University of Florida Health Cancer Center, Gainesville, FL.
Department of Pharmacotherapy and Translational Research, University of Florida College of Pharmacy, Gainesville, FL.
JCO Oncol Pract. 2021 May;17(5):240-245. doi: 10.1200/OP.20.00996. Epub 2021 Mar 12.
Patients with autoimmune disorders, multiple comorbidities, poor performance status, advanced age, and infection with SARS-CoV-2 (COVID-19) each represent unique subgroups of patients with cancer to whom little is known of the effects, benefits, and complications of checkpoint inhibitor (CPI) therapy. Although prospective trials are lacking in these populations, retrospective data and cohort series suggest that these patients can safely receive and benefit from CPI therapy. Here, we review the relevant data available and offer clinical recommendations in managing these complex patients with CPI therapy, where otherwise indicated.
患有自身免疫性疾病、多种合并症、身体状况不佳、高龄以及感染 SARS-CoV-2(COVID-19)的患者,每一类都是癌症患者中的独特亚组,对于这些患者,我们对检查点抑制剂(CPI)治疗的效果、益处和并发症知之甚少。尽管这些人群缺乏前瞻性试验,但回顾性数据和队列研究表明,这些患者可以安全地接受 CPI 治疗并从中获益。在这里,我们回顾了可用的相关数据,并在有指征的情况下提供了管理这些接受 CPI 治疗的复杂患者的临床建议。