Clinical course of COVID-19 infection in elderly patient with melanoma on nivolumab

Yekedüz, Emre; Dursun, Bengü; Aydın, Güle Çınar; Yazgan, Satı Coşkun; Öztürk, Halis H; Azap, Alpay; Utkan, Güngör; Ürün, Yüksel

doi:10.1177/1078155220924084

Cited by 24 publications

(26 citation statements)

References 12 publications

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“…21 Yekedüz et al reported a 75-year-old female metastatic melanoma (BRAF wild-type) patient with multiple comorbidities, contracting SARS-CoV-2 infection. 22 The patient developed severe respiratory symptoms related to COVID-19 while she was on nivolumab. She was discharged with a good clinical condition on the fifth day of the favipiravir and hydroxychloroquine treatment.…”

Section: Melanoma Screening In the Era Of Covid-19mentioning

confidence: 99%

Melanoma and COVID ‐19: A narrative review focused on treatment

Elmas

Demirbaş

Düzayak

et al. 2020

Dermatologic Therapy

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Melanoma is the most severe form of skin cancer and its incidence has increased over the past few decades. COVID-19 pandemic affected the diagnosis and management of many diseases including melanoma. In this study, we aimed to provide a review focused on the diagnosis and management of melanoma in the era of COVID-19. A comprehensive search was conducted on PubMed, Web of Science, and Google Scholar databases using the keywords "melanoma," "coronavirus," "COVID 19," and "SARS-CoV-2." The relevant guidelines published by the European Society for Medical Oncology and the National Comprehensive Cancer Network were also included. The current guidelines recommend that surgical interventions for new diagnosis of invasive primary melanoma, patients with postoperative complications, wide resection and sentinel lymph node biopsy for newly diagnosed T3-T4 melanoma, and planned surgical procedures for patients in neo-adjuvant trials should be prioritized. Surgical treatment of T3/T4 melanomas should be prioritized over T1/T2 melanomas except for any melanoma in which large clinical residual lesion is visible. Adjuvant therapies can be postponed for up to 12 weeks depending on the local center circumstances. PD-1 inhibitor monotherapy is recommended for patients starting immunologic therapy. Combination immunotherapy is still considered suitable for patients with higher-risk disease. Encorafenib and binimetinib should be prioritized for patients requiring BRAF-targeted therapy due to the lower chance of symptoms mimicking COVID-19 infection.

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Section: Melanoma Screening In the Era Of Covid-19mentioning

confidence: 99%

Melanoma and COVID ‐19: A narrative review focused on treatment

Elmas

Demirbaş

Düzayak

et al. 2020

Dermatologic Therapy

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“…After screening the title and abstract, 1556 were excluded, and the full text of the remaining 63 articles was reviewed. Among these, 18 studies reported ICI use in cancer patients and prognosis of COVID-19 infection (5,(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29). The 18 articles consisted of 9 cohort studies, 5 case series and 4 case reports.…”

Section: Search Resultsmentioning

confidence: 99%

Immune checkpoint inhibitors use and effects on prognosis of COVID-19 infection: A systematic review and meta-analysis

Qian

Zuo

et al. 2020

Preprint

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Background: The influence of prior exposure to immune checkpoint inhibitors (ICIs) on the coronavirus disease 2019 (COVID-19) infection remains unknown. Methods: We searched the PubMed, Embase, and Web of Science databases from the inception of each database through August 8, 2020. We included studies that reported ICI use in cancer patients and their prognosis in the context of COVID-19. Raw data from the included studies were pooled to determine effect estimates. Chi-squared and I2 tests were used to calculate heterogeneity among the included studies.Results: Eighteen studies were included for the systematic review, and 8 of those were included in the meta-analysis. Patients with prior ICI treatment exhibited a higher rate of hospitalization (OR [odds ratio] 2.6, 95% CI 1.45-4.68, p=0.001; I2=0%) and severe disease (OR 1.98, 95% CI 1.14-3.43, p=0.015). However, the OR of mortality in ICI-exposed cases was similar to non-ICI exposed patients (OR 0.90, 95% CI 0.60-1.34, p= 0.60; I2=49%). No statistically significant difference in mortality was observed between patients exposed to ICI and other antitumor treatments.Conclusions: Although a higher rate of hospitalization and severe disease was observed, prior exposure to ICI did not significantly increase the rate of death in the context of COVID-19.

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“…Finally, there has been a recently reported case of a patient taking nivolumab who was infected by coronavirus infection 2019 [ 80 ]. Despite old age and several comorbidities, she had a good clinical course without pneumonia.…”

Section: Discussionmentioning

confidence: 99%

Nephrotoxicity Associated with Novel Anticancer Agents (Aflibercept, Dasatinib, Nivolumab): Case Series and Nephrological Considerations

Piscitani

Sirolli

Liberato

et al. 2020

IJMS

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Cancer patients have an incidence of about 60% kidney disease development and are at elevated risk of acute renal damage. Kidney disease in these patients is frequently associated with nephrotoxicity from the ongoing oncological treatment. New anticancer therapeutic strategies, such as targeted therapies and immunotherapies, offer substantial benefits in the treatment of many neoplasms. However, their use is associated with significant nephrotoxicity, which qualitatively differs from that seen with traditional cytotoxic chemotherapy, while the underlying mechanisms are complex and still to be clearly defined. Nephrologists need to be knowledgeable about the array of such renal toxicities for effective collaboration with the oncologist in the prevention and management of kidney involvement. Renal adverse effects may range from asymptomatic proteinuria to renal failure, and their prompt identification and timely treatment is essential for optimal and safe care of the patient. In this article, after presenting clinical cases we discuss the differing renal toxicity of three novel anticancer agents (aflibercept, dasatinib, and nivolumab) and possible measures to counter it.

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Clinical course of COVID-19 infection in elderly patient with melanoma on nivolumab

Cited by 24 publications

References 12 publications

Melanoma and COVID ‐19: A narrative review focused on treatment

Melanoma and COVID ‐19: A narrative review focused on treatment

Immune checkpoint inhibitors use and effects on prognosis of COVID-19 infection: A systematic review and meta-analysis

Nephrotoxicity Associated with Novel Anticancer Agents (Aflibercept, Dasatinib, Nivolumab): Case Series and Nephrological Considerations

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