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Published on: February 5, 2020
Updates in toxicities associated with immune checkpoint inhibitors
Nina B Curkovic1, Douglas B Johnson2
1Department of Medicine, Vanderbilt University School of Medicine, Nashville, USA.
Immune checkpoint inhibitors (ICIs) offer cancer treatment benefits but can cause immune-related adverse events (irAEs). Understanding ICI toxicity pathophysiology and management is crucial for effective cancer care.
Area of Science:
- Oncology
- Immunology
Background:
- Immune checkpoint inhibitors (ICIs) are vital in cancer therapy, often used in combination and earlier disease stages.
- ICI use is associated with immune-related adverse events (irAEs), ranging from mild to life-threatening.
Purpose of the Study:
- To review recent advances in the pathophysiology and treatment of ICI-induced toxicities.
- To highlight current treatment strategies, steroid-refractory and chronic irAEs, and emerging biomarkers.
Main Methods:
- Literature review focusing on ICI-related toxicities.
- Synthesis of current understanding of irAE pathophysiology and management.
Main Results:
- Advances in understanding ICI toxicity mechanisms are emerging.
- New treatment approaches, including steroid-sparing options, are being investigated.
Conclusions:
- Managing irAEs is critical for expanding the use of combination ICI therapies.
- Improved prevention and treatment strategies for irAEs will enhance ICI efficacy in broader patient populations.
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