PD-1 抗体诱导的复发性鼻咽癌伴胆囊炎的成功置换:病例报告。

IF 2.7 4区 医学 Q3 IMMUNOLOGY
Zheqing Liu, Xiaojing Du, Meiling Deng, Yuanyuan Chen, Shaoxiong Wu
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引用次数: 0

摘要

发生免疫相关性胆囊炎以及随后再次接受免疫治疗的报道很少。一名被诊断为复发性鼻咽癌的患者在分别接受第六和第八个周期的康瑞珠单抗治疗后,出现了免疫相关性胆囊炎。经过保守治疗后,患者的症状和实验室检查结果均有所改善。随后,我们选择了全人源化 PD-1 抗体齐贝瑞单抗(zimberelimab)替代坎瑞珠单抗进行维持治疗,并成功完成了 37 个周期的齐贝瑞单抗治疗(每周期 240 毫克,每两周一次)。令人惊讶的是,该患者没有出现任何免疫相关不良事件,并保持完全缓解,无进展生存期达 28.8 个月。在治疗由其他 PD-1 抗体诱发的免疫相关性胆囊炎后,可以选择使用 Zimberelimab 作为再挑战免疫疗法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful replacement for recurrent nasopharyngeal carcinoma with cholecystitis induced by PD-1 antibody: a case report.

The occurrence of immune-related cholecystitis and the subsequent immunotherapy re-challenge has been rarely reported. A patient diagnosed with recurrent nasopharyngeal carcinoma, developed immune-related cholecystitis after the sixth and eighth cycles of camrelizumab respectively. The patient's symptoms and laboratory test results showed improvement after conservative treatment. Then we chose zimberelimab, a fully humanized PD-1 antibody, as a replacement for camrelizumab in maintenance therapy and successfully completed 37 cycles of zimberelimab (240 mg every 2 weeks per cycle). Surprisingly, the patient experienced no immune-related adverse event and remained in complete remission with a progression-free survival of 28.8 months. The use of Zimberelimab as rechallenge immunotherapy may be an optional choice after managing immune-related cholecystitis induced by other PD-1 antibodies.

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来源期刊
Immunotherapy
Immunotherapy 医学-免疫学
CiteScore
5.00
自引率
3.60%
发文量
113
审稿时长
6-12 weeks
期刊介绍: Many aspects of the immune system and mechanisms of immunomodulatory therapies remain to be elucidated in order to exploit fully the emerging opportunities. Those involved in the research and clinical applications of immunotherapy are challenged by the huge and intricate volumes of knowledge arising from this fast-evolving field. The journal Immunotherapy offers the scientific community an interdisciplinary forum, providing them with information on the most recent advances of various aspects of immunotherapies, in a concise format to aid navigation of this complex field. Immunotherapy delivers essential information in concise, at-a-glance article formats. Key advances in the field are reported and analyzed by international experts, providing an authoritative but accessible forum for this vitally important area of research. Unsolicited article proposals are welcomed and authors are required to comply fully with the journal''s Disclosure & Conflict of Interest Policy as well as major publishing guidelines, including ICMJE and GPP3.
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