Would you use immune checkpoint inhibitors in patients with well-compensated liver cirrhosis?
Does the risk of severe inflammation of the liver lead you to choose other therapies in in this population? What about in patients with mild liver disease, such as early NASH cirrhosis?
1 Answer
Mednet MemberInvited Expert
Medical Oncology · Fox Chase Cancer Center
Answered on
There are essentially no good data describing the safety and efficacy of immune checkpoint inhibitors in patients with compromised organ function. The issue is complex, in that altered liver function will change protein binding of the drugs, potentially alter catabolism etc. Autoimmune hepatitis has been reported to occur, though it is relatively infrequent. Having said that, one must also realize that there are relatively few options for patients with advanced non-small cell lung cancer. I beli...
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