Chinese Journal of Pharmacovigilance ›› 2026, Vol. 23 ›› Issue (2): 200-202.
DOI: 10.19803/j.1672-8629.20250696

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One Case of Immune-Related Myocardial Injury Caused by Glofitamab Injection

YU Lingzi1, HE Jiajie1,2, PING Nana1, ZHU Qian1, ZHANG Xiao1, LI Junhong1, ZOU Rui1, HE Siyun1, XIA Fan3, JIN Zhengming1, QU Changju1,*   

  1. 1Department of Hematology, the First Affiliated Hospital of Soochow University, Suzhou Jiangsu 215006, China;
    2Department of Intensive Care Unit, the Sixth Hospital of Ningbo, Ningbo Zhejiang 315000, China;
    3Department of Pharmacy, the First Affiliated Hospital of Soochow University, Suzhou Jiangsu 215006, China
  • Received:2025-09-29 Online:2026-02-15 Published:2026-02-13

Abstract: Objective To investigate immune-related myocardial injury induced by glofitamab in order to provide a reference for safe clinical use. Methods Immune-related myocardial injury induced by glofitamab in a patient with diffuse large B-cell lymphoma was analyzed while related literature was summarized. Results Based on the patient’s clinical manifestations, results of laboratory tests, and the temporal association with drug administration, the immune-related myocardial injury was considered to be strongly associated with glofitamab. After comprehensive management involving dexamethasone, tocilizumab, continuous renal replacement therapy, trimetazidine, rosuvastatin, and isosorbide mononitrate, the patient improved and was discharged. Conclusion Despite the seemingly low incidence of glofitamab-induced immune-related myocardial injury, the associated mortality can be exceedingly high. Prior to glofitamab therapy, potential risks should be assessed, and during treatment, patients should be closely monitored for the risk of immune-related myocardial injury.

Key words: Glofitamab, Bispecific Antibody, Diffuse Large B-Cell Lymphoma, Cytokine Release Syndrome, Immune-related Myocardial Injury, Dexamethasone, Continuous Renal Replacement Therapy, Adverse Drug Reactions

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