins, such as IL-6 among others, play a central role in this uncontrolled immune response. There is a strong rational under ibrutinib use in in the treatment of immune-based diseases, such a as GVHD or RA. Ibrutinib achieves a reduction in the production of TNFalpha, IL1, IL-6 and Monocyte chemo-attractant protein-1 (MCP-1) by neutrophils and macrophages, that are key players in keeping the inflammatory process. We present our clinical experience about ibrutinib use in ARDS secondary to SARS-CoV-2 in a patient with chronic lymphocytic leukemia (CLL). FAU - Molina-Cerrillo, Javier AU - Molina-Cerrillo J AUID- ORCID: 0000-0003-4616-0598 AD - Medical Oncology Department, University Hospital Ramon y Cajal, 28034 Madrid, Spain. AD - The Ramon y Cajal Health Research Institute (IRYCIS), CIBERONC, 28034 Madrid, Spain. AD - Medical School, Alcala University, 28805 Madrid, Spain. FAU - Marquet-Palomanes, Juan AU - Marquet-Palomanes J AD - The Ramon y Cajal Health Research Institute (IRYCIS), CIBERONC, 28034 Madrid, Spain. AD - Hematology Department, University Hospital Ramon y Cajal, 28034 Madrid, Spain. FAU - Alonso-Gordoa, Teresa AU - Alonso-Gordoa T AUID- ORCID: 0000-0002-8966-7236 AD - Medical Oncology Department, University Hospital Ramon y Cajal, 28034 Madrid, Spain. AD - The Ramon y Cajal Health Research Institute (IRYCIS), CIBERONC, 28034 Madrid, Spain. AD - Medical School, Alcala University, 28805 Madrid, Spain. FAU - Lopez-Jimenez, Javier AU - Lopez-Jimenez J AD - The Ramon y Cajal Health Research Institute (IRYCIS), CIBERONC, 28034 Madrid, Spain. AD - Medical School, Alcala University, 28805 Madrid, Spain. AD - Hematology Department, University Hospital Ramon y Cajal, 28034 Madrid, Spain. FAU - Grande, Enrique AU - Grande E AD - MD Anderson Cancer Center, 28033 Madrid, Spain. LA - eng PT - Case Reports DEP - 20210115 PL - Switzerland TA - Healthcare (Basel) JT - Healthcare (Basel, Switzerland) JID - 101666525 PMC - PMC7830068 OTO - NOTNLM OT - BTK OT - COVID19 OT - SARS-CoV-2 OT - ibrutinib COIS- Juan Marquet: Janssen, Roche, Gilead (SAB), Abbvie (C/A). Enrique Grande: Pfizer, Bristol-Myers Squibb, Ipsen, Roche, Eisai, Eusa Pharma, MerckSharp&Dohme, Sanofi-Genzyme, Adacap, Novartis, PierreFabre, Lexicon, Celgene (C/A, SAB), Pfizer, AstraZeneca, MTEM/Threshold, Roche, Ipsen, Lexicon (RF). The rest of authors declares no conflict of interest. (C/A): Consulting/Advisory relationship; (RF) Research Funding; (SAB) Scientific Advisory Board. EDAT- 2021/01/21 06:00 MHDA- 2021/01/21 06:01 PMCR- 2021/01/15 CRDT- 2021/01/20 01:09 PHST- 2020/12/08 00:00 [received] PHST- 2021/01/13 00:00 [revised] PHST- 2021/01/14 00:00 [accepted] PHST- 2021/01/20 01:09 [entrez] PHST- 2021/01/21 06:00 [pubmed] PHST- 2021/01/21 06:01 [medline] PHST- 2021/01/15 00:00 [pmc-release] AID - healthcare9010078 [pii] AID - healthcare-09-00078 [pii] AID - 10.3390/healthcare9010078 [doi] PST - epublish SO - Healthcare (Basel). 2021 Jan 15;9(1):78. doi: 10.3390/healthcare9010078.