Toxicities and outcomes: Do steroids matter?
- PMID: 29975416
- PMCID: PMC6214744
- DOI: 10.1002/cncr.31627
Toxicities and outcomes: Do steroids matter?
Abstract
Hypophysitis is a common toxicity of ipilimumab and may be managed with either low- or high-dose steroids. In this issue of Cancer, Faje and colleagues observe that patients treated with low-dose steroids have equivalent rates of hypophysitis resolution compared to those who receive higher doses. Importantly, however, melanoma-specific outcomes are improved in the low-dose cohort. Herein, we discuss the implications of this finding and the known associations between steroids and clinical outcomes to cancer immunotherapy.
Comment on
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High-dose glucocorticoids for the treatment of ipilimumab-induced hypophysitis is associated with reduced survival in patients with melanoma.Cancer. 2018 Sep 15;124(18):3706-3714. doi: 10.1002/cncr.31629. Epub 2018 Jul 5. Cancer. 2018. PMID: 29975414
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