Checkpoint Inhibitors Common immune-related adverse events and their management

被引:19
作者
Gordon, RuthAnn [1 ]
Kasler, Mary Kate [1 ]
Stasi, Kristen [1 ]
Shames, Yelena [1 ]
Errante, Mimma [1 ]
Ciccolini, Kathryn [1 ]
Lucas, Anna Skripnik [1 ]
Raasch, Pam [1 ]
Fischer-Cartlidge, Erica [1 ]
机构
[1] Mem Sloan Kettering Canc Ctr, Dept Nursing, 1275 York Ave, New York, NY 10021 USA
关键词
cancer immunotherapy; immune-related adverse events; checkpoint inhibitors; ANTI-CTLA-4; ANTIBODIES; METASTATIC MELANOMA; CANCER-PATIENTS; TOXICITIES; BLOCKADE; PRURITUS; METAANALYSIS; IPILIMUMAB; ANTI-PD-1; THERAPY;
D O I
10.1188/17.CJON.S2.45-52
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BACKGROUND: Immunotherapy, specifically the use of checkpoint inhibitors, offers patients with cancer an alternative to chemotherapy, targeting different pathways to destroy cancer cells. The side effects of immunotherapies, as well as their impact on normal tissue, need to be assessed and managed based on their mechanisms of action. OBJECTIVES: This article presents an overview of immune-related adverse events (AEs). METHODS: Common immune-related toxicities, as well as rare and refractory toxicities, are reviewed. FINDINGS: Immunotherapy treatment is an option for many patients with cancer, and nurses must understand the distinct side effect profile of these agents. Prompt identification and expert management are the cornerstones of success when dealing with immune-related AEs, and oncology nurses play a key role in improving patient care.
引用
收藏
页码:45 / 52
页数:8
相关论文
共 33 条
  • [1] Clinical use of anti-TNF therapy and increased risk of infections
    Ali, Tauseef
    Kaitha, Sindhu
    Mahmood, Sultan
    Ftesi, Abdul
    Stone, Jordan
    Bronze, Michael S.
    [J]. DRUG HEALTHCARE AND PATIENT SAFETY, 2013, 5 : 79 - 99
  • [2] American Cancer Society, 2016, IMM CHECKP INH TREAT
  • [3] [Anonymous], [No title captured]
  • [4] [Anonymous], KEYTR PEMBR
  • [5] Ocular and orbital side-effects of checkpoint inhibitors: a review article
    Antoun, Joelle
    Titah, Cherif
    Cochereau, Isabelle
    [J]. CURRENT OPINION IN ONCOLOGY, 2016, 28 (04) : 288 - 294
  • [6] Berman David, 2010, Cancer Immun, V10, P11
  • [7] Immune related adverse events associated with anti-CTLA-4 antibodies: systematic review and meta-analysis
    Bertrand, Anne
    Kostine, Marie
    Barnetche, Thomas
    Truchetet, Marie-Elise
    Schaeverbeke, Thierry
    [J]. BMC MEDICINE, 2015, 13
  • [8] Bristol-Myers Squibb, 2015, YERV IP
  • [9] Croom D., 2015, Dermatologic Manifestations of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis
  • [10] The Spectrum of Serious Infections Among Patients Receiving Immune Checkpoint Blockade for the Treatment of Melanoma
    Del Castillo, Maria
    Romero, Fabian A.
    Arguello, Esther
    Kyi, Chrisann
    Postow, Michael A.
    Redelman-Sidi, Gil
    [J]. CLINICAL INFECTIOUS DISEASES, 2016, 63 (11) : 1490 - 1493