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ICI needn’t be withheld in those with autoimmune disease

ICI need not be withheld in those with autoimmune disease

(HealthDay)—For patients with developed melanoma, response to immune checkpoint inhibitors (ICIs) is similar for those with and without preexisting autoimmune disease (AID), per a look printed on-line Feb. 16 within the Annals of Interior Medicines.

Monique K. van der Kooij, M.D., from Leiden University Scientific Heart within the Netherlands, and colleagues conducted a nationwide cohort look within the Netherlands to see the security and efficacy of ICIs in 4,367 patients with developed melanoma with and without AID; 9.5 percent had AID.

The researchers chanced on that for patients with AID, the incidences of immune-linked unfavorable events of grade 3 or better had been 30, 17, and 44 percent for those treated with anti-cytotoxic T lymphocyte-linked protein 4 (CTLA-4), anti-programmed cell death 1 (PD-1), and aggregate remedy, respectively; for patients without AID, the corresponding incidences had been 30, 13, and 48 percent. When compared with patients without AID, those with AID more recurrently discontinued anti-PD-1 medication thanks to toxicity (17 versus 9 percent). Anti-PD-1-brought on colitis occurred more recurrently in patients with inflammatory bowel disease. Patients with versus without AID who had been treated with anti-CTL-4, anti-PD-1, and aggregate remedy had identical design response charges (10 versus 16 percent; 40 versus 44 percent; and 39 versus 43 percent, respectively). No distinction used to be considered in survival for those with and without AID (median, 13 versus 14 months).

“We aid physicians now to no longer defend ICI in most typical AIDs,” the authors write.



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ICI needn’t be withheld in those with autoimmune disease (2021, February 16)
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