Use of LDH and autoimmune side effects to predict response to ipilimumab treatment

Background: Ipilimumab is a cytotoxic T-lymphocyte antigen-4 antibody that enhances T-cell activity and proliferation. Methods: In a retrospective analysis of 86 patients the clinical benefits of ipilimumab treatment were correlated with laboratory and clinical data. Results: A lactate dehydrogenase...

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Hauptverfasser: Dick, Julika (VerfasserIn) , Lang, Nina (VerfasserIn) , Schulz, Christof (VerfasserIn) , Enk, Alexander (VerfasserIn) , Hassel, Jessica C. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 3 August 2016
In: Immunotherapy
Year: 2016, Jahrgang: 8, Heft: 9, Pages: 1033-1044
ISSN:1750-7448
DOI:10.2217/imt-2016-0083
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.2217/imt-2016-0083
Verlag, Volltext: https://www.futuremedicine.com/doi/abs/10.2217/imt-2016-0083
Volltext
Verfasserangaben:J Dick, N Lang, A Slynko, A Kopp-Schneider, C Schulz, A Dimitrakopoulou-Strauss, AH Enk, and JC Hassel
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Zusammenfassung:Background: Ipilimumab is a cytotoxic T-lymphocyte antigen-4 antibody that enhances T-cell activity and proliferation. Methods: In a retrospective analysis of 86 patients the clinical benefits of ipilimumab treatment were correlated with laboratory and clinical data. Results: A lactate dehydrogenase (LDH) value within the normal range before the start of therapy was significantly correlated with better OS (p ≤ 0.009). An increase in LDH level after two cycles was indicative of a poor outcome, and was significantly negatively correlated with treatment response and overall survival and progression-free survival. 42% of all patients suffered from autoimmune toxicity (CTCAE grades 2-4). The occurrence of autoimmune toxicity clearly correlated with clinical benefit. Conclusion: Changes in LDH level and side effects correlate with response to therapy and survival.
Beschreibung:Gesehen am 28.02.2018
Beschreibung:Online Resource
ISSN:1750-7448
DOI:10.2217/imt-2016-0083