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07-12-2024 | Entrectinib | Case Report

Cognitive and ataxic adverse events following entrectinib treatment in NTRK1 fusion gene-positive intrahepatic cholangiocarcinoma: a case report

Authors: Kazuya Koyama, Hidetaka Iwamoto, Kenji Takahashi, Tetsuhiro Okada, Hidemasa Kawabata, Yohei Kitano, Hiroki Tanabe, Mikihiro Fujiya, Toshikatsu Okumura, Yusuke Mizukami

Published in: Clinical Journal of Gastroenterology | Issue 1/2025

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Abstract

We report the rare case of severe cognitive disorder and ataxia caused by entrectinib in a patient with NTRK1 fusion gene-positive intrahepatic cholangiocarcinoma. The case was a 56-year-old woman after nine courses of GCS therapy. The patient experienced grade 1 muscle weakness on day 4 and grade 3, cognitive disorder on day 7 after receiving entrectinib, which led to hospitalization. The symptoms were reversible and tended to improve after withdrawal of entrectinib. It is crucial to increase awareness of TRKi-specific adverse events and their proper management.
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Metadata
Title
Cognitive and ataxic adverse events following entrectinib treatment in NTRK1 fusion gene-positive intrahepatic cholangiocarcinoma: a case report
Authors
Kazuya Koyama
Hidetaka Iwamoto
Kenji Takahashi
Tetsuhiro Okada
Hidemasa Kawabata
Yohei Kitano
Hiroki Tanabe
Mikihiro Fujiya
Toshikatsu Okumura
Yusuke Mizukami
Publication date
07-12-2024
Publisher
Springer Nature Singapore
Published in
Clinical Journal of Gastroenterology / Issue 1/2025
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-024-02076-w

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