Management of immunotherapy toxicities in older adults

被引:28
作者
Bhandari, Shruti [1 ]
Gill, Amitoj S. [1 ]
Perez, Cesar A. [2 ]
Jain, Dharamvir [3 ]
机构
[1] Univ Louisville, Sch Med, James Graham Brown Canc Ctr, Div Hematol & Med Oncol, Louisville, KY 40292 USA
[2] Sylvester Comprehens Canc Ctr, Div Med Oncol, Miami, FL USA
[3] Norton Canc Inst, 315 East Broadway,4th Floor, Louisville, KY 40202 USA
关键词
Older adults; Immune checkpoint inhibitors; Immune-related adverse events; CANCER-IMMUNOTHERAPY; NIVOLUMAB; AGE; MELANOMA; AUTOANTIBODIES; PEMBROLIZUMAB; PREVALENCE; IPILIMUMAB; BLOCKADE; EFFICACY;
D O I
10.1053/j.seminoncol.2018.09.001
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Advanced age is a risk factor for cancer and is attributed to dysregulation of the immune system. Historically, treatment of advanced cancer has primarily involved systemic chemotherapy that is associated with high treatment related toxicity especially in older adults. Immune checkpoint inhibitors (ICIs) provide an exciting treatment option for older adults in terms of efficacy and safety as compared to systemic chemotherapy. Given the pace of approval of ICIs for multiple cancers, there is an increase in both the use of las and the associated immune-related adverse events. In this article, we address how to approach immunotherapy related toxicities in older adults given the availability of limited data. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码:226 / 231
页数:6
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