Different incidence of interstitial lung disease according to different kinds of EGFR‐tyrosine kinase inhibitors administered immediately before and/or after anti‐PD‐1 antibodies in lung cancer

Background The aim of our study was to retrospectively assess the incidence of interstitial lung disease (ILD) related to EGFR‐tyrosine kinase inhibitor (TKI) treatment immediately before and/or after the administration of a PD‐1 antibody. Methods We analyzed the data of 26 patients who underwent tr...

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Main Authors: Takahiro Uchida, Kyoichi Kaira, Ou Yamaguchi, Atsuto Mouri, Ayako Shiono, Yu Miura, Kosuke Hashimoto, Fuyumi Nishihara, Yoshitake Murayama, Kunihiko Kobayashi, Hiroshi Kagamu
Format: Article
Language:English
Published: Wiley 2019-04-01
Series:Thoracic Cancer
Subjects:
Online Access:https://doi.org/10.1111/1759-7714.13039
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author Takahiro Uchida
Kyoichi Kaira
Ou Yamaguchi
Atsuto Mouri
Ayako Shiono
Yu Miura
Kosuke Hashimoto
Fuyumi Nishihara
Yoshitake Murayama
Kunihiko Kobayashi
Hiroshi Kagamu
author_facet Takahiro Uchida
Kyoichi Kaira
Ou Yamaguchi
Atsuto Mouri
Ayako Shiono
Yu Miura
Kosuke Hashimoto
Fuyumi Nishihara
Yoshitake Murayama
Kunihiko Kobayashi
Hiroshi Kagamu
author_sort Takahiro Uchida
collection DOAJ
description Background The aim of our study was to retrospectively assess the incidence of interstitial lung disease (ILD) related to EGFR‐tyrosine kinase inhibitor (TKI) treatment immediately before and/or after the administration of a PD‐1 antibody. Methods We analyzed the data of 26 patients who underwent treatment with EGFR‐TKIs immediately before and/or after the administration of an anti‐PD‐1 antibody. Results Four out of the 26 patients developed ILD during EGFR‐TKI treatment: three patients during the administration of osimertinib immediately after, and one during afatinib immediately before treatment with an anti‐PD‐1 antibody. Three of 12 patients who underwent EGFR‐TKI therapy immediately after anti‐PD‐1 antibody treatment experienced osimertinib‐induced ILD. ILD was not observed in the five patients administered an anti‐PD‐1 antibody followed by first or second‐generation EGFR‐TKIs. Conclusion ILD was observed in the treatment sequence of an anti‐PD‐1 antibody followed by osimertinib, but not with first or second‐generation EGFR‐TKIs.
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spelling doaj.art-ad66614d07bc4339814a5f860205d0da2023-04-17T06:34:28ZengWileyThoracic Cancer1759-77061759-77142019-04-0110497597910.1111/1759-7714.13039Different incidence of interstitial lung disease according to different kinds of EGFR‐tyrosine kinase inhibitors administered immediately before and/or after anti‐PD‐1 antibodies in lung cancerTakahiro Uchida0Kyoichi Kaira1Ou Yamaguchi2Atsuto Mouri3Ayako Shiono4Yu Miura5Kosuke Hashimoto6Fuyumi Nishihara7Yoshitake Murayama8Kunihiko Kobayashi9Hiroshi Kagamu10Department of Respiratory Medicine Comprehensive Cancer Center, International Medical Center Saitama Medical University Saitama JapanDepartment of Respiratory Medicine Comprehensive Cancer Center, International Medical Center Saitama Medical University Saitama JapanDepartment of Respiratory Medicine Comprehensive Cancer Center, International Medical Center Saitama Medical University Saitama JapanDepartment of Respiratory Medicine Comprehensive Cancer Center, International Medical Center Saitama Medical University Saitama JapanDepartment of Respiratory Medicine Comprehensive Cancer Center, International Medical Center Saitama Medical University Saitama JapanDepartment of Respiratory Medicine Comprehensive Cancer Center, International Medical Center Saitama Medical University Saitama JapanDepartment of Respiratory Medicine Comprehensive Cancer Center, International Medical Center Saitama Medical University Saitama JapanDepartment of Respiratory Medicine Comprehensive Cancer Center, International Medical Center Saitama Medical University Saitama JapanDepartment of Respiratory Medicine Comprehensive Cancer Center, International Medical Center Saitama Medical University Saitama JapanDepartment of Respiratory Medicine Comprehensive Cancer Center, International Medical Center Saitama Medical University Saitama JapanDepartment of Respiratory Medicine Comprehensive Cancer Center, International Medical Center Saitama Medical University Saitama JapanBackground The aim of our study was to retrospectively assess the incidence of interstitial lung disease (ILD) related to EGFR‐tyrosine kinase inhibitor (TKI) treatment immediately before and/or after the administration of a PD‐1 antibody. Methods We analyzed the data of 26 patients who underwent treatment with EGFR‐TKIs immediately before and/or after the administration of an anti‐PD‐1 antibody. Results Four out of the 26 patients developed ILD during EGFR‐TKI treatment: three patients during the administration of osimertinib immediately after, and one during afatinib immediately before treatment with an anti‐PD‐1 antibody. Three of 12 patients who underwent EGFR‐TKI therapy immediately after anti‐PD‐1 antibody treatment experienced osimertinib‐induced ILD. ILD was not observed in the five patients administered an anti‐PD‐1 antibody followed by first or second‐generation EGFR‐TKIs. Conclusion ILD was observed in the treatment sequence of an anti‐PD‐1 antibody followed by osimertinib, but not with first or second‐generation EGFR‐TKIs.https://doi.org/10.1111/1759-7714.13039AfatinibEGFR‐TKIILDnivolumabosimertinib
spellingShingle Takahiro Uchida
Kyoichi Kaira
Ou Yamaguchi
Atsuto Mouri
Ayako Shiono
Yu Miura
Kosuke Hashimoto
Fuyumi Nishihara
Yoshitake Murayama
Kunihiko Kobayashi
Hiroshi Kagamu
Different incidence of interstitial lung disease according to different kinds of EGFR‐tyrosine kinase inhibitors administered immediately before and/or after anti‐PD‐1 antibodies in lung cancer
Thoracic Cancer
Afatinib
EGFR‐TKI
ILD
nivolumab
osimertinib
title Different incidence of interstitial lung disease according to different kinds of EGFR‐tyrosine kinase inhibitors administered immediately before and/or after anti‐PD‐1 antibodies in lung cancer
title_full Different incidence of interstitial lung disease according to different kinds of EGFR‐tyrosine kinase inhibitors administered immediately before and/or after anti‐PD‐1 antibodies in lung cancer
title_fullStr Different incidence of interstitial lung disease according to different kinds of EGFR‐tyrosine kinase inhibitors administered immediately before and/or after anti‐PD‐1 antibodies in lung cancer
title_full_unstemmed Different incidence of interstitial lung disease according to different kinds of EGFR‐tyrosine kinase inhibitors administered immediately before and/or after anti‐PD‐1 antibodies in lung cancer
title_short Different incidence of interstitial lung disease according to different kinds of EGFR‐tyrosine kinase inhibitors administered immediately before and/or after anti‐PD‐1 antibodies in lung cancer
title_sort different incidence of interstitial lung disease according to different kinds of egfr tyrosine kinase inhibitors administered immediately before and or after anti pd 1 antibodies in lung cancer
topic Afatinib
EGFR‐TKI
ILD
nivolumab
osimertinib
url https://doi.org/10.1111/1759-7714.13039
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