Cited by 264

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Hepatotoxicity From Immune Checkpoint Inhibitors: A Systematic Review and Management Recommendation

Peeraphatdit, Thoetchai (Bee), Wang, Jennifer, Odenwald, Matthew A., Hu, Shaomin, Hart, John, Charlton, Michael R.·2020·Hepatology

Abstract

Immune checkpoint inhibitors (ICIs) are monoclonal antibodies targeting immune checkpoint molecules. ICIs are an immunotherapy for the treatment of many advanced malignancies. The advent of ICIs has been a major breakthrough in the field of oncology, a fact recognized by the 2018 Nobel Prize in Physiology or Medicine being awarded for the discovery. The Food and Drug Administration approved the first ICI, ipilimumab, in 2011 for the treatment of metastatic melanoma. Seven ICIs are now used in clinical practice, including nivolumab and pembrolizumab for treatment of advanced hepatocellular carcinoma. ICIs are increasingly used across the spectrum of hepatobiliary neoplasia. The utility of ICI therapy has been limited by immune‐related adverse reactions (irAEs) affecting multiple organ systems. Hepatotoxicity is an important irAE, occurring in up to 16% of patients receiving ICIs. Optimizing outcomes in patients receiving ICI therapy requires awareness of and familiarity with diagnosing and management of ICI‐induced immune‐mediated hepatotoxicity (IMH), including approaches to treatment and ICI dose management. The aim of this review article is to (1) provide a comprehensive, evidence‐based review of IMH; (2) perform a systematic review of the management of IMH; and (3) present algorithms for the diagnosis and management of IMH.

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Crossref · 10.1002/hep.31227

Cites

10 of 10 references verified0 citation errors · 0 not checkable

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  • The incidence of any grade of immune checkpoint inhibitor-related hepatitis in combination therapy is higher than that in monotherapy, for both the combination of two immune checkpoint inhibitors and a combination of an immune checkpoint inhibitor with targeted therapy.

    “The incidence of any grade of ICI-related hepatitis in combination therapy is higher than that in monotherapy, for both the combination of two ICIs and a combination of an ICI with targeted therapy [152].”
  • Immune checkpoint inhibitor-related hepatotoxicity is an indirect form of drug-induced liver injury.

    “However, ICI-related hepatotoxicity is an indirect form of DILI [22,152].”
  • The incidence of any grade of immune checkpoint inhibitor-related hepatitis is usually less than 10% with monotherapy.

    “The incidence of any grade of ICI-related hepatitis is usually < 10% with monotherapy”
  • The incidence of liver injury induced by cytotoxic T-lymphocyte antigen 4 inhibitors is higher than that induced by programmed cell death 1 inhibitors, particularly at high doses.

    “the incidence of liver injury induced by cytotoxic T-lymphocyte antigen 4 inhibitors is higher than that induced by programmed cell death 1 inhibitors, particularly at high doses.”
  • The incidence of immune checkpoint inhibitor-related hepatitis depends on the class of drugs, dose, and whether they are used as monotherapy or combination therapy.

    “The incidence of ICI-related hepatitis depends on the class of drugs, dose, and whether they are used as monotherapy or combination therapy [152,153].”

Citations

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Metadata

Authors
Peeraphatdit, T. (., Wang, J., Odenwald, M. A., Hu, S., Hart, J., & Charlton, M. R.
Venue
Hepatology
Published
2020-07
Volume
72
Issue
1
Pages
315-329
ISSN
  • 0270-9139
  • 1527-3350
Cited by
264
References
10
Language
en

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