Is there any contraindication to concurrent administration of radioactive iodine in a patient on immunotherapy?
A patient with stage 3 melanoma on adjuvant nivolumab needs radioactive iodine for papillary thyroid cancer.
1 Answer
Mednet MemberInvited Expert
Medical Oncology · University of Colorado
Answered on
Hello, unfortunately it is not known whether RAI can be given safely with nivolumab for treatment of PTC. Though I don't know of any absolute contraindications. Most of the studies using anti PD1 antibodies for metastatic thyroid carcinoma are in the RAI refractory populations. There are reports of using RAI to treat anti PD1 associated thyroiditis without an increase in toxicity, so I think it would be reasonable to proceed with both cautiously, and with the patient understanding the uncertaint...
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