[Predictable toxicities with futures immunotherapies or combinations].
Alice Mogenet1, Pascale Tomasini1, Laurent Greillier1
1AP-HM, CNRS, Inserm, CRCM, Aix-Marseille université, hôpital Nord, service d'oncologie multidisciplinaire et innovations thérapeutiques, chemin des Bourrely, 13915 Marseille cedex, France.
Immune checkpoint inhibitors (ICIs) enhance anti-tumor immunity but can cause rare, serious immune-related adverse events (IRAEs). Managing these toxicities is crucial for long-term cancer treatment and patient quality of life.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- Immune checkpoint inhibitors (ICIs) have significantly improved survival in various solid tumors by enhancing anti-tumor immunity.
- While effective, ICIs can lead to immune-related adverse events (IRAEs), which are sometimes severe and can compromise treatment.
- The development of new immunotherapies and combination therapies necessitates a thorough understanding of their safety profiles.
Purpose of the Study:
- To review the safety profile of immune checkpoint inhibitors (ICIs) in clinical practice.
- To highlight the occurrence and management of immune-related adverse events (IRAEs) associated with ICIs.
- To emphasize the importance of safety and quality of life as key endpoints in long-term cancer treatment decisions.
Main Methods:
- Review of clinical practice data and safety profiles of immune checkpoint inhibitors (ICIs).
- Analysis of immune-related adverse events (IRAEs) in patients treated with ICIs.
- Discussion of emerging immunotherapies and combination strategies.
Main Results:
- Immune checkpoint inhibitors (ICIs) demonstrate improved survival outcomes for numerous solid tumors.
- Immune-related adverse events (IRAEs) are a known class of toxicity, occurring less frequently than chemotherapy side effects but potentially serious.
- Management of IRAEs is critical for maintaining treatment continuity and improving patient quality of life.
Conclusions:
- Effective management of immune-related adverse events (IRAEs) is essential for optimizing the use of immune checkpoint inhibitors (ICIs) in cancer therapy.
- As novel immunotherapies and combinations are developed, understanding and managing their unique safety profiles will be paramount.
- Long-term treatment efficacy, safety, and patient quality of life are becoming critical factors in therapeutic decision-making for advanced cancers.
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