Across rheumatic diseases

Immune checkpoint inhibitor rechallenge in patients who previously experienced immune-related inflammatory arthritis: a multicentre observational study

RMD OpenPublished Multicentre observational study

Authors' conclusion

In this first observational study of ICI-IA patients rechallenged with ICI, about half of the patients experienced ICI-IA flare/recurrence with a similar phenotype but occurring earlier than the initial ICI-IA

Study context

Population
Cancer patients with immune-related inflammatory arthritis (ICI-IA) who started a second ICI course >3 months after ICI discontinuation, four French university hospitals
Participants
23 patients
Outcome
Frequency of ICI-IA flare/recurrence after ICI rechallenge
Methodological detailsfour French university hospitals
  • Four French university hospitals

Main finding

As reported in the abstract

ICI-IA flare/recurrence
GroupValueMedian time to flare/recurrence after rechallenge
ICI rechallenge52%1 month

ICI rechallenge

Value52%
Median time to flare/recurrence after rechallenge1 month

Observational data: associations, not effects.

Further findings

Features at rechallenge by flare/recurrence status

ICI-IA phenotype, disease activity and ICI-IA treatment at rechallenge did not differ according to flare/recurrence status

Original publication

Immune checkpoint inhibitor rechallenge in patients who previously experienced immune-related inflammatory arthritis: a multicentre observational study. RMD Open. Published 29 November 2023. doi:10.1136/rmdopen-2023-003795

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