TY - JOUR
T1 - The effects of B cell depletion on immune related adverse events associated with immune checkpoint inhibition
AU - Risbjerg, Rasmus Strøm
AU - Hansen, Mie Vennize
AU - Sørensen, Anne Sofie
AU - Kragstrup, Tue Wenzel
PY - 2020/5
Y1 - 2020/5
N2 - This letter describes the potential effect of B cell depletion on immune related adverse events associated with immune checkpoint inhibition. B cell depleting agents such as rituximab reduce B cell to plasma cell differentiation and antibody production. This treatment strategy is used in several immune mediated inflammatory diseases such as rheumatoid arthritis and small vessel vasculitis. The immune related adverse events associated with immune checkpoint inhibition resemble immune mediated inflammatory diseases. Here, we report a lower incidence of hypothyroidism in a trial of combined B cell depletion and immune checkpoint inhibitor treatment compared with studies of immune checkpoint inhibitor monotherapy. This letter aims to increase awareness of the immune related adverse events associated with immune checkpoint inhibition in future clinical trials of immune checkpoint inhibition together with B cell depletion (primarily trials of B cell lymphomas). Hopefully, observations from these clinical trials can guide future treatment strategies to treat or prevent immune related adverse events associated with immune checkpoint inhibition.
AB - This letter describes the potential effect of B cell depletion on immune related adverse events associated with immune checkpoint inhibition. B cell depleting agents such as rituximab reduce B cell to plasma cell differentiation and antibody production. This treatment strategy is used in several immune mediated inflammatory diseases such as rheumatoid arthritis and small vessel vasculitis. The immune related adverse events associated with immune checkpoint inhibition resemble immune mediated inflammatory diseases. Here, we report a lower incidence of hypothyroidism in a trial of combined B cell depletion and immune checkpoint inhibitor treatment compared with studies of immune checkpoint inhibitor monotherapy. This letter aims to increase awareness of the immune related adverse events associated with immune checkpoint inhibition in future clinical trials of immune checkpoint inhibition together with B cell depletion (primarily trials of B cell lymphomas). Hopefully, observations from these clinical trials can guide future treatment strategies to treat or prevent immune related adverse events associated with immune checkpoint inhibition.
KW - B cell depletion
KW - Hypothyroidism
KW - Immune checkpoint inhibition
KW - Immune mediated inflammatory disease
KW - Immune related adverse events
UR - http://www.scopus.com/inward/record.url?scp=85085372794&partnerID=8YFLogxK
U2 - 10.1186/s40164-020-00167-1
DO - 10.1186/s40164-020-00167-1
M3 - Comment/debate/letter to the editor
C2 - 32509417
AN - SCOPUS:85085372794
SN - 2162-3619
VL - 9
JO - Experimental Hematology and Oncology
JF - Experimental Hematology and Oncology
M1 - 9
ER -