Chronic immune-related adverse events arising from immune checkpoint inhibitors: an update

Immune checkpoint inhibitors (ICIs) have transformed cancer treatment, improving outcomes for many patients. However, toxicities termed immune-related adverse events (irAEs) are limitations of these revolutionary treatments. These irAEs may resolve with treatment or ICI cessation (acute) or persist...

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Main Authors: Douglas B Johnson, Kylie Fletcher
Format: Article
Language:English
Published: BMJ Publishing Group 2024-07-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/12/7/e008591.full
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author Douglas B Johnson
Kylie Fletcher
author_facet Douglas B Johnson
Kylie Fletcher
author_sort Douglas B Johnson
collection DOAJ
description Immune checkpoint inhibitors (ICIs) have transformed cancer treatment, improving outcomes for many patients. However, toxicities termed immune-related adverse events (irAEs) are limitations of these revolutionary treatments. These irAEs may resolve with treatment or ICI cessation (acute) or persist many months beyond therapy cessation (chronic). Acute irAEs were the first to be recognized and are thus more well studied. However, chronic irAEs have been highlighted in recent years and are becoming a topic of more intensive investigation. These chronic irAEs have been noted to affect many different organ systems, including endocrine, rheumatologic, gastrointestinal, dermatologic, neurologic, and cardiovascular systems. In this review, we discuss current knowledge surrounding the frequency, time course, and risk factors associated with chronic irAEs affecting various organ systems, treatment approaches, and future directions.
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publisher BMJ Publishing Group
record_format Article
series Journal for ImmunoTherapy of Cancer
spelling doaj-art-71902b4475a548f1b06b7a09efc887222025-02-02T23:40:08ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262024-07-0112710.1136/jitc-2023-008591Chronic immune-related adverse events arising from immune checkpoint inhibitors: an updateDouglas B Johnson0Kylie Fletcher11Vanderbilt University School of Medicine, Nashville, TN, USA1 Vanderbilt University School of Medicine, Nashville, Tennessee, USAImmune checkpoint inhibitors (ICIs) have transformed cancer treatment, improving outcomes for many patients. However, toxicities termed immune-related adverse events (irAEs) are limitations of these revolutionary treatments. These irAEs may resolve with treatment or ICI cessation (acute) or persist many months beyond therapy cessation (chronic). Acute irAEs were the first to be recognized and are thus more well studied. However, chronic irAEs have been highlighted in recent years and are becoming a topic of more intensive investigation. These chronic irAEs have been noted to affect many different organ systems, including endocrine, rheumatologic, gastrointestinal, dermatologic, neurologic, and cardiovascular systems. In this review, we discuss current knowledge surrounding the frequency, time course, and risk factors associated with chronic irAEs affecting various organ systems, treatment approaches, and future directions.https://jitc.bmj.com/content/12/7/e008591.full
spellingShingle Douglas B Johnson
Kylie Fletcher
Chronic immune-related adverse events arising from immune checkpoint inhibitors: an update
Journal for ImmunoTherapy of Cancer
title Chronic immune-related adverse events arising from immune checkpoint inhibitors: an update
title_full Chronic immune-related adverse events arising from immune checkpoint inhibitors: an update
title_fullStr Chronic immune-related adverse events arising from immune checkpoint inhibitors: an update
title_full_unstemmed Chronic immune-related adverse events arising from immune checkpoint inhibitors: an update
title_short Chronic immune-related adverse events arising from immune checkpoint inhibitors: an update
title_sort chronic immune related adverse events arising from immune checkpoint inhibitors an update
url https://jitc.bmj.com/content/12/7/e008591.full
work_keys_str_mv AT douglasbjohnson chronicimmunerelatedadverseeventsarisingfromimmunecheckpointinhibitorsanupdate
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