Worsening pneumonitis due to a pharmacokinetic drug-drug interaction between everolimus and voriconazole in a renal transplant patient

J Clin Pharm Ther. 2015 Feb;40(1):119-20. doi: 10.1111/jcpt.12234. Epub 2014 Nov 24.

Abstract

What is known and objective: Azole antifungals, prescribed prophylactically to avoid severe infections in immunosuppressed organ transplant recipients, can interact with drug substrates of CYP3A4. We report serious adverse effects due to interaction between orally administered voriconazole and everolimus in a renal transplant recipient.

Case description: Despite reduction of the dose of everolimus by a third, the blood trough concentration of everolimus increased considerably in a kidney transplant recipient upon oral administration of voriconazole. Everolimus was then discontinued. Pneumonia secondary to pulmonary aspergillosis worsened, possibly due to the excessive immunosuppression.

What is new and conclusion: Orally administered voriconazole inhibits intestinal and hepatic cytochrome P450-3A4 activity and thereby reduces everolimus metabolism. An 80% decrease in dose or discontinuation of everolimus is required when concomitant voriconazole is introduced. Daily blood monitoring of everolimus is warranted until a steady state of concentrations is reached.

Keywords: everolimus; interaction; pneumonitis; transplantation; voriconazole.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Aged
  • Antifungal Agents / administration & dosage
  • Antifungal Agents / adverse effects*
  • Antifungal Agents / pharmacokinetics
  • Drug Interactions
  • Everolimus
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / adverse effects*
  • Immunosuppressive Agents / pharmacokinetics
  • Kidney Transplantation / adverse effects*
  • Male
  • Mycoses / immunology
  • Mycoses / prevention & control*
  • Pneumonia / chemically induced*
  • Sirolimus / administration & dosage
  • Sirolimus / adverse effects
  • Sirolimus / analogs & derivatives*
  • Sirolimus / pharmacokinetics
  • Voriconazole / administration & dosage
  • Voriconazole / adverse effects*
  • Voriconazole / pharmacokinetics

Substances

  • Antifungal Agents
  • Immunosuppressive Agents
  • Everolimus
  • Voriconazole
  • Sirolimus