PMID- 28421161 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240325 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 7 DP - 2017 TI - Incidence of Immune-Related Adverse Events with Program Death Receptor-1- and Program Death Receptor-1 Ligand-Directed Therapies in Genitourinary Cancers. PG - 56 LID - 10.3389/fonc.2017.00056 [doi] LID - 56 AB - Program death receptor-1 (PD-1) and program death receptor-1 ligand (PD-L1) inhibitors are increasingly being used in the clinic to treat a growing number of malignancies, including many genitourinary (GU) malignancies. These immune-based therapies have demonstrated a distinct toxicity profile compared to traditional chemotherapy and the targeted therapies directed at the vascular endothelial growth factor pathway or the mammalian target of rapamycin pathway. Autoimmune toxicity targeting the skin, gastrointestinal tract, or the endocrine organs are some of the more common adverse events (AEs) noted with these therapies. Here in, we report the results of a systematic review of the incidence of toxicities in GU cancers reported in the phase II or phase III clinical trials using single-agent PD-1 or PD-L1 inhibitors. Overall, the rate of serious (grades 3-4) AEs was noted in approximately 15% of patients. The AEs noted were similar between all the agents tested, highlighting the overall class effect of these therapies. The incidence in GU cancers is similar to those seen in other malignancies. Given the widespread and high volume real-world use of these agents, it is important for oncologists to be familiar with these side effects to minimize the risks for patients while undergoing therapy. FAU - Maughan, Benjamin L AU - Maughan BL AD - Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA. AD - Department of Internal Medicine, University of Utah, Salt Lake City, UT, USA. FAU - Bailey, Erin AU - Bailey E AD - Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA. FAU - Gill, David M AU - Gill DM AD - Department of Internal Medicine, University of Utah, Salt Lake City, UT, USA. FAU - Agarwal, Neeraj AU - Agarwal N AD - Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA. AD - Department of Internal Medicine, University of Utah, Salt Lake City, UT, USA. LA - eng PT - Journal Article PT - Review DEP - 20170403 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC5377000 OTO - NOTNLM OT - autoimmune OT - checkpoint blockade OT - immune-related adverse events OT - immunotherapy OT - toxicity OT - treatment EDAT- 2017/04/20 06:00 MHDA- 2017/04/20 06:01 PMCR- 2017/01/01 CRDT- 2017/04/20 06:00 PHST- 2017/01/30 00:00 [received] PHST- 2017/03/14 00:00 [accepted] PHST- 2017/04/20 06:00 [entrez] PHST- 2017/04/20 06:00 [pubmed] PHST- 2017/04/20 06:01 [medline] PHST- 2017/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2017.00056 [doi] PST - epublish SO - Front Oncol. 2017 Apr 3;7:56. doi: 10.3389/fonc.2017.00056. eCollection 2017.