Impact of cabozantinib on plasma adrenocorticotropic hormone and serum cortisol concentrations in individuals with metastatic renal cell carcinoma: a retrospective analysis - Takeaways - MDSpire
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Impact of cabozantinib on plasma adrenocorticotropic hormone and serum cortisol concentrations in individuals with metastatic renal cell carcinoma: a retrospective analysis

  • By

  • Yuji Hataya

  • Mayuka Kurata

  • Kimiaki Murabe

  • Takuro Hakata

  • Kanta Fujimoto

  • Toshio Iwakura

  • Toshinari Yamasaki

  • Naoki Matsuoka

  • November 4, 2025

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  • 1

    Cabozantinib (CABO) may induce primary adrenal insufficiency (PAI) in patients with metastatic renal cell carcinoma (mRCC).

  • 2

    A retrospective study analyzed plasma adrenocorticotropic hormone (ACTH) and serum cortisol levels in 18 patients treated with CABO.

  • 3

    Patients with elevated plasma ACTH levels during CABO treatment exhibited symptoms like fatigue and appetite loss.

  • 4

    The study found that regular monitoring of ACTH and cortisol levels is not currently recommended for TKI treatments.

  • 5

    The case study highlights the need for further research on TKI-induced adrenal dysfunction and its clinical implications.

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