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Everolimus is an inhibitor of the mammalian target of rapamycin and is used to treat various tumors. The presented study aimed to evaluate the Everolimus-associated adverse events (AEs) through data mining of the US Food and Drug Administration Adverse Event Reporting System (FAERS). The AE records were selected by searching the FDA Adverse Event Reporting System database from the first quarter of 2009 to the first quarter of 2022.

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Article Synopsis
  • Everolimus, an anti-cancer drug, is linked to a high rate of interstitial lung disease (ILD), but its clinical and pathological effects are not well studied.
  • A study analyzed medical records of 66 patients treated with everolimus, finding that 19 developed ILD, with varying severity but no demographic differences between affected and unaffected patients.
  • Chest CT scans indicated patterns like organizing pneumonia, and higher biomarkers correlated with ILD onset, while lung biopsies revealed significant inflammatory features; overall, ILD from everolimus is generally mild and tends to have a good prognosis.
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Introduction: Noninfective pneumonitis is a class-related effect within mammalian target of rapamycin (mTOR) inhibitors, including everolimus, and can occasionally be severe.

Case Report: A 62-year-old man, medicated with everolimus due to a heart transplantation 17 years previously and with chronic kidney disease, was admitted to the intensive care unit (ICU) with acute respiratory failure, cardiovascular shock, and impaired renal function requiring dialysis. Computed tomography (CT) scan revealed right upper lobe consolidation.

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Tuberous sclerosis complex (TSC) is a genetic disorder characterised by highly variable comorbid dysfunction and subsequent morbidity. The mTOR inhibitor everolimus is indicated for the treatment of adult TSC patients with renal angiomyolipomas (AMLs) and for subependymal giant astrocytoma (SEGA) in both adults and children, based on data from the EXIST-1 and EXIST-2 trials. However, due to the historical predominance of everolimus in the oncology setting, some physicians who treat TSC patients may be unfamiliar with everolimus-associated adverse events (AEs) and appropriate management strategies.

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Everolimus associated interstitial pneumonitis in a liver transplant patient.

Respir Med Case Rep

July 2016

Division of Critical Care, Houston Methodist Hospital, 6565 Fannin St, Houston, TX 77030, USA.

Drug-induced interstitial lung disease is associated with significant morbidity and mortality. Everolimus is an inhibitor of mTOR, a mammalian target of rapamycin, used as an immunosuppressant agent in solid organ transplant. Everolimus has been associated with interstitial lung disease in solid organ transplant patients but has been rarely reported in the liver transplant patient population.

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