Abstract
Immune checkpoint inhibition (ICI) can induce durable responses in patients with advanced malignancies. Three cases of hematological neoplasia following ICI for solid tumors have been reported to date. We present five patients treated at our tertiary referral center between 2017 and 2021 who developed chronic myeloid leukemia (two patients), acute myeloid leukemia, myelodysplastic syndrome and chronic eosinophilic leukemia during or after anti-PD-1-based treatment. Molecular analyses were performed on pre-ICI samples to identify baseline variants in myeloid genes. We hypothesize that PD-1 blockade might accelerate progression to overt myeloid malignancies and discuss potential underlying mechanisms.
| Original language | English |
|---|---|
| Pages (from-to) | 249-255 |
| Number of pages | 7 |
| Journal | Cancer Immunology, Immunotherapy |
| Volume | 72 |
| Issue number | 1 |
| Early online date | 13 Jun 2022 |
| DOIs | |
| Publication status | Published - Jan 2023 |
Keywords
- Case series
- Immune checkpoint inhibitor
- Leukemia
- Myeloid neoplasms
- Second primary cancer
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