Table 2.
Small molecule kinase inhibitors presented in the current review and their associated infection complications.
Small molecule kinase inhibitor | Target | Main FDA-approved indications | Relative risk for infection | Predominant infection susceptibility |
---|---|---|---|---|
Ruxolitinib Tofacitinib Baricitinib |
JAK1 JAK2 JAK3 |
Myelofibrosis, polycythemia vera, rheumatoid arthritis, inflammatory bowel disease, graft-versus-host disease | HIgh | Herpetic infections (common) > CMV disease, other opportunistic infections (mycobacteria, endemic fungi, aspergillosis) |
Ibrutinib | BTK | Chronic lymphocytic leukemia, lymphomas, Waldenstrom macroglobulinemia, graft-versus-host disease |
Intermediate | Bacterial infections (~5%); invasive fungal disease (~2–4% as monotherapy; 5–11% when combined with corticosteroids; >20% when combined with corticosteroids and chemotherapy); viral infections (~1%) |
Dasatinib | BCR-ABL | Chronic myelogenous leukemia | High | Bacterial infections, CMV disease (HSCT), hepatitis B reactivation, Pneumocystis pneumonia |
Idelalisib | PI3K (p100δ) | Chronic lymphocytic leukemia, lymphomas | High | CMV infection, Pneumocystis pneumonia |
Fostamatinib | SYK | Immune thrombocytopenia | Unknown | Mucocutaneous fungal infections |
CMV, cytomegalovirus; HSCT, hematopoietic stem cell transplantation