Int. Journal of Clinical Pharmacology and Therapeutics, Volume 55 (2017) - October (807 - 810)

Hypersensitivity reaction to β-lactam antibiotics in patients with adult T-cell leukemia/lymphoma treated with mogamulizumab

Takeo Yasu1, Yoichi Imai2, Nobuhiro Ohno2, Kaoru Uchimaru3, Yosuke Kurokawa1, Arinobu Tojo2
1 Department of Pharmacy, 2 Department of Hematology/Oncology, 
The Institute of Medical Science, and 3 Laboratory of Tumor Cell Biology, Department of Computational Biology and Medical Sciences, 
Graduate School of Frontier Sciences, The University of Tokyo, Tokyo, Japan

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DOI 10.5414/CP203066

Abstract

Mogamulizumab (MOG) is a humanized anti-CCR4 monoclonal antibody that is highly cytotoxic for adult T-cell leukemia/lymphoma (ATL) cells. Most non-hematological adverse events are cutaneous adverse reactions in ATL patients. We reviewed the medical records of 24 patients with CCR4-positive aggressive ATL who had received MOG treatment. The incidence of MOG-induced cutaneous adverse reactions (MCARs) was 25% (6 patients). Four patients with MCAR had an interesting clinical course, compared with MCARs reported in previous reports. The factors causing MCAR were suspected to be cefepime, cefozopran, and piperacillin/tazobactam. We consider that hypersensitivity reaction to β-lactam antibiotics is involved in a significant proportion of MCARs.


Author Details

Authors

Departments

  • 1 Department of Pharmacy,
  • 2 Department of Hematology/Oncology, 
The Institute of Medical Science, and
  • 3 Laboratory of Tumor Cell Biology, Department of Computational Biology and Medical Sciences, 
Graduate School of Frontier Sciences, The University of Tokyo, Tokyo, Japan

Address

Takeo Yasu, PhD

Department of ­Pharmacy
The Institute of Medical Science
The University of Tokyo
4-6-1, Shirokanedai, ­Minato-ku, Tokyo 108-8639, Japan
Email: 
yasutakeo-tky@
umin.ac.jp

Citation

Takeo Yasu, Yoichi Imai, Nobuhiro Ohno, Kaoru Uchimaru, Yosuke Kurokawa, and Arinobu Tojo.Hypersensitivity reaction to β-lactam antibiotics in patients with adult T-cell leukemia/lymphoma treated with mogamulizumab
. 2017; 55: 807-810. doi: 10.5414/CP203066.

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