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Oncotarget

BTK Inhibitor-related Cardiotoxicity: Quest for Predictive Biomarkers, Improved Risk Stratification

Jun 4, 2024
Researchers from Atrium Health discuss the cardiotoxicity of BTK inhibitors, focusing on predictive biomarkers and risk stratification. Genetic markers like KCNQ1 and GATA4 show promise in identifying high-risk patients, emphasizing the need for a clinicogenomic risk model for improved patient management.
02:29

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Quick takeaways

  • Around 20-25% of CLL patients on Ibrutinib experience cardiovascular side effects like severe hypertension and atrial fibrillation.
  • Genetic predictors like SNPs in KCNQ1 and GATA4 may improve risk assessment for BTK inhibitor-related cardiotoxicity.

Deep dives

BTK Inhibitor-Related Cardiotoxicity and Predictive Biomarkers

Researchers discuss the challenges of cardiotoxic side effects in patients treated with ebrutinib, a BTK inhibitor for CLL. While ebrutinib shows positive outcomes in treating CLL, around 20 to 25 percent of patients experience dose-limiting cardiovascular side effects like severe hypertension and atrial fibrillation. Genetic predictors such as single nucleotide polymorphisms in KCNQ1 and GATA4 are being studied for their association with cardiotoxic events to improve risk assessment. Developing a clinical risk model based on these biomarkers and clinical factors may help identify patients at higher risk of BTK inhibitor-related cardiotoxicity.

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