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Immune-Related Adverse Events of Immune Checkpoint Inhibitors.

Manuel Ramos-CasalsAntoni Siso-Almirall
Published in: Annals of internal medicine (2024)
Immune-related adverse events (irAEs) are toxicities that arise after the administration of monoclonal antibodies targeting immune checkpoints (immune checkpoint inhibitors [ICIs]) in patients with cancer. They can occur at any time after initiation of ICI treatment, with a broad clinical phenotype that can be organ-specific or systemic. Although most irAEs manifest as mild to moderate signs and symptoms, severe forms of irAEs can lead to irreversible organ failure and have acute life-threatening presentations. Treatment should be tailored to the specific organ involved and the severity. Glucocorticoids are the first-line treatment for most irAEs, with immunosuppressants and biologics mainly used as second-line treatments.
Keyphrases
  • drug induced
  • liver failure
  • early onset
  • depressive symptoms
  • combination therapy
  • intensive care unit
  • replacement therapy