ICI need not be withheld in those with autoimmune disease

(HealthDay)—For sufferers with superior melanoma, response to immune checkpoint inhibitors (ICIs) is analogous for these with and with out preexisting autoimmune illness (AID), in response to a examine printed on-line Feb. 16 within the Annals of Inside Medication.

Monique Ok. van der Kooij, M.D., from Leiden College Medical Middle within the Netherlands, and colleagues performed a nationwide cohort examine within the Netherlands to look at the security and efficacy of ICIs in 4,367 sufferers with superior melanoma with and with out AID; 9.5 p.c had AID.

The researchers discovered that for sufferers with AID, the incidences of immune-related antagonistic occasions of grade 3 or greater had been 30, 17, and 44 p.c for these handled with anti-cytotoxic T lymphocyte-associated protein 4 (CTLA-4), anti-programmed 1 (PD-1), and mixture remedy, respectively; for sufferers with out AID, the corresponding incidences had been 30, 13, and 48 p.c. In contrast with sufferers with out AID, these with AID extra usually discontinued anti-PD-1 therapy due to toxicity (17 versus 9 p.c). Anti-PD-1-induced colitis occurred extra usually in sufferers with inflammatory bowel illness. Sufferers with versus with out AID who had been handled with anti-CTL-4, anti-PD-1, and had comparable goal response charges (10 versus 16 p.c; 40 versus 44 p.c; and 39 versus 43 p.c, respectively). No distinction was seen in survival for these with and with out AID (median, 13 versus 14 months).

“We encourage physicians to not withhold ICI in most typical AIDs,” the authors write.

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ICI needn’t be withheld in these with autoimmune illness (2021, February 16)
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