Safe use of nivolumab in a patient with renal cell carcinoma and hepatitis B.

Autor: Akar, Emre, Baytekin, Halil F, Deniz, Hatice, Tural, Deniz
Předmět:
Zdroj: Journal of Oncology Pharmacy Practice; Jun2020, Vol. 26 Issue 4, p1022-1024, 3p, 1 Black and White Photograph
Abstrakt: Introduction: Immunotherapy with checkpoint inhibitors gains a major role in bladder cancer. Because of the treatment's immune modulatory effects, patients may develop hepatitis. Hepatitis B was an exclusion criterion in clinical trials that investigated nivolumab. Therefore, its effects and risk of hepatitis B reactivation in nivolumab are not clinically investigated in renal cell carcinoma patients with hepatitis B. Case report: In this case report, we presented a metastatic renal cell carcinoma patient who was treated with anti-viral treatment for hepatitis reactivation caused by previous sunitinib therapy. After progression, nivolumab was commenced and the patient was closely monitored with hepatic function tests. Management and outcome: Nivolumab was well tolerated and no treatment-related adverse effect occurred. Hepatitis or viral hepatitis reactivation was not detected. Discussion: This case supports the safety of nivolumab in patients with renal cell carcinoma and viral hepatitis. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index