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Organ-metastatic landscape delineates overall and site-specific immune-related adverse events of PD-L1 blockade in advanced NSCLC - PubMed

5 hours ago
  • #NSCLC
  • #immune-related adverse events
  • #PD-L1 blockade
  • Study examines the relationship between organ metastases and immune-related adverse events (irAEs) in advanced NSCLC patients treated with PD-L1 blockade.
  • Retrospective analysis of 708 patients from OAK and POPLAR trials shows varying irAE frequencies based on metastasis sites.
  • Bone and pleural effusion metastases associated with lower irAE frequency; brain metastasis linked to higher irAE occurrence.
  • Site-specific irAEs vary: hepatitis, hypothyroidism, and rash less frequent with bone metastasis; pneumonitis, adrenal insufficiency, and ocular toxicity more common with brain metastasis.
  • Developed a metastasis-based scoring system to identify high-risk populations for irAEs in NSCLC patients receiving PD-L1 blockade.
  • Findings suggest organ-metastatic landscape can predict irAEs in advanced NSCLC patients undergoing PD-L1 blockade therapy.