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Regorafenib

Tyrosine kinase inhibitors

MECHANISM OF ACTION

VEGF receptor TKI

MECHANISM OF KIDNEY INJURY

AKI not well described

CLINICAL KIDNEY SYNDROME

Hypertension, Fanconi's Syndrome

CARDIOVASCULAR ADVERSE EFFECTS

LYTE ABNORMALITIES

Hypophosphatemia, hypocalcemia, hyponatremia, and hypokalemia

RISK FACTORS

n/a

MITIGATION STRATEGIES

unclear

SUGGESTIONS 

Hold offending drug and rechallenge after AKI/proteinuria resolves, Discontinue offending drug, Add ACEi/ARB, Check UA with urine culture, Check urine protein creatinine ratio, check electrolytes, replace electrolytes.

NOTES/COMMENTS

PHARMACOKINETICS

Molecular Weight

Volume of Distribution

Plasma Protein Binding

Metabolism

Bioavailability

Half-life elimination

Time to peak

Excretion

Dialyzable?

Unknown

REF:

PMID: 29318210, 19332223, 25981818, 23177514

PATHOLOGY SLIDES:

ENTRY UPDATES:

Raad Chowdhury

MN/USA

Sep 25, 2022

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