作为对单克隆抗体输液相关反应的急性腰痛
Pawel Majenka1, Carmen Loquai2, Tilman Schöning3
1Department of Dermatology and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Frontiers in oncology
|November 9, 2023
概括
急性腰痛可能是对PD-1/PD-L1抑制剂的输液相关反应. 及时停止输液和管理疼痛症状导致所有患者的完全缓解.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 药理学 药理学是指药理学的学科.
背景情况:
- 单克隆抗体,包括PD-1抑制剂,在癌症治疗中至关重要.
- 输液相关反应 (IRR) 是已知的不良事件.
- 作为这些药物的IRR,急性腰部疼痛尚未得到充分证实.
研究的目的:
- 描述急性腰痛病例作为对PD-1/PD-L1抑制剂的IRR.
- 调查这个特定的IRR的管理和结果.
主要方法:
- 一个双中心的病例系列,包括10名接受PD-1/PD-L1抑制剂治疗的皮肤癌患者.
- 在单克隆抗体注射期间发生的急性腰部疼痛的观察.
- 对干预和患者反应的记录.
主要成果:
- 所有10名患者都经历了急性腰痛作为IRR.
- 立即的输液中断和镇痛导致了快速和完全的症状消失.
- 这种风险似乎与药物度相关.
结论:
- 急性腰部疼痛是PD-1/PD-L1抑制剂的潜在IRR.
- 早期停止输注和剂量/速率调整是有效的管理策略.
- 这种反应可以通过及时干预有效地管理.
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