- First guidelines on managing immunotherapy side effects published today
- Guidelines reflect consensus of international leaders in field
- Drs. Igor Puzanov and Marc Ernstoff from Roswell Park are among co-authors
This press release was first issued by the Society for Immunotherapy of Cancer (SITC).
MILWAUKEE and BUFFALO, N.Y. — The first consensus recommendations on recognition and clinical management of immune-related side-effects from cancer immunotherapy are published today in the Journal for ImmunoTherapy of Cancer (JITC). The article, Managing toxicities associated with immune checkpoint inhibitors: Consensus recommendations from the Society for Immunotherapy of Cancer (SITC) Toxicity Management Working Group, is a key step toward ensuring patients with cancer receive the highest quality of care.
Cancer immunotherapy — treatment that harnesses the patient’s own immune system to recognize and fight cancer — has become a pillar of cancer care in recent years. One widely used class of agents, checkpoint inhibitors, works by ‘taking the brakes off’ the immune system, allowing cancer cells to be targeted for destruction. Clinical trials have shown that checkpoint inhibitors are highly effective, providing long-term benefit with generally manageable side-effects. However, patterns are emerging that suggest that checkpoint inhibitors may cause unwanted effects in a number of organ systems.
When caught early, most side-effects are mild and can be treated with drugs that temporarily suppress the immune system. Experts are therefore focused on ensuring that clinicians recognize and know how to manage these emerging side-effects so patients can continue to take advantage of the unquestionable benefits of immunotherapy.
As the leading professional society in the field, the Society for Immunotherapy of Cancer (SITC) established a multidisciplinary expert group to address this unmet need. Medical oncologists, surgeons, disease specialists, scientists, pharmacists, nurses, and others with relevant expertise convened to develop guidance on managing adverse effects from checkpoint inhibitors. Describing the urgent need, medical oncologist Igor Puzanov, MD, MSCI, FACP (Roswell Park Comprehensive Cancer Center, NY), one of four co-leads, explained, “New immunotherapy agents are being approved at a rapid pace. We’re excited that patients have new treatment options but many of these agents have side-effects we haven’t seen before. We’re seeing effects on the skin, lungs, gastrointestinal and endocrine systems, joints, heart and other organs, and some of these are only just beginning to be described. Clinicians need guidance on how to recognize early signs, how to treat adverse effects, and when to refer to a disease specialist.”
Leading the SITC initiative, Igor Puzanov and Marc Ernstoff, MD (Roswell Park Comprehensive Cancer Center, NY), Howard L. Kaufman, MD, FACS (Massachusetts General Hospital, MA) and Adi Diab, MD (University of Texas MD Anderson Cancer Center, TX) made it a priority to align recommendations across organizations.
Immediate SITC Past President Howard L. Kaufman explained, “These guidelines provide the best consensus thinking in this rapidly developing area of tumor immunotherapy. I am especially proud of our strategic partners, ASCO and NCCN, who contributed to the development of this important resource, and whose leadership will help harmonize the approach to patient management, allowing optimal therapeutic benefit while maintaining the highest quality of life for patients with cancer.” Guidance will be further aligned by the involvement of SITC leaders in the development of ASCO and NCCN guidelines.
This is a dynamic effort and recommendations will evolve and be updated as new data, and new drugs and combinations, become available.
The article, “Managing toxicities associated with immune checkpoint inhibitors: Consensus recommendations from the Society for Immunotherapy of Cancer (SITC) Toxicity Management Working Group,” published online on Nov. 21, 2017, is available at jitc.biomedcentral.com.
The Society for Immunotherapy of Cancer (SITC) is the world’s leading member-driven organization specifically dedicated to improving cancer patient outcomes by advancing the science and application of cancer immunotherapy. Established in 1984, SITC, a 501(c)(3) not-for-profit organization, serves scientists, clinicians, academicians, patients, patient advocates, government representatives and industry leaders from around the world. Through educational programs that foster scientific exchange and collaboration, SITC aims to one day make the word cure a reality for cancer patients everywhere. To learn more, visit www.sitcancer.org.
Journal for ImmunoTherapy of Cancer (JITC) is the official open access, peer reviewed journal of the Society for Immunotherapy of Cancer. The journal publishes high-quality articles on all aspects of tumor immunology and cancer immunotherapy, on subjects across the basic science-translational-clinical spectrum. JITC publishes original research articles, literature reviews, position papers and practice guidelines, and case reports; invited commentaries may also be commissioned by the journal editors. These articles make JITC the leading forum for tumor immunology and cancer immunotherapy research.
About Roswell Park
The mission of Roswell Park Comprehensive Cancer Center is to understand, prevent and cure cancer. Founded in 1898, Roswell Park is one of the first cancer centers in the country to be named a National Cancer Institute-designated comprehensive cancer center and remains the only facility with this designation in Upstate New York. The Institute is a member of the prestigious National Comprehensive Cancer Network, an alliance of the nation’s leading cancer centers; maintains affiliate sites; and is a partner in national and international collaborative programs. For more information, visit www.roswellpark.org, call 1-800-ROSWELL (1-800-767-9355) or email AskRoswell@Roswellpark.org. Follow Roswell Park on Facebook and Twitter.