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Is IL-6 inhibition an option in patients who are going to be rechallenged with checkpoint inhibitors after previously developing ICI-mediated temporal arteritis?

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Do you utilize tocilizumab in patients with ICI mediated temporal arteritis who continue to require checkpoint inhibitor therapy?

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2 Answers
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Rheumatology · Johns Hopkins School of Medicine
Answered on

There are reports of using IL-6R inhibition in combination with checkpoint inhibitor therapy in other scenarios (e.g. inflammatory arthritis, cytokine release syndrome). So this would be a reasonable consideration if the oncologist feels strongly that further ICI therapy is beneficial.

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Mednet Member
Mednet MemberInvited Expert
Rheumatology · Ohio State University
Answered on

Yes, using IL-6 drugs is a good option for the patient with GCA post ICI.

I think theoretically we should be able to continue immunotherapy and biologic therapy such as tocilizumab, but we do not have evidence and insurance companies have not been very amenable. The goal of my research is to ensure ...

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