Table 1.
Patient | Sex | Age (years) | Cancer | Cancer treatment | irAEs | irAE treatment | Dupilumab dosage | Cancer outcome |
---|---|---|---|---|---|---|---|---|
1 | M | 74 | Recurrent invasive cutaneous SCC and metastatic melanoma | Cemiplimab (PD1 inhibitor) | Eczema and pruritus | - Topical steroids - Oral antihistamine |
Loading dose 600 mg followed by 300 mg every other week | SCC complete response and metastatic melanoma partial response |
2 | M | 78 | Stage IIIC cutaneous melanoma | Adjuvant nivolumab (PD1 inhibitor) | BP | - Topical steroids - Oral prednisone |
Loading dose 600 mg followed by 300 mg every other week | Remission |
3 | F | 70 | Metastatic serous endometrial carcinoma | Pembrolizumab (PD1 inhibitor) and Lenvatinib (multi-target tyrosine kinase inhibitor) | BP | - Topical steroids - Doxycycline - Nicotinamide - Oral prednisone - Mycophenolate mofetil |
Loading dose 600 mg followed by 300 mg every other week | Death from cancer progression |
BP: Bullous pemphigoid; SCC: squamous cell carcinoma.PD1: programmed cell death 1; irAE: immune-related adverse event.
Informed consent to receive dupilumab as an off-label medication for irAEs was obtained from all our patients after a thorough discussion involving their medical oncologist.