PMID- 29900017 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2150-0878 (Print) IS - 2150-0886 (Electronic) IS - 2150-0878 (Linking) VI - 8 IP - 1 DP - 2017 Jan-Feb TI - Understanding and Managing Immune-Related Adverse Events Associated With Immune Checkpoint Inhibitors in Patients With Advanced Melanoma. PG - 58-72 AB - The immune checkpoint inhibitors ipilimumab, nivolumab, and pembrolizumab represent a substantial improvement in treating advanced melanoma but are associated with adverse events (AEs) likely related to general immunologic enhancement. To ensure that patients receive optimal benefit from these agents, prompt assessment and treatment of AEs are essential. We review the efficacy and safety profiles of these immune checkpoint inhibitors and describe guidelines for managing immune-related AEs. We also present case studies describing the management of toxicities in patients receiving immune checkpoint inhibitor therapy. These cases illustrate the importance of collecting a detailed medical history when administering immunotherapy, as this information is necessary to establish baseline, inform monitoring, and determine the etiology of symptoms. Advanced practice nurses and physician assistants are uniquely positioned to educate patients on the early recognition of AEs and have an important role in establishing appropriate monitoring and open dialogue among services. FAU - Weinstein, Alyona AU - Weinstein A AD - Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Gordon, Ruth-Ann AU - Gordon RA AD - Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Kasler, Mary Kate AU - Kasler MK AD - Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Burke, Matthew AU - Burke M AD - Yale University School of Medicine, New Haven, Connecticut, USA. FAU - Ranjan, Smita AU - Ranjan S AD - University of Louisville, Louisville, Kentucky, USA. FAU - Hodgetts, Jackie AU - Hodgetts J AD - Christie Hospital, Manchester, UK. FAU - Reed, Vanessa AU - Reed V AD - Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Shames, Yelena AU - Shames Y AD - Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Prempeh-Keteku, Nana AU - Prempeh-Keteku N AD - Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Lingard, Karla AU - Lingard K AD - Royal Marsden Hospital, London, UK. LA - eng PT - Journal Article PT - Review DEP - 20170101 PL - United States TA - J Adv Pract Oncol JT - Journal of the advanced practitioner in oncology JID - 101550346 PMC - PMC5995532 EDAT- 2017/01/01 00:00 MHDA- 2017/01/01 00:01 PMCR- 2017/01/01 CRDT- 2018/06/15 06:00 PHST- 2018/06/15 06:00 [entrez] PHST- 2017/01/01 00:00 [pubmed] PHST- 2017/01/01 00:01 [medline] PHST- 2017/01/01 00:00 [pmc-release] AID - 10.6004/jadpro.2017.8.1.5 [doi] PST - ppublish SO - J Adv Pract Oncol. 2017 Jan-Feb;8(1):58-72. doi: 10.6004/jadpro.2017.8.1.5. Epub 2017 Jan 1.