Updates in Drug-Related Pneumonitis Due to Targeted Oncologic Therapies

Kathy L Chan1, Saadia A Faiz2, Mehmet Altan3

  • 1Divisions of Critical Care, Pulmonary and Sleep Medicine, McGovern Medical School at UTHealth, Houston, TX, USA.

Insights

Newer cancer drugs, especially antibody-drug conjugates, can cause drug-related pneumonitis. Early diagnosis and suspicion are crucial for managing this side effect in precision oncology.

Area of Science:

  • Oncology
  • Pulmonology
  • Pharmacology

Background:

  • Precision oncology therapies are increasingly used for cancer treatment.
  • Drug-related pneumonitis is a potential adverse event associated with these therapies.
  • Early recognition and diagnosis of pneumonitis are critical.

Purpose of the Study:

  • To provide an updated review on drug-related pneumonitis in patients undergoing precision oncology.
  • To focus on newly approved oncologic agents, particularly antibody-drug conjugates.
  • To detail the incidence, onset timing, and imaging findings of pneumonitis.

Main Methods:

  • Literature review of recent studies on precision oncology agents and pneumonitis.
  • Analysis of reported cases of drug-related pneumonitis.
  • Focus on incidence, timing, and characteristic imaging patterns.

Main Results:

  • Newly approved precision oncology agents, including antibody-drug conjugates, are associated with drug-related pneumonitis.
  • Pneumonitis can manifest with varying incidence and onset times.
  • Specific imaging patterns are observed in drug-induced pneumonitis.

Conclusions:

  • Clinicians must maintain a high index of suspicion for drug-related pneumonitis with new cancer therapies.
  • Understanding the incidence, timing, and imaging is key for timely diagnosis and management.
  • This review updates knowledge on pneumonitis associated with novel precision oncology agents.

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