Anti-PD-L1 Treatment Induced Central Diabetes Insipidus. (Record no. 3481)

MARC details
000 -LEADER
fixed length control field 03222nam a22004217a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 171220s20172017 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0021-972X
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 29220526
245 ## - TITLE STATEMENT
Title Anti-PD-L1 Treatment Induced Central Diabetes Insipidus.
251 ## - Source
Source Journal of Clinical Endocrinology & Metabolism. 103(2):365-369, 2018 02 01.
252 ## - Abbreviated Source
Abbreviated source J Clin Endocrinol Metab. 103(2):365-369, 2018 02 01.
253 ## - Journal Name
Journal name The Journal of clinical endocrinology and metabolism
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2018
-- 2017
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2018
266 ## - Date added to catalog
Date added to catalog 2017-12-20
501 ## - WITH NOTE
Local holdings Available online through MWHC library: 1999- June 2013, Available in print through MWHC library: 1999 - 2006
520 ## - SUMMARY, ETC.
Abstract Case Description: We describe a case of a 73-year-old man with Merkel Cell Carcinoma (MCC) who received the anti-PD-L1 monoclonal antibody avelumab, and achieved partial response. The patient developed nocturia, polydipsia, and polyuria three months after starting avelumab. Further laboratory testing revealed central diabetes insipidus (DI). Avelumab was held and he received desmopressin for the management of central DI. Within six weeks after discontinuation of avelumab, the patient's symptoms resolved and he was eventually taken off desmopressin. The patient remained off avelumab, and there were no signs or symptoms of DI two months after the discontinuation of desmopressin.
520 ## - SUMMARY, ETC.
Abstract Conclusion: To our knowledge, this is the first report of central DI associated with anti-PD-L1 immunotherapy. The patient's endocrinopathy was successfully managed by holding treatment with the immune checkpoint inhibitor. This case highlights the importance of early screening and appropriate management of hormonal irAEs in subjects undergoing treatment with immune checkpoint inhibitors to minimize morbidity and mortality.
520 ## - SUMMARY, ETC.
Abstract Context: Immune checkpoint inhibitors, including anti-PD-1, anti-PD-L1 and anti-CTLA4 monoclonal antibodies, have been widely used in cancer treatment. They are known to cause immune-related adverse events (irAEs), which resemble autoimmune diseases. Anterior pituitary hypophysitis with secondary hypopituitarism is a frequently reported irAE, especially in patients receiving anti-CTLA4 treatment. In contrast, posterior pituitary involvement, such as central diabetes insipidus (DI), is relatively rare and is unreported in patients undergoing PD-1/PD-L1 blockade.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Antibodies, Monoclonal/tu [Therapeutic Use]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *B7-H1 Antigen/im [Immunology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Diabetes Insipidus, Neurogenic/dt [Drug Therapy]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element B7-H1 Antigen/ai [Antagonists & Inhibitors]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Immunotherapy/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Male
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Remission Induction
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Medicine/Internal Medcine
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Kommalapati, Anuhya
790 ## - Authors
All authors Brownell I, Del Rivero J, Ebenuwa I, Gulley J, Kommalapati A, Strauss J, Tella SH, Zhao C
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1210/jc.2017-01905">https://dx.doi.org/10.1210/jc.2017-01905</a>
Public note https://dx.doi.org/10.1210/jc.2017-01905
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 12/20/2017   29220526 29220526 12/20/2017 12/20/2017 Journal Article

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