Abstract
Immune checkpoint inhibitors (ICIs), including antibodies targeting cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) and programmed cell death protein-1 (PD-1), have shown durable treatment responses in multiple tumor types by enhancing antitumor immunity. However, removal of self-tolerance can induce autoimmunity and produce a unique immune-driven toxicity profile, termed immune-related adverse events (irAEs). As ICIs gain approval for a growing number of indications, it is imperative clinicians increase their knowledge of and ability to manage irAEs. This review examines the etiology, presentation, kinetics, and treatment of irAEs and aims to provide practical guidance for clinicians.
MeSH Terms
Antibodies, Monoclonal/administration & dosage,adverse effects,therapeutic use
Antibodies, Monoclonal, Humanized/adverse effects
Autoimmune Diseases/etiology
B7-H1 Antigen/immunology,metabolism
Biomarkers/analysis
CTLA-4 Antigen/immunology,metabolism
Chemoradiotherapy/adverse effects
Clinical Trials as Topic
Dose-Response Relationship, Drug
HIV Infections/etiology
Humans
Immune Tolerance/drug effects
Ipilimumab
Molecular Targeted Therapy/methods
Nivolumab
Programmed Cell Death 1 Receptor/immunology,metabolism
Chemicals
Antibodies, Monoclonal
Antibodies, Monoclonal, Humanized
B7-H1 Antigen
Biomarkers
CD274 protein, human
CTLA-4 Antigen
CTLA4 protein, human
Ipilimumab
PDCD1 protein, human
Programmed Cell Death 1 Receptor
Nivolumab
pembrolizumab
tremelimumab
Authors & Affiliations
2 authors, click to expand affiliations / ORCID
Day Daphne
Bras Drug Development Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, 610 University Avenue, Suite, Toronto, ON, M5G 2M9, Canada. | Department of Medicine, University of Toronto, Toronto, ON, Canada. | OICR Research Fellow, Ontario Institute for Cancer Research, 661 University Ave, Suite 510, Toronto, ON, M5G 0A3, Canada.
Hansen Aaron R
ORCID
Bras Drug Development Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, 610 University Avenue, Suite, Toronto, ON, M5G 2M9, Canada. aaron.hansen@uhn.ca. | Department of Medicine, University of Toronto, Toronto, ON, Canada. aaron.hansen@uhn.ca.