Managing toxicities associated with immune checkpoint inhibitors

被引:5
作者
Park, Jiyeon Joy [1 ]
Arafath, Syed [2 ]
Kumar, Samir T. [3 ]
Sharma, Roopali [4 ]
Dixit, Deepali [5 ]
机构
[1] Rutgers State Univ, Ernest Mario Sch Pharm, Rutherford, NJ 08854 USA
[2] Presbyterian Weill Cornell Med Ctr Jama, Oncol Clin Pharm Specialist New York, Jamaica, NY USA
[3] SUNY Downstate Med Ctr, Internal Med Resident, Brooklyn, NY USA
[4] Touro Coll, Sch Pharm, Infect Dis Specialist, New York, NY USA
[5] Robert Wood Johnson Univ Hosp Piscataway, Rutgers & Clin Pharm Specialist Crit Care, Ernest Mario Sch Pharm, Piscataway, NJ USA
来源
JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS | 2021年 / 34卷 / 06期
关键词
immune checkpoint inhibitor; toxicity; cancer; immune-related adverse events; adverse reaction; overactivation; DERMATOLOGICAL ADVERSE EVENTS; CANCER-PATIENTS; IPILIMUMAB; MANAGEMENT; NIVOLUMAB; METAANALYSIS; PNEUMONITIS; ANTI-PD-1; BLOCKADE;
D O I
10.1097/01.JAA.0000735760.65235.3c
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:32 / 39
页数:8
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