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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Pembrolizumab

5

XII.a Left or biventricular dysfunction/failure

1
Last update : 25/04/2015
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Atezolizumab
2
Immune checkpoint inhibitors (ICI) - ICI combinatorial Rx
5
Ipilimumab
4
Lambrolizumab
4
Nivolumab
5
PD-1/PD-L1-inhibitors or blocking agents/drugs
5

Publications

New drugs and new toxicities: pembrolizumab-induced myocarditis.
BMJ case reports 2018 Jan 23;2018; 2018 Jan 23
Acute heart failure due to autoimmune myocarditis under pembrolizumab treatment for metastatic melanoma.
Journal for immunotherapy of cancer 2015;3;11 2015

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