Evidence map›Paper›PMID 40696668›Full record

ReviewMedicine2025

Pulmonary arterial hypertension caused by coadministration of dasatinib and voriconazole: A case report and literature review.

Chen Chen, Yan Dong, Ningxia Song, Jian Qi, Juandong Wang

Abstract readCase ReportsReview
In one paragraph

Review in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Chen ChenDepartment of Clinical Pharmacy, The Second Hospital of Shandong University, Jinan, China.ORCID 0000-0002-0565-0841
Yan DongDepartment of Clinical Pharmacy, The Second Hospital of Shandong University, Jinan, China.
Ningxia SongDepartment of Hematology, The Second Hospital of Shandong University, Jinan, China.
Jian QiDepartment of Orthopedics, The 960th Hospital of PLA, Jinan, China.
Juandong WangDepartment of Breast Surgery, The Second Hospital of Shandong University, Jinan, China.ORCID 0000-0002-6504-0308

Funding

2021 Shandong Medical Association Clinical Research Fund -- Qilu Special Project No. YXH2022ZX02059Shandong Center for Adverse Drug Reaction Monitoring No.2021SDADRKY04
6 · The paper itself

Abstract

rationaleIt has been demonstrated that azole antifungal agents can significantly increase the plasma concentration of dasatinib. Therefore, it is recommended to reduce the dasatinib dose to 20 to 40 mg daily for patients receiving voriconazole. However, the safety of coadministering dasatinib and voriconazole remains unclear. PATIENT CONCERNS: A 49-year-old woman with Philadelphia chromosome-positive acute lymphoblastic leukemia and invasive pulmonary aspergillosis reported dyspnea during therapy with reduced-dose dasatinib and standard-dose voriconazole. DIAGNOSES: Echocardiography revealed pleural effusion and a mean pulmonary arterial pressure of 40 mm Hg, suggesting pulmonary arterial hypertension.

interventionsDasatinib was discontinued and flumatinib was initiated. OUTCOMES: The patient's mean pulmonary arterial pressure was monitored and gradually normalized. LESSONS: Despite recommendations to reduce the dasatinib dose to 20 to 40 mg daily for patients on voriconazole, the enhanced effect of dasatinib due to voriconazole coadministration may contribute to the development of pulmonary arterial hypertension. Regular echocardiography follow-up is essential for patients concurrently taking azole antifungal agents.

Indexed as

Antifungal AgentsDasatinibPulmonary Arterial HypertensionVoriconazoleAntineoplastic AgentsDrug Therapy, CombinationFemaleHumansInvasive Pulmonary AspergillosisMiddle AgedPrecursor Cell Lymphoblastic Leukemia-LymphomaAntifungal AgentsAntineoplastic AgentsDasatinibVoriconazolecase reportdasatinibdrug interactionpulmonary arterial hypertensionvoriconazole

Identifiers

PMID40696668
PMCPMC12282709

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.