Associated Myocarditis: A Predictive Factor for Response?

Immune checkpoint inhibitors Ipilimumab Melanoma Myocarditis Nivolumab Pembrolizumab

Journal

Case reports in oncology
ISSN: 1662-6575
Titre abrégé: Case Rep Oncol
Pays: Switzerland
ID NLM: 101517601

Informations de publication

Date de publication:
Historique:
received: 13 03 2020
accepted: 16 03 2020
entrez: 11 6 2020
pubmed: 11 6 2020
medline: 11 6 2020
Statut: epublish

Résumé

In the present case report, we aimed to describe 2 cases of myocarditis occurring as serious adverse effects of immune checkpoint inhibitors (ICIs) administered as treatment for metastatic melanoma. We describe 2 female patients: an 81-year-old treated with pembrolizumab and a 55-year-old treated with a combination of nivolumab and ipilimumab. Both patients underwent resection of metastases; while under treatment, both developed myocarditis, most probably as a toxicity from pembrolizumab and nivolumab plus Ipilimumab, respectively. While they achieved complete response, the occurrence of myocarditis as a toxicity of ICIs may have been a predictive sign that the immune system was sufficiently activated by the checkpoint inhibitor therapy to induce complete remission.

Identifiants

pubmed: 32518552
doi: 10.1159/000507278
pii: cro-0013-0550
pmc: PMC7265708
doi:

Types de publication

Case Reports

Langues

eng

Pagination

550-557

Informations de copyright

Copyright © 2020 by S. Karger AG, Basel.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

Références

J Am Coll Cardiol. 2018 Apr 24;71(16):1755-1764
pubmed: 29567210
Oncologist. 2018 Aug;23(8):879-886
pubmed: 29802219

Auteurs

Walid Shalata (W)

The Legacy Heritage Oncology Center and Dr. Larry Norton Institute, Soroka Medical Center and Ben-Gurion University, Beer Sheva, Israel.

Nir Peled (N)

The Legacy Heritage Oncology Center and Dr. Larry Norton Institute, Soroka Medical Center and Ben-Gurion University, Beer Sheva, Israel.

Itzhak Gabizon (I)

Department of Cardiology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.

Omar Abu Saleh (O)

Department of Dermatology and Venereology, The Emek Medical Centre, Afula, Israel.

Waleed Kian (W)

The Legacy Heritage Oncology Center and Dr. Larry Norton Institute, Soroka Medical Center and Ben-Gurion University, Beer Sheva, Israel.

Alexander Yakobson (A)

The Legacy Heritage Oncology Center and Dr. Larry Norton Institute, Soroka Medical Center and Ben-Gurion University, Beer Sheva, Israel.

Classifications MeSH