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癌症免疫治疗学会(SITC)免疫检查点抑制剂相关不良反应临床实践指南。

Society for Immunotherapy of Cancer (SITC) clinical practice guideline on immune checkpoint inhibitor-related adverse events.

机构信息

Department of Oncology and the Thoracic Oncology, Johns Hopkins Sidney Kimmel Cancer Center, Baltimore, Maryland, USA.

Department of Internal Medicine, University of Missouri-Kansas City, Kansas City, Missouri, USA.

出版信息

J Immunother Cancer. 2021 Jun;9(6). doi: 10.1136/jitc-2021-002435.


DOI:10.1136/jitc-2021-002435
PMID:34172516
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8237720/
Abstract

Immune checkpoint inhibitors (ICIs) are the standard of care for the treatment of several cancers. While these immunotherapies have improved patient outcomes in many clinical settings, they bring accompanying risks of toxicity, specifically immune-related adverse events (irAEs). There is a need for clear, effective guidelines for the management of irAEs during ICI treatment, motivating the Society for Immunotherapy of Cancer (SITC) to convene an expert panel to develop a clinical practice guideline. The panel discussed the recognition and management of single and combination ICI irAEs and ultimately developed evidence- and consensus-based recommendations to assist medical professionals in clinical decision-making and to improve outcomes for patients.

摘要

免疫检查点抑制剂(ICIs)是治疗多种癌症的标准治疗方法。虽然这些免疫疗法在许多临床环境中改善了患者的预后,但它们也带来了伴随的毒性风险,特别是免疫相关不良事件(irAEs)。为了在 ICI 治疗期间管理 irAEs,需要明确、有效的指南,这促使癌症免疫治疗学会(SITC)召集一个专家小组制定临床实践指南。专家组讨论了单一和联合 ICI irAEs 的识别和管理,最终制定了基于证据和共识的建议,以协助医疗专业人员进行临床决策,并改善患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bb7/8237720/f6b2c85af8b0/jitc-2021-002435f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bb7/8237720/88d67bf522a0/jitc-2021-002435f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bb7/8237720/f6b2c85af8b0/jitc-2021-002435f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bb7/8237720/88d67bf522a0/jitc-2021-002435f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bb7/8237720/f6b2c85af8b0/jitc-2021-002435f02.jpg

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[3]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Atezolizumab-Induced Aseptic Meningitis in Patients with NSCLC.

JTO Clin Res Rep. 2020-2-13

[2]
Intensified immunosuppressive therapy in patients with immune checkpoint inhibitor-induced myocarditis.

J Immunother Cancer. 2020-12

[3]
Incidence of venous thromboembolic events in cancer patients receiving immunotherapy: a single-institution experience.

Clin Transl Oncol. 2021-6

[4]
Multisystem Immune-Related Adverse Events Associated With Immune Checkpoint Inhibitors for Treatment of Non-Small Cell Lung Cancer.

JAMA Oncol. 2020-12-1

[5]
Immune checkpoint inhibitor associated reactivation of primary membranous nephropathy responsive to rituximab.

J Immunother Cancer. 2020-10

[6]
Efficacy and Safety of Nivolumab Plus Ipilimumab in Patients With Advanced Hepatocellular Carcinoma Previously Treated With Sorafenib: The CheckMate 040 Randomized Clinical Trial.

JAMA Oncol. 2020-11-1

[7]
Personalized Cytokine-Directed Therapy With Tocilizumab for Refractory Immune Checkpoint Inhibitor-Related Cholangiohepatitis.

J Thorac Oncol. 2021-2

[8]
Immune Checkpoint Inhibitor-Induced Myasthenia Gravis.

Front Neurol. 2020-7-16

[9]
MRI Findings of Immune Checkpoint Inhibitor-Induced Hypophysitis: Possible Association with Fibrosis.

AJNR Am J Neuroradiol. 2020-8-6

[10]
Checkpoint inhibitor-related renal vasculitis and use of rituximab.

J Immunother Cancer. 2020-7

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