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Letter to the Editor| Volume 148, P211-214, May 2021

Long-term impact of immunotherapy on quality of life of surviving patients: A multi-dimensional descriptive clinical study

  • Paul-Albert Domnariu
    Affiliations
    Assistance Publique - Hôpitaux de Paris, Hôpital Bicêtre, Service de Médecine Interne et Immunologie Clinique, Le Kremlin-Bicêtre, France
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  • Nicolas Noel
    Affiliations
    Assistance Publique - Hôpitaux de Paris, Hôpital Bicêtre, Service de Médecine Interne et Immunologie Clinique, Le Kremlin-Bicêtre, France

    INSERM, Institut National de La Santé et de La Recherche Médicale, Université Paris Saclay (COMUE), U1184, Immunologie des Maladies Virales et Auto-immunes, Le Kremlin-Bicêtre, France

    Université Paris Saclay, Le Kremlin-Bicêtre, France

    CEA, DSV/iMETI, IDMIT, Fontenay-aux-Roses, France
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  • Isabelle Hardy-Leger
    Affiliations
    Assistance Publique - Hôpitaux de Paris, Hôpital Bicêtre, Service de Médecine Interne et Immunologie Clinique, Le Kremlin-Bicêtre, France

    DISSPO – Département Interdisciplinaire de Soins de Support Aux Patients en Oncohématologie, Institut Gustave Roussy, Villejuif, France
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  • Jean-Marie Michot
    Affiliations
    Département d'Innovation Thérapeutique et des Essais Précoces (DITEP), Institut Gustave Roussy, Villejuif, France
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  • Olivier Lambotte
    Correspondence
    Corresponding author. Service de Médecine Interne et Immunologie Clinique, C.H.U. Bicêtre, 78 rue du Général Leclerc, 94275 Le Kremlin-Bicêtre, France. Fax: +33 145 212 733.
    Affiliations
    Assistance Publique - Hôpitaux de Paris, Hôpital Bicêtre, Service de Médecine Interne et Immunologie Clinique, Le Kremlin-Bicêtre, France

    INSERM, Institut National de La Santé et de La Recherche Médicale, Université Paris Saclay (COMUE), U1184, Immunologie des Maladies Virales et Auto-immunes, Le Kremlin-Bicêtre, France

    Université Paris Saclay, Le Kremlin-Bicêtre, France

    CEA, DSV/iMETI, IDMIT, Fontenay-aux-Roses, France
    Search for articles by this author
Published:March 18, 2021DOI:https://doi.org/10.1016/j.ejca.2021.02.018
      Immune checkpoint inhibitors (ICIs) are major weapons in the modern era of anticancer therapy. Immune-related adverse events (irAEs) usually appear within the first three months of ICI treatment [
      • Champiat S.
      • Lambotte O.
      • Barreau E.
      • Belkhir R.
      • Berdelou A.
      • Carbonnel F.
      • et al.
      Management of immune checkpoint blockade dysimmune toxicities: a collaborative position paper.
      ], but some have been reported up to one year after the introduction of ICIs and sometimes after the treatment has been stopped. A plateau in the survival curve is observable for patients treated with ICIs after the third year, which can be prolonged to 10 years for some [
      • Schadendorf D.
      • Hodi F.S.
      • Robert C.
      • Weber J.S.
      • Margolin K.
      • Hamid O.
      • et al.
      Pooled analysis of long-term survival data from phase II and phase III trials of ipilimumab in unresectable or metastatic melanoma.
      ]. A new category of patients is therefore emerging, that can be called ‘long-term survivors’ (LTS) [
      • Topalian S.L.
      • Hodi F.S.
      • Brahmer J.R.
      • Gettinger S.N.
      • Smith D.C.
      • McDermott D.F.
      • et al.
      Five-year survival and correlates among patients with advanced melanoma, renal cell carcinoma, or non–small cell lung cancer treated with nivolumab.
      ]. The management of these patients is still unknown. The long-term follow-up for ICI-treated patients should consider new irAEs possibly occurring after treatment cessation and quality of life (Qol).
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