Adverse Events in Cancer Immunotherapy

Adv Exp Med Biol. 2017:995:155-174. doi: 10.1007/978-3-319-53156-4_8.

Abstract

Cancer immunotherapy has resulted in durable responses in patients with metastatic disease, unseen with traditional chemotherapy. Several therapies have been approved by the Food and Drug Administration for the treatment of various cancers, including: immune checkpoint inhibitors, cytokines - interleukin 2 (IL-2) and interferon alpha (IFN), and the cancer vaccine sipuleucel-T. These therapies upregulate the immune system to enhance antitumor responses. As a consequence, they can cause inflammatory and immune-related adverse events that can affect one or more organs, can be serious, and on occasion lifethreatening. The management of these adverse events is complex, and requires a multidisciplinary approach involving not only oncologists, but also other internal medicine specialists, to ensure prompt diagnosis and optimal management of these complications.

Keywords: Cancer immunotherapy; Cancer vaccine; Cytokines; Immune checkpoint inhibitors; Immune-related adverse events.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / adverse effects*
  • Cancer Vaccines / adverse effects*
  • Humans
  • Immunotherapy / adverse effects*
  • Immunotherapy / methods
  • Molecular Targeted Therapy
  • Neoplasms / immunology
  • Neoplasms / metabolism
  • Neoplasms / pathology
  • Neoplasms / therapy*
  • Patient Safety
  • Risk Assessment
  • Risk Factors
  • Treatment Outcome

Substances

  • Antineoplastic Agents
  • Cancer Vaccines