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What is your approach to patients with severe infusion reaction but excellent response to checkpoint inhibitors?

Do you consider specific pre-medications, an alternate checkpoint inhibitor, or abandon ICI altogether?
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What would you do for grade 3 or less infusion reaction with checkpoint inhibitors?

68 physicians have voted

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3 Answers
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · University of Pittsburgh
Answered on

In patients with very severe infusions reactions, ie anaphylaxis, I would discontinue the checkpoint inhibitor, as it is very likely that the response will persist after discontinuation of the therapy. This is the type of patient that I would favor a treatment holiday with close interval surveillanc...

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Mednet Member
Mednet Member
Medical Oncology · Tufts University School of Medicine
Answered on

I agree with @Dr. First Last about stopping checkpoint inhibitors if it is severe anaphylactic reaction.If it is grade 3 or less, I would slow down infusion to 50% and give premedications acetaminophen, ranitidine, and diphenhydramine. If reaction is higher grade, would also add steroids. After few ...

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Mednet Member
Mednet Member
Medical Oncology · Forte, Schleider, Attas, and Condemi
Answered on

give ici

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