TY - JOUR
T1 - Check this out
T2 - Treatment paradigms in immune-checkpoint inhibitor colitis
AU - Kiparizoska, Sara
AU - Murphy, Megan E.
AU - Mattar, Mark C.
N1 - Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - 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.
AB - 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.
KW - immune checkpoint inhibitors
KW - immune-checkpoint inhibitor colitis
KW - immune-related adverse events
UR - http://www.scopus.com/inward/record.url?scp=85143761577&partnerID=8YFLogxK
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U2 - 10.1097/MOG.0000000000000892
DO - 10.1097/MOG.0000000000000892
M3 - Review article
C2 - 36504035
AN - SCOPUS:85143761577
SN - 0267-1379
VL - 39
SP - 43
EP - 49
JO - Current opinion in gastroenterology
JF - Current opinion in gastroenterology
IS - 1
ER -