Managing Adverse Events With Immune Checkpoint Agents
- PMID: 27111908
- DOI: 10.1097/PPO.0000000000000186
Managing Adverse Events With Immune Checkpoint Agents
Abstract
Immune checkpoint inhibitors (anti-cytotoxic T-lymphocyte antigen 4 and anti programmed cell death 1/programmed cell death 1 ligand antibodies) have shown impressive clinical activity in multiple cancer types. Despite achieving great clinical success, challenges and limitations of these drugs as monotherapy or various combinational strategies include the development of a unique set of immune-related adverse events (irAEs) that can be severe and even fatal. Therefore, identification of patients at risk, prevention, consistent communication between patients and medical team, rapid recognition, and treatment of irAEs are critical in optimizing treatment outcomes. This review focuses on the description of more common irAEs and provides a suggested approach for management of specific irAEs.
Similar articles
-
Immune-related adverse events with immune checkpoint blockade: a comprehensive review.Eur J Cancer. 2016 Feb;54:139-148. doi: 10.1016/j.ejca.2015.11.016. Epub 2016 Jan 5. Eur J Cancer. 2016. PMID: 26765102 Review.
-
A systematic review on the emerging association between the occurrence of immune-related adverse events and clinical outcomes with checkpoint inhibitors in advanced cancer patients.Semin Oncol. 2019 Aug-Oct;46(4-5):362-371. doi: 10.1053/j.seminoncol.2019.10.003. Epub 2019 Nov 7. Semin Oncol. 2019. PMID: 31727344
-
Diagnosis and Management of Immune Checkpoint Inhibitor-Associated Neurologic Toxicity: Illustrative Case and Review of the Literature.Oncologist. 2019 Apr;24(4):435-443. doi: 10.1634/theoncologist.2018-0359. Epub 2018 Nov 27. Oncologist. 2019. PMID: 30482825 Free PMC article. Review.
-
Incidence and Management of Immune-Related Adverse Events in Patients Undergoing Treatment with Immune Checkpoint Inhibitors.Curr Oncol Rep. 2018 Mar 6;20(3):24. doi: 10.1007/s11912-018-0671-4. Curr Oncol Rep. 2018. PMID: 29511902 Review.
-
Immune and autoimmune-related adverse events associated with immune checkpoint inhibitors in cancer therapy.Drugs Today (Barc). 2018 Feb;54(2):103-122. doi: 10.1358/dot.2018.54.2.2776626. Drugs Today (Barc). 2018. PMID: 29637937 Review.
Cited by
-
Probiotics Lactobacillus reuteri Abrogates Immune Checkpoint Blockade-Associated Colitis by Inhibiting Group 3 Innate Lymphoid Cells.Front Immunol. 2019 Jun 4;10:1235. doi: 10.3389/fimmu.2019.01235. eCollection 2019. Front Immunol. 2019. PMID: 31214189 Free PMC article.
-
Immune-Related Thyroiditis with Immune Checkpoint Inhibitors.Thyroid. 2018 Oct;28(10):1243-1251. doi: 10.1089/thy.2018.0116. Thyroid. 2018. PMID: 30132401 Free PMC article.
-
Immune-Related Adverse Events Requiring Hospitalization: Spectrum of Toxicity, Treatment, and Outcomes.J Oncol Pract. 2019 Sep;15(9):e825-e834. doi: 10.1200/JOP.18.00703. Epub 2019 Aug 6. J Oncol Pract. 2019. PMID: 31386608 Free PMC article.
-
An autopsy case of immune-related severe colitis due to long-term use of nivolumab in a patient with non-small cell lung cancer.Respir Med Case Rep. 2022 Aug 2;39:101720. doi: 10.1016/j.rmcr.2022.101720. eCollection 2022. Respir Med Case Rep. 2022. PMID: 35993006 Free PMC article.
-
Infliximab associated with faster symptom resolution compared with corticosteroids alone for the management of immune-related enterocolitis.J Immunother Cancer. 2018 Oct 11;6(1):103. doi: 10.1186/s40425-018-0412-0. J Immunother Cancer. 2018. PMID: 30305177 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical