Rituximab in steroid-refractory immune-related pancreatitis: a case report

The use of immune checkpoint inhibitors (ICIs) for treating several types of cancer is increasing, but they may be associated with immune-related adverse events (irAEs). Pancreatitis is a rare irAE, mostly responsive to steroid treatment. There are no published data on the management of steroid-refr...

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Main Authors: Armando Santoro, Silvia Masini, Raffaele Cavina, Maria Chiara Tronconi, Fabio De Vincenzo
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1205720/full
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author Armando Santoro
Armando Santoro
Silvia Masini
Silvia Masini
Raffaele Cavina
Maria Chiara Tronconi
Fabio De Vincenzo
author_facet Armando Santoro
Armando Santoro
Silvia Masini
Silvia Masini
Raffaele Cavina
Maria Chiara Tronconi
Fabio De Vincenzo
author_sort Armando Santoro
collection DOAJ
description The use of immune checkpoint inhibitors (ICIs) for treating several types of cancer is increasing, but they may be associated with immune-related adverse events (irAEs). Pancreatitis is a rare irAE, mostly responsive to steroid treatment. There are no published data on the management of steroid-refractory ICI-induced pancreatitis. Rituximab has shown efficacy in the setting of relapsing non-ICI-induced autoimmune pancreatitis. However, its use has not been tested for treating immunotherapy-related pancreatitis. Here, we present the case of a patient with steroid-refractory immune-related pancreatitis successfully treated with rituximab as a potential strategy for irAE management.
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spelling doaj.art-2d15be14dfa74d859193b42bd4ab04a22023-07-31T21:43:21ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-07-011310.3389/fonc.2023.12057201205720Rituximab in steroid-refractory immune-related pancreatitis: a case reportArmando Santoro0Armando Santoro1Silvia Masini2Silvia Masini3Raffaele Cavina4Maria Chiara Tronconi5Fabio De Vincenzo6Department of Biomedical Sciences, Humanitas University, Milan, ItalyIRCCS Humanitas Research Hospital, Humanitas Cancer Center, Milan, ItalyDepartment of Biomedical Sciences, Humanitas University, Milan, ItalyIRCCS Humanitas Research Hospital, Humanitas Cancer Center, Milan, ItalyIRCCS Humanitas Research Hospital, Humanitas Cancer Center, Milan, ItalyIRCCS Humanitas Research Hospital, Humanitas Cancer Center, Milan, ItalyIRCCS Humanitas Research Hospital, Humanitas Cancer Center, Milan, ItalyThe use of immune checkpoint inhibitors (ICIs) for treating several types of cancer is increasing, but they may be associated with immune-related adverse events (irAEs). Pancreatitis is a rare irAE, mostly responsive to steroid treatment. There are no published data on the management of steroid-refractory ICI-induced pancreatitis. Rituximab has shown efficacy in the setting of relapsing non-ICI-induced autoimmune pancreatitis. However, its use has not been tested for treating immunotherapy-related pancreatitis. Here, we present the case of a patient with steroid-refractory immune-related pancreatitis successfully treated with rituximab as a potential strategy for irAE management.https://www.frontiersin.org/articles/10.3389/fonc.2023.1205720/fullrituximabsteroid-refractory pancreatitisimmune-related adverse eventatezolizumabimmune checkpoint inhibitors
spellingShingle Armando Santoro
Armando Santoro
Silvia Masini
Silvia Masini
Raffaele Cavina
Maria Chiara Tronconi
Fabio De Vincenzo
Rituximab in steroid-refractory immune-related pancreatitis: a case report
Frontiers in Oncology
rituximab
steroid-refractory pancreatitis
immune-related adverse event
atezolizumab
immune checkpoint inhibitors
title Rituximab in steroid-refractory immune-related pancreatitis: a case report
title_full Rituximab in steroid-refractory immune-related pancreatitis: a case report
title_fullStr Rituximab in steroid-refractory immune-related pancreatitis: a case report
title_full_unstemmed Rituximab in steroid-refractory immune-related pancreatitis: a case report
title_short Rituximab in steroid-refractory immune-related pancreatitis: a case report
title_sort rituximab in steroid refractory immune related pancreatitis a case report
topic rituximab
steroid-refractory pancreatitis
immune-related adverse event
atezolizumab
immune checkpoint inhibitors
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1205720/full
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