Adverse Events Associated with Immune Checkpoint Inhibitors: Overview of Systematic Reviews

Salmaan Kanji1,2, Sydney Morin3, Kyla Agtarap4

  • 1The Ottawa Hospital, 501 Smyth Rd, Ottawa, ON, K1H 8L6, Canada. skanji@toh.ca.

Drugs
|April 13, 2022
PubMed
Abstract

Insights

Immune checkpoint inhibitor (ICI) adverse events (AEs) like fatigue and diarrhea are common. Early recognition and multidisciplinary management of these AEs are crucial for better cancer patient outcomes.

Area of Science:

  • Oncology
  • Immunology
  • Pharmacovigilance

Background:

  • Immune checkpoint inhibitors (ICIs) are vital cancer therapies.
  • Effective management of ICI-associated adverse events (AEs) requires interdisciplinary expertise.
  • Increased awareness of potential AEs can improve patient outcomes.

Purpose of the Study:

  • To synthesize evidence on the incidence and severity of AEs from systematic reviews of ICI therapies.
  • To consolidate data on AEs across various cancer types treated with ICIs.

Main Methods:

  • Systematic literature search of four databases for relevant systematic reviews.
  • Inclusion of reviews reporting AE incidence, severity (CTCAE grading), and eligibility criteria.
  • Data extraction of PICOTTS elements and quality assessment using AMSTAR-2.

Main Results:

  • 129 systematic reviews were included, reporting on over 76 AEs.
  • Fatigue, diarrhea, and rash were the most common all-grade AEs.
  • High-grade diarrhea, colitis, and neutropenia were the most frequent severe AEs. Combination therapies often showed higher AE incidence.

Conclusions:

  • Recognition and management of ICI-related AEs necessitate broad specialist involvement beyond oncologists.
  • Enhanced awareness of AEs can lead to earlier detection and improved patient management.
  • Further research is needed on rare AEs and those in specific cancer subtypes.

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