Key result
Two Japanese patients with relapsed multiple myeloma developed new-onset congestive heart failure after administration of carfilzomib, with varying degrees of cardiac recovery upon drug cessation.
Why the study?
Data on the cardiac involvement and cardiotoxicity of carfilzomib in Japanese multiple myeloma patients were lacking.
Case Report (n=2)
No
Carfilzomib can cause severe, potentially irreversible heart failure in patients with multiple myeloma, highlighting the need for careful cardiac monitoring and prompt discontinuation if symptoms arise.
May warrant cardiac monitoring in carfilzomib-treated myeloma patients; leaves open incidence, reversibility, and risk stratification for prospective study.
Although multiple myeloma (MM) had been an incurable hematological malignancy with a poor prognosis, recent advances in novel anti-neoplastic agents, including carfilzomib (a proteasome inhibitor), have improved the prognosis. We herein report two cases of congestive heart failure in patients treated with carfilzomib. Although there are some reports on the cardiotoxicity of carfilzomib, to our knowledge, this is the first report on the cardiac involvement of carfilzomib in Japanese MM patients. We review the critical points from our two cases, with the aim of avoiding carfilzomib-associated heart failure in MM patients.
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Ikoma et al. (2019) conducted a case report in Relapsed Multiple Myeloma (n=2). Carfilzomib was evaluated on Congestive heart failure (cardiotoxicity). Two Japanese patients with relapsed multiple myeloma developed new-onset congestive heart failure after administration of carfilzomib, with varying degrees of cardiac recovery upon drug cessation.
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