Pneumotox » Drug » Lorlatinib » I.b

Lorlatinib

Cross-reaction has been reported with ILD from both lorlatinib and brigatinib in the same patient (PMID 31668321)

Last update : 01/05/2022

Diagnosing DIRD

Drug and radiation history

Drug singularity - Correct identification of the drug

Consistent timing of exposure v. onset of symptoms

Clinical, imaging, BAL, pathological pattern consistent with the specific drug

Careful exlusion of another cause

Remission of symptoms with removal of drug

Recurrence with rechallenge (rarely advisable)

Causality assessment