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Original Abstract of the Article

Major Research Findings

Duvelisib is a PI3Kδ/γ inhibitor, approved by the FDA for the treatment of chronic lymphocytic leukemia (CLL) and indolent non-Hodgkin lymphoma. 1 , . It targets the PI3K/AKT/mTOR pathway, which plays a key role in cell growth, survival, and proliferation. 3 . Studies show that duvelisib is effective in treating relapsed or refractory CLL and iNHL. 3 , 5 . However, the drug is associated with potential side effects.

Reasons for Side Effects

Duvelisib’s side effects are primarily related to its mechanism of action, which targets PI3K enzymes involved in various cellular processes, including immune cell function. 7 . As PI3Kδ is crucial for the development and function of regulatory T cells (Treg cells) responsible for immune suppression, inhibiting it can lead to immunosuppression. 7 . Additionally, the drug’s off-target effects on other pathways might contribute to its side effects. 8 .

Common Side Effects

Immunosuppression

Duvelisib can cause immunosuppression due to its inhibition of PI3Kδ and PI3Kγ, which are critical for immune cell function. 3 , 7 . This can increase the risk of infections and potentially lead to autoimmune disorders. 3 , 4 .

Gastrointestinal Side Effects

Duvelisib can cause gastrointestinal side effects like diarrhea, nausea, vomiting, and abdominal pain. , 2 . In severe cases, intestinal perforation might occur. 6 .

Skin Side Effects

Skin side effects like rash, itching, and dryness are also possible with duvelisib. 4 , 2 .

Other Side Effects

Duvelisib can also lead to other side effects like pneumonia, liver dysfunction, and hyperglycemia. 1 , 6 . In addition, the FDA issued a warning about a possible increased risk of death with duvelisib use compared to other treatments. 1 .

Side Effect Management

Immunosuppression

Close monitoring for infections and preventive measures like handwashing and vaccinations are essential for patients on duvelisib. 3 . Regular consultations with healthcare professionals are crucial. 3 .

Gastrointestinal Side Effects

Treating diarrhea might require antidiarrheal medication and dietary adjustments. , 2 .

Skin Side Effects

Consult a doctor if rash or itching occurs to get appropriate medication. 4 .

Comparison between Studies

Commonalities in Studies

Multiple studies have consistently demonstrated the efficacy of duvelisib in treating CLL and iNHL, often showing superior effectiveness compared to other PI3K inhibitors. 3 , 10 , 5 .

Differences in Studies

There are variations in the reported side effects of duvelisib across different studies. 1 . Notably, some studies have raised concerns about a potential increased risk of death associated with duvelisib. 1 .

Precautions for Real-Life Applications

While duvelisib is an approved treatment, understanding its side effects is crucial for patients and healthcare providers. 3 . Vigilance for infections, proactive management of gastrointestinal issues, and careful monitoring for any skin changes are essential considerations. , 4 .

Limitations of Current Research

Research on duvelisib’s side effects is still evolving, and more comprehensive data are needed to fully understand the long-term implications and potential risks. 3 .

Future Research Directions

Future research should focus on further investigating the potential risk of increased mortality associated with duvelisib. 1 . Also, ongoing efforts should aim to identify strategies for minimizing or managing duvelisib’s side effects. 2 .

Conclusion

Duvelisib is a promising treatment option for certain types of blood cancers, but it’s important to be aware of the potential side effects. 1 , 3 . Close monitoring, preventive measures, and timely medical intervention are crucial for patients undergoing duvelisib therapy. Further research is necessary to better understand and manage the side effects of this medication. 3 .


Literature analysis of 12 papers
Positive Content
10
Neutral Content
0
Negative Content
2
Article Type
1
0
0
7
12

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Author: ErraMontse, TaltavullJoan, BernalFrancisco Javier, CaturlaJuan Francisco, CarrascalMarta, PagèsLluís, MirMarta, EspinosaSònia, GràciaJordi, DomínguezMaría, SabatéMar, ParisStéphane, MaldonadoMónica, HernándezBegoña, BravoMónica, CalamaElena, MiralpeixMontserrat, LehnerMartin D, CalbetMarta


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Language : English


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