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In a patient with unresectable HCC who developed immune-related colitis with the first dose of tremelimumab/durvalumab, would you consider continuing durvalumab alone after resolution of the colitis with steroid treatment?

Would you consider a colonoscopy?
2 Answers
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Medical Oncology · City of Hope Orange County
Answered on

I haven’t seen too many TREMI/DURVA colitis cases, but basing experience off of BOT/BAL, which is notorious for the CTLA-4 inhibitor-related BOT-colitis, as well as some patients who have had IPI/NIVO colitis, or any grade ≥3 event in the combination setting, it’d be reasonable to continue the PD1/P...

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Medical Oncology · Henry Ford Cancer Institute (HFCI)
Answered on

I would switch to TKI and maybe try IO later when needed.

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