在社区实践中,对于患有腹作为基于ipilimumab的癌症免疫疗法的并发症的患者,加速治疗算法的结果
Clarice Ho1, Wolfram Samlowski1,2,3
1School of Medicine, University of Nevada, Reno, NV 89557, USA.
Current oncology (Toronto, Ont.)
|June 26, 2024
概括
检查点抑制剂治疗可以导致免疫媒介性腹. 使用类固醇和infliximab的加速治疗方法在大多数患者中迅速消除了症状,允许继续免疫治疗.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 胃肠病学 胃肠病学
背景情况:
- 免疫媒介性腹是检查点抑制剂治疗的重要并发症,特别是伊皮利马布.
- 管理这种副作用带来了诊断和治疗方面的挑战.
研究的目的:
- 评估一项针对伊皮利穆巴布诱导的腹的加速管理模式.
- 评估使用葡萄糖皮质类固醇和Infliximab早期干预的疗效和安全性.
主要方法:
- 患有严重腹 (>5个松散的便/天) 的患者接受了甲基普雷迪尼索隆治疗,然后在需要时服用高剂量的类固醇和因弗利克西马布.
- 对于没有反应的患者,预留了进一步的调查.
主要成果:
- 在242名接受ipilimumab治疗的患者中,有46人出现显著的腹 (19%).
- 其中34名患者 (74.4%) 经历了加快治疗的快速症状缓解.
- 解决的中位时间为8.5±16.4天,没有肠道并发症或死亡.
结论:
- 加快管理模式有效控制伊皮利穆巴布诱导的腹.
- 对腹的免疫抑制疗法没有对缓解率或生存率产生负面影响.
- 大多数患者在腹解决后可以恢复免疫治疗.
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