• Clin Adv Hematol Oncol · May 2018

    Review

    Managing adverse effects of immunotherapy.

    • James N Gerson, Chethan Ramamurthy, and Hossein Borghaei.
    • Fox Chase Cancer Center, Temple University Health System, Philadelphia, Pennsylvania.
    • Clin Adv Hematol Oncol. 2018 May 1; 16 (5): 364-374.

    AbstractRemarkable efficacy has been achieved in a variety of cancer types by targeting immune checkpoints. The cytotoxic T-lymphocyte-associated antigen 4 inhibitor ipilimumab, the programmed death 1 inhibitors nivolumab and pembrolizumab, and the programmed death ligand 1 inhibitors atezolizumab, avelumab, and durvalumab are the agents currently approved by the US Food and Drug Administration for the treatment of certain advanced malignancies. These agents mark a departure from both standard cytotoxic chemotherapy and targeted therapy. However, they are associated with a unique set of immune-related adverse events (irAEs), which can manifest as a wide range of autoimmune phenomena. The irAEs can affect any system in the body and in rare cases are life-threatening. It is critical for the practicing medical oncologist to recognize and promptly treat any irAEs that may develop.

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