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使用免疫检查点抑制剂管理不良事件。

Managing Adverse Events With Immune Checkpoint Agents.

作者信息

Dadu Ramona, Zobniw Chrystia, Diab Adi

机构信息

From the Departments of *Endocrine Neoplasia and Hormonal Disorders and †Melanoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.

出版信息

Cancer J. 2016 Mar-Apr;22(2):121-9. doi: 10.1097/PPO.0000000000000186.

Abstract

Immune checkpoint inhibitors (anti-cytotoxic T-lymphocyte antigen 4 and anti programmed cell death 1/programmed cell death 1 ligand antibodies) have shown impressive clinical activity in multiple cancer types. Despite achieving great clinical success, challenges and limitations of these drugs as monotherapy or various combinational strategies include the development of a unique set of immune-related adverse events (irAEs) that can be severe and even fatal. Therefore, identification of patients at risk, prevention, consistent communication between patients and medical team, rapid recognition, and treatment of irAEs are critical in optimizing treatment outcomes. This review focuses on the description of more common irAEs and provides a suggested approach for management of specific irAEs.

摘要

免疫检查点抑制剂(抗细胞毒性T淋巴细胞抗原4和抗程序性细胞死亡蛋白1/程序性细胞死亡蛋白1配体抗体)已在多种癌症类型中显示出令人瞩目的临床活性。尽管取得了巨大的临床成功,但这些药物作为单一疗法或各种联合策略存在挑战和局限性,包括出现一系列独特的免疫相关不良事件(irAEs),这些不良事件可能很严重甚至致命。因此,识别有风险的患者、预防、患者与医疗团队之间的持续沟通、irAEs的快速识别和治疗对于优化治疗结果至关重要。本综述重点描述了更常见的irAEs,并提供了针对特定irAEs的管理建议方法。

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