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Myocarditis Associated with Immune Checkpoint Inhibitors: An Expert Consensus on Data Gaps and a Call to Action

Title: Myocarditis Associated with Immune Checkpoint Inhibitors: An Expert Consensus on Data Gaps and a Call to Action
Authors: Neilan, Tomas G; Rothenberg, Mace L; Amiri‐Kordestani, Laleh; Sullivan, Ryan J; Steingart, Richard M; Gregory, William; Hariharan, Subramanian; Hammad, Tarek A; Lindenfeld, JoAnn; Murphy, Martin J; Moslehi, Javid J; Group, on behalf of the Checkpoint Inhibitor Safety Working; Abdullah, Hesham; Bakker, Cecilia; Boshoff, Chris; Bringhurst, Charlie; Bucktrout, Samantha; Carlin, Kathleen; Caubel, Patrick; Chen, Roland; Chin, Kevin; Chudnovsky, Aleksander; Davis, John; Deutsch, Jonathan; Dixit, Rakesh; Gottfridsson, Christer; Handelsman, Dave; Holmes, William; Honig, Peter; Hugh‐Jones, Charles; Kaufman, Howard; Khan, Nasir; Kozono, David; Kwan, Antonia; Lewis‐Hall, Freda C; Ley‐Acosta, Sergio; Michelon, Elisabete; Patel, Mayur; Pavlovic, Dejan; Pignatti, Francesco; Potter, Jonathan; Reese, David; Safferman, Allan; Silvester, Eliza; Zhou, Ming
Source: The Oncologist, vol 23, iss 8
Publisher Information: eScholarship, University of California
Publication Year: 2018
Collection: University of California: eScholarship
Subject Terms: 32 Biomedical and Clinical Sciences (for-2020); 3211 Oncology and Carcinogenesis (for-2020); 3204 Immunology (for-2020); Cancer (rcdc); Immunotherapy (rcdc); Patient Safety (rcdc); Cancer (hrcs-hc); Consensus (mesh); Humans (mesh); Immunotherapy (mesh); Myocarditis (mesh); Risk Factors (mesh); Checkpoint Inhibitor Safety Working Group; Immune checkpoint inhibitor; Immune‐related adverse events; Myocarditis; PD‐1/PD‐L1 inhibitor; Project Data Sphere; 1112 Oncology and Carcinogenesis (for); Oncology & Carcinogenesis (science-metrix)
Subject Geographic: 874 - 878
Description: Immune checkpoint inhibitors (ICIs) have transformed the treatment landscape for cancer. Due to the mechanism of action of ICIs, inflammatory reactions against normal tissue were an anticipated side effect of these agents; these immune-related adverse events have been documented and are typically low grade and manageable. Myocarditis has emerged as an uncommon but potentially life-threatening adverse reaction in patients treated with ICIs. Assessment and characterization of ICI-associated myocarditis is challenging because of its low incidence and protean manifestations. Nevertheless, the seriousness of ICI-associated myocarditis justifies a coordinated effort to increase awareness of this syndrome, identify patients who may be at risk, and enable early diagnosis and appropriate treatment. The "Checkpoint Inhibitor Safety Working Group," a multidisciplinary committee of academic, industry, and regulatory partners, convened at a workshop hosted by Project Data Sphere, LLC, on December 15, 2017. This meeting aimed to evaluate the current information on ICI-associated myocarditis, determine methods to collect and share data on this adverse reaction, and establish task forces to close the identified knowledge gaps. In this report, we summarize the workshop findings and proposed steps to address the impact of ICI-associated myocarditis in patients with cancer.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: unknown
Relation: qt9fw0z96g; https://escholarship.org/uc/item/9fw0z96g; https://escholarship.org/content/qt9fw0z96g/qt9fw0z96g.pdf
DOI: 10.1634/theoncologist.2018-0157
Availability: https://escholarship.org/uc/item/9fw0z96g; https://escholarship.org/content/qt9fw0z96g/qt9fw0z96g.pdf; https://doi.org/10.1634/theoncologist.2018-0157
Rights: public
Accession Number: edsbas.92E629FC
Database: BASE