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Would you treat a patient with HIV or hepatitis C with an anti-PD-1 agent?

These patients have been largely excluded from these trials. What if the infection is well controlled?
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Do you treat HIV patients with anti-PD-1 agents?

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3 Answers
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Mednet MemberInvited Expert
Medical Oncology · University of Texas MD Anderson Cancer Center
Answered on

Yes, anti-PD-1 agents can be used in patients with HIV or hepatitis C if the viral infection is well controlled. In preclinical studies, PD-1 blockade has been shown to be a promising immunotherapy for HIV and Hepatitis C. This is based on the observation that progressive loss of effector function i...

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Mednet Member
Mednet MemberInvited Expert
Medical Oncology · University of California Los Angeles
Answered on

@Dr. First Last is exactly right. Although all of the larger PD1 and PDL1 trials have excluded HIV+, HCV+ and HBV+ patients, there is little evidence at this time that there are safety concerns with treating a patient with a well-controlled chronic viral infection. Several immunotherapy trials with ...

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Mednet Member
Mednet Member
Medical Oncology · Cancer Center Overlook Hospital
Answered on

The Anal Cancer Trial published in Lancet Oncology (april 2015) included HIV positive patients who were compliant with HAART and had an undetectable Viral Load.

The HCC trials also included Hep B/C positive patients as stated above.

There is some thought that the viral infections themselves stimulat...

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