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Development of Neuropathic Arthropathy With Entrectinib: Case Report

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Date 2022 Nov 7
PMID 36340796
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Abstract

TRK inhibition can lead to on-target neurologic adverse events. Two cases illustrate the development of neuropathic arthropathy as a side effect of entrectinib. After starting entrectinib, both patients developed foot pain, swelling, and sensory changes with magnetic resonance imaging revealing marrow edema. Providers should have a low threshold to investigate foot pain or gait abnormalities thoroughly with magnetic resonance imaging and referral to specialists to aid in the diagnosis of neuropathic arthropathy, with consideration to transition to an alternative agent.

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References
1.
Trieb K . The Charcot foot: pathophysiology, diagnosis and classification. Bone Joint J. 2016; 98-B(9):1155-9. DOI: 10.1302/0301-620X.98B9.37038. View

2.
Lv F, Xu X, Song Y, Li L, Wang O, Jiang Y . Recurrent and novel mutations in the NTRK1 gene lead to rare congenital insensitivity to pain with anhidrosis in two Chinese patients. Clin Chim Acta. 2017; 468:39-45. DOI: 10.1016/j.cca.2017.02.007. View

3.
Amatu A, Sartore-Bianchi A, Bencardino K, Pizzutilo E, Tosi F, Siena S . Tropomyosin receptor kinase (TRK) biology and the role of NTRK gene fusions in cancer. Ann Oncol. 2019; 30(Suppl_8):viii5-viii15. PMC: 6859819. DOI: 10.1093/annonc/mdz383. View

4.
Delgado J, Pean E, Melchiorri D, Migali C, Josephson F, Enzmann H . The European Medicines Agency review of entrectinib for the treatment of adult or paediatric patients with solid tumours who have a neurotrophic tyrosine receptor kinase gene fusions and adult patients with non-small-cell lung cancer harbouring ROS1.... ESMO Open. 2021; 6(2):100087. PMC: 7988279. DOI: 10.1016/j.esmoop.2021.100087. View