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Cognitive and ataxic adverse events following entrectinib treatment in NTRK1 fusion gene-positive intrahepatic cholangiocarcinoma: a case report

  • Kazuya Koyama,
  • Hidetaka Iwamoto,
  • Kenji Takahashi,
  • Tetsuhiro Okada,
  • Hidemasa Kawabata,
  • Yohei Kitano,
  • Hiroki Tanabe,
  • Mikihiro Fujiya,
  • Toshikatsu Okumura,
  • Yusuke Mizukami

摘要

We report the rare case of severe cognitive disorder and ataxia caused by entrectinib in a patient with NTRK1 fusion gene-positive intrahepatic cholangiocarcinoma. The case was a 56-year-old woman after nine courses of GCS therapy. The patient experienced grade 1 muscle weakness on day 4 and grade 3, cognitive disorder on day 7 after receiving entrectinib, which led to hospitalization. The symptoms were reversible and tended to improve after withdrawal of entrectinib. It is crucial to increase awareness of TRKi-specific adverse events and their proper management.