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Updated: Feb 19, 2026

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Published on: June 2, 2023
Potential Risk Factors for Nivolumab-induced Thyroid Dysfunction.
Haruhiko Yamazaki1, Hiroyuki Iwasaki2, Toshinari Yamashita2
1Department of Breast and Endocrine Surgery, Kanagawa Cancer Center, Yokohama, Japan h.yamazaki0413@kcch.jp.
Nivolumab can cause thyroid dysfunction in non-small cell lung cancer patients. A higher total number of nivolumab doses may increase the risk of developing this side effect.
Area of Science:
- Oncology
- Endocrinology
- Immunotherapy
Background:
- Thyroid dysfunction is a known side effect of nivolumab therapy.
- This study investigates nivolumab-induced thyroid dysfunction in non-small cell lung cancer (NSCLC) patients.
Purpose of the Study:
- To determine the incidence of thyroid dysfunction after nivolumab administration in NSCLC patients.
- To identify risk factors associated with nivolumab-induced thyroid dysfunction.
Main Methods:
- Retrospective analysis of 82 NSCLC patients treated with nivolumab.
- Assessment of thyroid function before and after nivolumab treatment.
- Statistical analysis to identify risk factors.
Main Results:
- 19.5% incidence of thyroid dysfunction in patients with normal baseline thyroid function.
- No significant differences in sex, age, or nivolumab dose among affected patients.
- Higher total number of nivolumab doses was significantly associated with thyroid dysfunction (p=0.03).
Conclusions:
- The total number of nivolumab doses administered may be a risk factor for thyroid dysfunction.
- Further research is needed to confirm this finding and explore underlying mechanisms.
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