Neurological Adverse Events Induced by Immune Checkpoint Inhibitors in Non-Small Cell Lung Cancer: Current Perspectives and New Development.

Immune checkpoint inhibitors (ICIs) have revolutionized the treatment of multiple malignancies, especially in non-small cell lung cancer (NSCLC). With the extensive application of ICIs in clinical practice, clinicians have to manage their toxicities, which are often termed immune-related adverse eve...

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Publicado en:Clinical Medicine Insights: Oncology pp. 1 - 17
Autores principales: Cheng, Ke, Wang, Yuqing, Zhou, Yuwen, Xia, Ruolan, Tang, Liansha, Liu, Jiyan
Formato: algorithm review tables/charts Journal Article
Publicado: Sage Publications Inc. 11/24/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 11/24/2021
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      pub: Sage Publications Inc.
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        atl: Neurological Adverse Events Induced by Immune Checkpoint Inhibitors in Non-Small Cell Lung Cancer: Current Perspectives and New Development.
      aug:
        au:
          Cheng, Ke
          Wang, Yuqing
          Zhou, Yuwen
          Xia, Ruolan
          Tang, Liansha
          Liu, Jiyan
        affil: Department of Abdominal Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China
      sug:
        subj:
          Immune Checkpoint Inhibitors Adverse Effects
          Immune Checkpoint Inhibitors Therapeutic Use
          Carcinoma, Non-Small-Cell Lung Drug Therapy
          Neurotoxicity Syndromes Chemically Induced
          Nivolumab
          Antibodies, Monoclonal
          Polyneuropathies Chemically Induced
          Bell Palsy Chemically Induced
          Brain Diseases Chemically Induced
          Myasthenia Gravis Chemically Induced
          Morbidity Prevention and Control
      ab: Immune checkpoint inhibitors (ICIs) have revolutionized the treatment of multiple malignancies, especially in non-small cell lung cancer (NSCLC). With the extensive application of ICIs in clinical practice, clinicians have to manage their toxicities, which are often termed immune-related adverse events (irAEs). Several ICIs, such as nivolumab, pembrolizumab, atezolizumab, and durvalumab, have been approved by the US Food and Drug Administration (FDA) to treat advanced NSCLC, accompanied by a broad spectrum of toxicity reactions. However, ICIs-associated neurological toxicities, regarding polyneuropathy, Bell palsy, encephalopathy, and myasthenia gravis, as uncommon emerging toxicities have not been well recognized, present a challenge for clinicians to improve awareness of supervision, recognition, and management before death from them. Herein, we have summarized the incidence, diagnosis, clinical manifestations, potential mechanisms, treatments, and outcomes of ICIs-related neurotoxicity and optimized the management approach for NSCLC patients. Prompt recognition and proper management are indispensable to reduce the morbidity of these patients with immune-related neurological toxicities.
      pubtype: Academic Journal
      doctype:
        algorithm
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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