Systemic sclerosis & Raynaud's

Immune checkpoint inhibitor therapy in patients with cancer and pre-existing systemic sclerosis

Semin Arthritis RheumPublished Retrospective case series

Authors' conclusion

In this study, ICI therapy was well tolerated in patients with longstanding, sine or lcSSc. IrAE were common but generally manageable.

Study context

Population
Patients with systemic sclerosis (SSc) who received immune checkpoint inhibitor (ICI) therapy for cancer, Johns Hopkins Scleroderma Center Research Registry
Participants
8 patients
Outcome
Worsening SSc activity or new irAEs
Methodological detailssingle-centre registry, chart review, prespecified definitions
  • Single-centre registry
  • Chart review
  • Prespecified definitions

Main finding

As reported in the abstract

SSc disease activity after ICI therapy
Worsening skin thickening and renal crisis in a patient early in diffuse cutaneous SSc (dcSSc) course
1

Observational data: associations, not effects.

Further findings

No deaths due to immune related adverse events (irAEs)
No deaths due to irAEs

Safety

irAEs (grade 2: diarrhea, mucositis and dermatitis; grade 3: pneumonitis; grade 4: nephritis)

Patients with irAEs
3 (38 %)
Total irAEs
5

Worsening SSc activity in early dcSSc

Patients with worsening skin thickening and renal crisis
1
  • Grade 4 nephritis patient developed scleroderma renal crisis and immune checkpoint related nephritis simultaneously

Original publication

Immune checkpoint inhibitor therapy in patients with cancer and pre-existing systemic sclerosis. Semin Arthritis Rheum. Published 4 May 2024. doi:10.1016/j.semarthrit.2024.152460

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