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. 2024 Jan 8;22(5):e237119.
doi: 10.6004/jnccn.2023.7119.

Development of a Strategic Initiative at MD Anderson Cancer Center to Improve Outcomes in Immune-Related Adverse Events

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Development of a Strategic Initiative at MD Anderson Cancer Center to Improve Outcomes in Immune-Related Adverse Events

Sarah E Fayle et al. J Natl Compr Canc Netw. .

Abstract

Immune checkpoint inhibitors (ICIs) have transformed the treatment paradigm for many cancer types. The clinical use of ICIs is increasing rapidly, including in combinations associated with increased risk of toxicities, termed "immune-related adverse events" (irAEs). Therefore, MD Anderson Cancer Center (MDACC) in Houston, Texas has proactively responded by developing a priority endeavor known as the Immuno-Oncology Toxicity (IOTOX) initiative. This strategic initiative aims to facilitate the seamless integration of key domains: (1) standardized clinical practice and innovative decision toolsets; (2) patient and provider education; and (3) a comprehensive clinical and translational research platform. The ultimate goal of this initiative is to develop and disseminate clinical best practices and biologic insights into irAEs to improve outcomes of patients with irAEs at MDACC and in the wider oncology community.

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Figures

Figure 1:
Figure 1:
The annual count of patients who received ICI treatment at MD Anderson from 2010, along with the corresponding percentage increase compared to the previous year. Additionally, projected patient numbers for ICI treatment from 2023 to 2025 are presented based on a forecasting model.
Figure 2:
Figure 2:
The distribution of IOTOX case numbers at MDACC in 2019 and 2022, categorized by organ toxicity. Each bar represents a specific toxicity case count.
Figure 3:
Figure 3:
A timeline of MDACC’s IOTOX initiative efforts, encompassing clinical, educational, and research activities.
Figure 4:
Figure 4:
The future direction of MDACC’s IOTOX initiative will advance across clinical, educational, and research dimensions.

References

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    1. Brahmer JR, et al. , Society for Immunotherapy of Cancer (SITC) clinical practice guideline on immune checkpoint inhibitor-related adverse events. J Immunother Cancer, 2021. 9(6). - PMC - PubMed

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