Do you use immune checkpoint inhibitors in NSCLC patients with pre-existing, well-controlled autoimmune disease?
Does the type of autoimmune disease (ex IBD, rheumatoid arthritis, interstitial lung disease) matter?
2 Answers
Mednet Member
Medical Oncology · New York University School of Medicine
Answered on
While there is limited data on the use of PD1 inhibitors in patients with pre-existing autoimmune conditions; in patients with metastatic NSCLC with limited options, it warrants consideration. This is obviously a high risk population to treat and close monitoring and co-ordinated care with specialis...
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Mednet MemberInvited Expert
Rheumatology · University of Chicago Medical Center
Answered on
This is a great question - there should not be a blanket withholding of checkpoint inhibitor therapy for patients with pre-existing autoimmune diseases.
If immune checkpoint inhibitors (ICIs) are the next best option for the patient's malignancy, having control of the pre-existing autoimmune disease...
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