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Management of immune checkpoint inhibitor‐related adverse events: A review of case reports

Identifieur interne : 000E63 ( Ncbi/Merge ); précédent : 000E62; suivant : 000E64

Management of immune checkpoint inhibitor‐related adverse events: A review of case reports

Auteurs : Xiaoyan Si ; Peng Song ; Jun Ni ; Mingyi Di ; Chunxia He ; Li Zhang ; Xiaowei Liu ; Yue Li ; Hanping Wang ; Xiaoxiao Guo ; Jiaxin Zhou ; Lian Duan ; Xu Yang ; Mengzhao Wang ; Li Zhang

Source :

RBID : PMC:7049490

Abstract

Abstract

Immune checkpoint inhibitors represent a major breakthrough in cancer therapy. Immune‐related adverse events (irAEs) may occur during treatment due to their unique mechanism of action. Management of irAEs is based on clinical experience because it is not easy to conduct prospective trials to evaluate the best treatment strategy. Using a combination of search terms in the PubMed and Embase databases, we reviewed all cases in the English language citing toxicities associated with either pembrolizumab, nivolumab, ipilimumab, atezolizumab, tremelimumab, durvalumab, avelumab or any combination of these agents published before 20 May 2019. A total of 128 reports with 239 cases were included in the study. Here, we summarize the spectrum of toxicities, safety in special patients, rechallenging after irAEs and agents used for treatment of irAEs in those reports.


Url:
DOI: 10.1111/1759-7714.13315
PubMed: 31970923
PubMed Central: 7049490

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PMC:7049490

Le document en format XML

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<alt-title alt-title-type="right-running-head">Immunotherapy‐related adverse events</alt-title>
<alt-title alt-title-type="left-running-head">X. Si
<italic>et al</italic>
.</alt-title>
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<contrib-group>
<contrib id="tca13315-cr-0001" contrib-type="author">
<name>
<surname>Si</surname>
<given-names>Xiaoyan</given-names>
</name>
<contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0003-2913-3045</contrib-id>
<xref ref-type="aff" rid="tca13315-aff-0001">
<sup>1</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0002" contrib-type="author">
<name>
<surname>Song</surname>
<given-names>Peng</given-names>
</name>
<contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0002-6316-5123</contrib-id>
<xref ref-type="aff" rid="tca13315-aff-0001">
<sup>1</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0003" contrib-type="author">
<name>
<surname>Ni</surname>
<given-names>Jun</given-names>
</name>
<contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0002-5939-8856</contrib-id>
<xref ref-type="aff" rid="tca13315-aff-0001">
<sup>1</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0004" contrib-type="author">
<name>
<surname>Di</surname>
<given-names>Mingyi</given-names>
</name>
<contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0001-7540-8383</contrib-id>
<xref ref-type="aff" rid="tca13315-aff-0001">
<sup>1</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0005" contrib-type="author">
<name>
<surname>He</surname>
<given-names>Chunxia</given-names>
</name>
<xref ref-type="aff" rid="tca13315-aff-0002">
<sup>2</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0006" contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Li</given-names>
</name>
<xref ref-type="aff" rid="tca13315-aff-0003">
<sup>3</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0007" contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Xiaowei</given-names>
</name>
<xref ref-type="aff" rid="tca13315-aff-0004">
<sup>4</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0008" contrib-type="author">
<name>
<surname>Li</surname>
<given-names>Yue</given-names>
</name>
<xref ref-type="aff" rid="tca13315-aff-0005">
<sup>5</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0009" contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Hanping</given-names>
</name>
<contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0003-3540-2280</contrib-id>
<xref ref-type="aff" rid="tca13315-aff-0001">
<sup>1</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0010" contrib-type="author">
<name>
<surname>Guo</surname>
<given-names>Xiaoxiao</given-names>
</name>
<contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0002-8583-5992</contrib-id>
<xref ref-type="aff" rid="tca13315-aff-0006">
<sup>6</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0011" contrib-type="author">
<name>
<surname>Zhou</surname>
<given-names>Jiaxin</given-names>
</name>
<contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0002-1664-3495</contrib-id>
<xref ref-type="aff" rid="tca13315-aff-0007">
<sup>7</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0012" contrib-type="author">
<name>
<surname>Duan</surname>
<given-names>Lian</given-names>
</name>
<xref ref-type="aff" rid="tca13315-aff-0008">
<sup>8</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0013" contrib-type="author">
<name>
<surname>Yang</surname>
<given-names>Xu</given-names>
</name>
<xref ref-type="aff" rid="tca13315-aff-0009">
<sup>9</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0014" contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Mengzhao</given-names>
</name>
<xref ref-type="aff" rid="tca13315-aff-0001">
<sup>1</sup>
</xref>
</contrib>
<contrib id="tca13315-cr-0015" contrib-type="author" corresp="yes">
<name>
<surname>Zhang</surname>
<given-names>Li</given-names>
</name>
<xref ref-type="aff" rid="tca13315-aff-0001">
<sup>1</sup>
</xref>
<address>
<email>zhanglipumch1026@sina.com</email>
</address>
</contrib>
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<aff id="tca13315-aff-0001">
<label>
<sup>1</sup>
</label>
<named-content content-type="organisation-division">Department of Pulmonary and Critical Care Medicine</named-content>
<institution>Peking Union Medical College Hospital</institution>
<city>Beijing</city>
<country country="CN">China</country>
</aff>
<aff id="tca13315-aff-0002">
<label>
<sup>2</sup>
</label>
<named-content content-type="organisation-division">Department of Dermatology</named-content>
<institution>Peking Union Medical College Hospital</institution>
<city>Beijing</city>
<country country="CN">China</country>
</aff>
<aff id="tca13315-aff-0003">
<label>
<sup>3</sup>
</label>
<named-content content-type="organisation-division">Department of Clinical Laboratory</named-content>
<institution>Peking Union Medical College Hospital</institution>
<city>Beijing</city>
<country country="CN">China</country>
</aff>
<aff id="tca13315-aff-0004">
<label>
<sup>4</sup>
</label>
<named-content content-type="organisation-division">Department of Ophthalmology</named-content>
<institution>Peking Union Medical College Hospital</institution>
<city>Beijing</city>
<country country="CN">China</country>
</aff>
<aff id="tca13315-aff-0005">
<label>
<sup>5</sup>
</label>
<named-content content-type="organisation-division">Department of Gastroenterology</named-content>
<institution>Peking Union Medical College Hospital</institution>
<city>Beijing</city>
<country country="CN">China</country>
</aff>
<aff id="tca13315-aff-0006">
<label>
<sup>6</sup>
</label>
<named-content content-type="organisation-division">Department of Cardiology</named-content>
<institution>Peking Union Medical College Hospital</institution>
<city>Beijing</city>
<country country="CN">China</country>
</aff>
<aff id="tca13315-aff-0007">
<label>
<sup>7</sup>
</label>
<named-content content-type="organisation-division">Department of Rheumatology</named-content>
<institution>Peking Union Medical College Hospital</institution>
<city>Beijing</city>
<country country="CN">China</country>
</aff>
<aff id="tca13315-aff-0008">
<label>
<sup>8</sup>
</label>
<named-content content-type="organisation-division">Department of Endocrinology</named-content>
<institution>Peking Union Medical College Hospital</institution>
<city>Beijing</city>
<country country="CN">China</country>
</aff>
<aff id="tca13315-aff-0009">
<label>
<sup>9</sup>
</label>
<named-content content-type="organisation-division">Department of Liver Surgery</named-content>
<institution>Peking Union Medical College Hospital</institution>
<city>Beijing</city>
<country country="CN">China</country>
</aff>
<author-notes>
<corresp id="correspondenceTo">
<label>*</label>
<bold>Correspondence</bold>
<break></break>
Li Zhang, Department of Pulmonary and Critical Care Medicine, Peking Union Medical College Hospital, No. 1 Shuaifuyuan Wangfujing, Dongcheng District, Beijing, 100730, China.
<break></break>
Tel: +86 10 6915 8760
<break></break>
Fax: +86 10 6915 5039
<break></break>
Email:
<email>zhanglipumch1026@sina.com</email>
<break></break>
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<pub-date pub-type="epub">
<day>22</day>
<month>1</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="ppub">
<month>3</month>
<year>2020</year>
</pub-date>
<volume>11</volume>
<issue>3</issue>
<issue-id pub-id-type="doi">10.1111/tca.v11.3</issue-id>
<fpage>498</fpage>
<lpage>504</lpage>
<history>
<date date-type="received">
<day>24</day>
<month>11</month>
<year>2019</year>
</date>
<date date-type="rev-recd">
<day>28</day>
<month>12</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>29</day>
<month>12</month>
<year>2019</year>
</date>
</history>
<permissions>
<pmc-comment> © 2020 China Lung Oncology Group and Wiley Publishing Asia Pty Ltd </pmc-comment>
<copyright-statement content-type="article-copyright">© 2020 The Authors.
<italic>Thoracic Cancer</italic>
published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd</copyright-statement>
<license license-type="creativeCommonsBy">
<license-p>This is an open access article under the terms of the
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="file:TCA-11-498.pdf"></self-uri>
<abstract>
<title>Abstract</title>
<p>Immune checkpoint inhibitors represent a major breakthrough in cancer therapy. Immune‐related adverse events (irAEs) may occur during treatment due to their unique mechanism of action. Management of irAEs is based on clinical experience because it is not easy to conduct prospective trials to evaluate the best treatment strategy. Using a combination of search terms in the PubMed and Embase databases, we reviewed all cases in the English language citing toxicities associated with either pembrolizumab, nivolumab, ipilimumab, atezolizumab, tremelimumab, durvalumab, avelumab or any combination of these agents published before 20 May 2019. A total of 128 reports with 239 cases were included in the study. Here, we summarize the spectrum of toxicities, safety in special patients, rechallenging after irAEs and agents used for treatment of irAEs in those reports.</p>
</abstract>
<kwd-group kwd-group-type="author-generated">
<kwd id="tca13315-kwd-0001">Adverse event</kwd>
<kwd id="tca13315-kwd-0002">immune checkpoint inhibitor</kwd>
<kwd id="tca13315-kwd-0003">immunotherapy</kwd>
<kwd id="tca13315-kwd-0004">toxicity</kwd>
</kwd-group>
<funding-group>
<award-group id="funding-0001">
<funding-source>CAMS Innovation Fund for Medical Sciences</funding-source>
<award-id>2016‐I2M‐1‐002</award-id>
</award-group>
</funding-group>
<counts>
<fig-count count="0"></fig-count>
<table-count count="2"></table-count>
<page-count count="7"></page-count>
<word-count count="4886"></word-count>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>source-schema-version-number</meta-name>
<meta-value>2.0</meta-value>
</custom-meta>
<custom-meta>
<meta-name>cover-date</meta-name>
<meta-value>March 2020</meta-value>
</custom-meta>
<custom-meta>
<meta-name>details-of-publishers-convertor</meta-name>
<meta-value>Converter:WILEY_ML3GV2_TO_JATSPMC version:5.7.6.1 mode:remove_FC converted:01.03.2020</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list></list>
<tree>
<noCountry>
<name sortKey="Di, Mingyi" sort="Di, Mingyi" uniqKey="Di M" first="Mingyi" last="Di">Mingyi Di</name>
<name sortKey="Duan, Lian" sort="Duan, Lian" uniqKey="Duan L" first="Lian" last="Duan">Lian Duan</name>
<name sortKey="Guo, Xiaoxiao" sort="Guo, Xiaoxiao" uniqKey="Guo X" first="Xiaoxiao" last="Guo">Xiaoxiao Guo</name>
<name sortKey="He, Chunxia" sort="He, Chunxia" uniqKey="He C" first="Chunxia" last="He">Chunxia He</name>
<name sortKey="Li, Yue" sort="Li, Yue" uniqKey="Li Y" first="Yue" last="Li">Yue Li</name>
<name sortKey="Liu, Xiaowei" sort="Liu, Xiaowei" uniqKey="Liu X" first="Xiaowei" last="Liu">Xiaowei Liu</name>
<name sortKey="Ni, Jun" sort="Ni, Jun" uniqKey="Ni J" first="Jun" last="Ni">Jun Ni</name>
<name sortKey="Si, Xiaoyan" sort="Si, Xiaoyan" uniqKey="Si X" first="Xiaoyan" last="Si">Xiaoyan Si</name>
<name sortKey="Song, Peng" sort="Song, Peng" uniqKey="Song P" first="Peng" last="Song">Peng Song</name>
<name sortKey="Wang, Hanping" sort="Wang, Hanping" uniqKey="Wang H" first="Hanping" last="Wang">Hanping Wang</name>
<name sortKey="Wang, Mengzhao" sort="Wang, Mengzhao" uniqKey="Wang M" first="Mengzhao" last="Wang">Mengzhao Wang</name>
<name sortKey="Yang, Xu" sort="Yang, Xu" uniqKey="Yang X" first="Xu" last="Yang">Xu Yang</name>
<name sortKey="Zhang, Li" sort="Zhang, Li" uniqKey="Zhang L" first="Li" last="Zhang">Li Zhang</name>
<name sortKey="Zhang, Li" sort="Zhang, Li" uniqKey="Zhang L" first="Li" last="Zhang">Li Zhang</name>
<name sortKey="Zhou, Jiaxin" sort="Zhou, Jiaxin" uniqKey="Zhou J" first="Jiaxin" last="Zhou">Jiaxin Zhou</name>
</noCountry>
</tree>
</affiliations>
</record>

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