免疫检查点抑制剂 (ICI) 相关肝毒性的特征,基于基线肝功能
Won-Jung Jung1, Eun-Jung Jo2, Ye-Jee Kim3
1College of Pharmacy and Research Institute for Drug Development, Pusan National University, Busan, Korea.
Cancer research and treatment
|July 24, 2025
概括
免疫检查点抑制剂相关的肝毒性 (ICH) 在19.5%的患者中发生. 基线肝功能显著影响了ICH发生率和发病率,但并没有影响严重程度或停止治疗率.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 免疫学 免疫学 免疫学
- 在瘤学瘤学.
背景情况:
- 免疫检查点抑制剂 (ICI) 是关键的癌症疗法.
- 肝毒性是ICI已知的副作用之一.
- 了解ICH发生率和风险因素对于患者管理至关重要.
研究的目的:
- 估计免疫检查点抑制剂相关肝毒性 (ICH) 的发生率.
- 为了确定与ICH发展相关的风险因素.
- 为了描述经历了ICH的患者.
主要方法:
- 用ICI治疗的成年患者的回顾性研究 (2015年1月至2022年6月).
- ICH发病率计算为每100人/年,重点是3级肝毒性.
- 使用多变量考克斯回归确定的风险因素;因果关系通过Naranjo算法进行评估.
主要成果:
- 整体ICH发生率为每100人/年19.5例.
- 在基线肝功能异常的患者中观察到更高的发病率 (47.3 vs 9.3) 和更早的发病 (13 vs 15天).
- 在正常和异常基线组中,女性性别和肝癌分别是显著的风险因素.
结论:
- 起初的肝功能异常会影响ICH发生率和发病,但不会影响严重程度或停止治疗的可能性.
- 需要进行进一步的研究,以探索ICI停药对ICH患者的生存结果的影响,这些患者的肝功能在基线上有所变化.
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