Incidence of invasive fungal infections in patients with hematological malignancies receiving ibrutinib therapy in south-east Austria

Med Mycol. 2022 Sep 15;60(9):myac061. doi: 10.1093/mmy/myac061.

Abstract

Since the broad implementation of ibrutinib therapy, an increasing number of studies have been reported on invasive fungal infections (IFI) associated with ibrutinib administration. We conducted a retrospective cohort study in three hospitals in south-east Austria in order to assess the local epidemiology of ibrutinib associated IFIs. A total of 113 patients with underlying hematological malignancy were included in the study. During the study period, a single IFI episode was observed, which corresponds to an IFI incidence of 2.3 cases per 100 person years (95% CI: 0.12-11.47). IFIs during ibrutinib therapy seem to be a rare event in case of absent additional risk factors for IFIs.

Keywords: hematologic malignancy, invasive fungal infection; small molecule kinase inhibitor, ibrutinib.

Plain language summary

Ibrutinib is an effective drug used to treat a variety of blood cancers, but it might increase risk for life-threatening invasive fungal infections (IFIs). In our study, a low number (1 IFI per 43 patient years) of patients on ibrutinib developed an IFI.

MeSH terms

  • Adenine / analogs & derivatives
  • Animals
  • Antifungal Agents / therapeutic use
  • Austria / epidemiology
  • Hematologic Neoplasms* / complications
  • Hematologic Neoplasms* / drug therapy
  • Hematologic Neoplasms* / veterinary
  • Humans
  • Incidence
  • Invasive Fungal Infections* / complications
  • Invasive Fungal Infections* / drug therapy
  • Invasive Fungal Infections* / epidemiology
  • Invasive Fungal Infections* / veterinary
  • Piperidines
  • Retrospective Studies

Substances

  • Antifungal Agents
  • Piperidines
  • ibrutinib
  • Adenine