Check this out: Treatment paradigms in immune-checkpoint inhibitor colitis

Sara Kiparizoska, Megan E. Murphy, Mark C. Mattar

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of reviewImmune checkpoint inhibitors (ICI) have become a pillar of cancer therapy for many people around the world. However, up to two-thirds of all patients undergoing ICI therapy will have immune-related adverse events (irAEs), including immune-checkpoint inhibitor colitis (ICIC). This review summarizes the most valuable and currently available information about the mechanism, diagnosis, and management of ICIC.Recent findingsRecent findings include several developments on the leading theories for the mechanisms of ICIC such as the role of the gut microbiome. New emerging therapy strategies include tocilizumab, ustekinumab, mycophenolate mofetil, and calcineurin inhibitors.SummaryThe occurrence of irAEs remains a limiting factor for the use of immunotherapy in cancer treatment. Prompt diagnosis of ICIC with endoscopy and histologic confirmation can lead to early utilization of known effective treatments such as corticosteroids, infliximab, vedolizumab, and other emerging therapy strategies. We summarize the key points of this review article in our abstract video, Supplemental Digital Content 1, http://links.lww.com/COG/A44.

Original languageEnglish (US)
Pages (from-to)43-49
Number of pages7
JournalCurrent opinion in gastroenterology
Volume39
Issue number1
DOIs
StatePublished - Jan 1 2023
Externally publishedYes

Keywords

  • immune checkpoint inhibitors
  • immune-checkpoint inhibitor colitis
  • immune-related adverse events

ASJC Scopus subject areas

  • Gastroenterology

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