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Immune Checkpoint Inhibitor Toxicities.

Julian A Marin-Acevedo1, Razvan M Chirila1, Roxana S Dronca2

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Immune checkpoint inhibitors boost anti-tumor immunity but can cause immune-related adverse events. Early recognition and management are crucial for patient safety and continued cancer treatment.

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Area of Science:

  • Oncology
  • Immunology

Background:

  • Immune checkpoint inhibitors (ICIs) have transformed cancer therapy.
  • Their use has expanded across multiple advanced cancer types.
  • ICIs activate the immune system to target tumors.

Purpose of the Study:

  • To review immune-related adverse events (irAEs) associated with ICIs.
  • To familiarize clinicians with irAEs for increased ICI use.
  • To guide management of ICI-induced toxicities.

Main Methods:

  • Literature review focusing on ICI-related toxicities.
  • Discussion of irAE presentation, diagnosis, and management.
  • Emphasis on clinical recognition and differential diagnosis.

Main Results:

  • ICIs can cause autoimmune-like toxicities (irAEs) affecting any organ.
  • Skin and colon are most frequently involved.
  • Diagnosis often involves excluding other causes; corticosteroids are primary treatment.

Conclusions:

  • irAEs are a significant consideration in ICI therapy.
  • Management requires prompt diagnosis and appropriate immunosuppression.
  • Balancing immunotherapy efficacy with toxicity management is key.