Have a personal or library account? Click to login
The influence of monoclonal antibodies for cancer treatment on the endocrine system Cover

The influence of monoclonal antibodies for cancer treatment on the endocrine system

Open Access
|May 2021

Figures & Tables

Fig. 1

Endocrine parameters that should be monitored in patients during monoclonal antibody treatment. A – endocrine side effects management algorithm [77], B – proposition of endocrine inspection during ICPi treatment [36]*TSH and FT4 measurement could be done each week during the first 2 months of ICPi treatment**If there is no corticosteroid treatmentAbbreviations: ICPi: Immune checkpoint inhibitor, TSH: Thyroid-stimulating hormone, FT4: Free thyroxine, ACTH: Adrenocorticotropic hormone, HbA1c: Hemoglobin A1c, LLN: below limit of normal, ULN: upper limit of normal, IV: intravenous, PO: per os.
Endocrine parameters that should be monitored in patients during monoclonal antibody treatment. A – endocrine side effects management algorithm [77], B – proposition of endocrine inspection during ICPi treatment [36]*TSH and FT4 measurement could be done each week during the first 2 months of ICPi treatment**If there is no corticosteroid treatmentAbbreviations: ICPi: Immune checkpoint inhibitor, TSH: Thyroid-stimulating hormone, FT4: Free thyroxine, ACTH: Adrenocorticotropic hormone, HbA1c: Hemoglobin A1c, LLN: below limit of normal, ULN: upper limit of normal, IV: intravenous, PO: per os.

Adverse reactions caused by monoclonal antibodies in the endocrine system

Monoclonal antibodyTherapeutic indicationsVery common and common adverse reactions (≥ 1/100)Uncommon adverse reactions (≥ 1/1,000 to < 1/100)Rare and very rare adverse reactions (< 1/1000)References
Atezolizumab
  • Locally advanced or metastatic UC as monotherapy

  • Locally advanced or metastatic NSCLC after prior chemotherapy

  • Unresectable locally advanced or metastatic TNBC (in combination with nab-paclitaxel)

hypothyroidism (very common in combination therapy, common as monotherapy)hyperthyroidism, diabetes mellitus, adrenal insufficiencyhypophysitis[71]
Avelumab
  • Metastatic MCC

  • RCC (in combination with axitinib)

hypothyroidismadrenal insufficiency, hyperthyroidism, thyroiditis, autoimmune thyroiditis, adrenocortical insufficiency acute, autoimmune hypothyroidism, hypopituitarism, type 1 diabetes mellitus-[4]
Durvalumab
  • Locally advanced, unresectable NSCLC

hypothyroidism, hyperthyroidismadrenal insufficiency, type 1 diabetes mellitushypophysitis / hypopituitarism, diabetes insipidus[37]
Ipilimumab
  • Advanced melanoma (as monotherapy/in combination with ipilimumab)

  • Adjuvant treatment of melanoma

  • NSCLC as monotherapy

  • RCC

  • relapsed or refractory cHL after autologous stem cell transplant (ASCT) and treatment with brentuximab vedotin

  • SCCHN

  • Urothelial Carcinoma

hypothyroidism, hyperthyroidismadrenal insufficiency, hypopituitarism, hypophysitis, thyroiditis, diabetes mellitusdiabetic ketoacidosis[57]
Pemprolizumab Monotherapy
  • Advanced melanoma

  • Adjuvant treatment of adults with Stage III melanoma

  • NSCLC

  • cHL

  • Urothelial carcinoma

  • SCCHN

hypothyroidism, hyperthyroidismadrenal insufficiency, hypophysitis, thyroiditis-[45]
Pemprolizumab Combination with chemotherapy
  • NSCLC

hypothyroidism, hyperthyroidismhypophysitis, thyroiditis, adrenal insufficiency-[45]
Pemprolizumab Combination with axitinib
  • Advanced RCC

hypothyroidism, hyperthyroidism, hypophysitis, thyroiditis, adrenal insufficiency--[45]
Language: English
Page range: 317 - 327
Submitted on: Nov 15, 2020
Accepted on: Feb 26, 2021
Published on: May 18, 2021
Published by: Hirszfeld Institute of Immunology and Experimental Therapy
In partnership with: Paradigm Publishing Services
Publication frequency: 1 times per year

© 2021 Kamil Dyrka, Daria Witasik, Agata Czarnywojtek, Katarzyna Łącka, published by Hirszfeld Institute of Immunology and Experimental Therapy
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.