Bortezomib and heart failure: case-report and review of the French Pharmacovigilance database

Fundam Clin Pharmacol. 2014 Jun;28(3):349-52. doi: 10.1111/fcp.12039. Epub 2013 Jun 19.

Abstract

Bortezomib is a proteasome inhibitor commonly indicated for the treatment of multiple myeloma and non Hodgkin lymphoma. Cardiac adverse drug reactions of this drug are not clearly established. We report case where direct involvement of bortezomib in the occurrence of heart failure is strongly suspected and 22 other cases spontaneously reported to the French Pharmacovigilance System. This report should increase cardiologist awareness about the risk of heart failure related to this drug. Moreover, these cases underline the need for a systematic cardiac screening in patients exposed to bortezomib.

Keywords: bortezomib; heart failure; pharmacovigilance.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / therapeutic use
  • Boronic Acids / administration & dosage
  • Boronic Acids / adverse effects*
  • Boronic Acids / therapeutic use
  • Bortezomib
  • Databases, Pharmaceutical*
  • France
  • Heart Failure / chemically induced*
  • Heart Failure / diagnosis
  • Heart Failure / therapy
  • Heart Function Tests
  • Humans
  • Male
  • Middle Aged
  • Multiple Myeloma / drug therapy
  • Pharmacovigilance*
  • Pyrazines / administration & dosage
  • Pyrazines / adverse effects*
  • Pyrazines / therapeutic use
  • Treatment Outcome

Substances

  • Antineoplastic Agents
  • Boronic Acids
  • Pyrazines
  • Bortezomib