Managing toxicities associated with immune checkpoint inhibitors
- PMID: 34031312
- DOI: 10.1097/01.JAA.0000735760.65235.3c
Managing toxicities associated with immune checkpoint inhibitors
Abstract
Recent development of immunotherapy has led to remarkable advancement in cancer therapy. Drugs that inhibit the cytotoxic T-lymphocyte-associated protein (CTLA-4) and programmed death-1 (PD-1) immune checkpoint pathways have shown improved patient survival. However, by altering the immune response to fight cancer, a new class of adverse reactions has emerged, known as immune-related adverse events. These adverse events are due to overactivation of the immune system in almost any organ of the body, can occur at any point in a patient's treatment course, and may become life-threatening. This article describes how to promptly recognize and manage these toxicities.
Copyright © 2021 American Academy of Physician Assistants.
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References
-
- Schadendorf D, Hodi FS, Robert C, et al. Pooled analysis of long-term survival data from phase II and phase III trials of ipilimumab in unresectable or metastatic melanoma. J Clin Oncol . 2015;33(17):1889–1894.
-
- Zhang H, Chen J. Current status and future directions of cancer immunotherapy. J Cancer . 2018;9(10):1773–1781.
-
- Puzanov I, Diab A, Abdallah K, et al. Managing toxicities associated with immune checkpoint inhibitors: consensus recommendations from the Society for Immunotherapy of Cancer (SITC) Toxicity Management Working Group. J Immunother Cancer . 2017;5(1):95.
-
- Haanen JBAG, Carbonnel F, Robert C, et al. Management of toxicities from immunotherapy: ESMO clinical practice guidelines for diagnosis, treatment and follow-up. Ann Oncol . 2017;28(suppl 4):iv119–iv142.
-
- Villadolid J, Amin A. Immune checkpoint inhibitors in clinical practice: update on management of immune-related toxicities. Transl Lung Cancer Res . 2015;4(5):560–575.
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