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Post-marketing surveillance of the safety and effectiveness of nivolumab for classic Hodgkin lymphoma in Japan
by
Akira Kawasaki
, Itaru Matsumura
, Tomohiro Hoshino
, Ayumi Akamatsu
, Kiyohiko Hatake
, Koji Izutsu
, Kensei Tobinai
, Akito Kakuuchi
in
Cholangitis
/ Clinical trials
/ Effectiveness
/ Health services
/ Hematology
/ Hematopoietic stem cells
/ Hepatitis
/ Hodgkin's lymphoma
/ Hypothyroidism
/ Immunotherapy
/ Liver
/ Liver failure
/ Lung diseases
/ Lymphoma
/ Marketing
/ Medicine
/ Medicine & Public Health
/ Monoclonal antibodies
/ Non-pharmacological intervention
/ Oncology
/ Original
/ Original Article
/ Patients
/ Risk factors
/ Safety
/ Stem cell transplantation
/ Stem cells
/ Surveillance
/ Targeted cancer therapy
/ Thyroid
/ Thyroid gland
2024
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Post-marketing surveillance of the safety and effectiveness of nivolumab for classic Hodgkin lymphoma in Japan
by
Akira Kawasaki
, Itaru Matsumura
, Tomohiro Hoshino
, Ayumi Akamatsu
, Kiyohiko Hatake
, Koji Izutsu
, Kensei Tobinai
, Akito Kakuuchi
in
Cholangitis
/ Clinical trials
/ Effectiveness
/ Health services
/ Hematology
/ Hematopoietic stem cells
/ Hepatitis
/ Hodgkin's lymphoma
/ Hypothyroidism
/ Immunotherapy
/ Liver
/ Liver failure
/ Lung diseases
/ Lymphoma
/ Marketing
/ Medicine
/ Medicine & Public Health
/ Monoclonal antibodies
/ Non-pharmacological intervention
/ Oncology
/ Original
/ Original Article
/ Patients
/ Risk factors
/ Safety
/ Stem cell transplantation
/ Stem cells
/ Surveillance
/ Targeted cancer therapy
/ Thyroid
/ Thyroid gland
2024
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Post-marketing surveillance of the safety and effectiveness of nivolumab for classic Hodgkin lymphoma in Japan
by
Akira Kawasaki
, Itaru Matsumura
, Tomohiro Hoshino
, Ayumi Akamatsu
, Kiyohiko Hatake
, Koji Izutsu
, Kensei Tobinai
, Akito Kakuuchi
in
Cholangitis
/ Clinical trials
/ Effectiveness
/ Health services
/ Hematology
/ Hematopoietic stem cells
/ Hepatitis
/ Hodgkin's lymphoma
/ Hypothyroidism
/ Immunotherapy
/ Liver
/ Liver failure
/ Lung diseases
/ Lymphoma
/ Marketing
/ Medicine
/ Medicine & Public Health
/ Monoclonal antibodies
/ Non-pharmacological intervention
/ Oncology
/ Original
/ Original Article
/ Patients
/ Risk factors
/ Safety
/ Stem cell transplantation
/ Stem cells
/ Surveillance
/ Targeted cancer therapy
/ Thyroid
/ Thyroid gland
2024
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Post-marketing surveillance of the safety and effectiveness of nivolumab for classic Hodgkin lymphoma in Japan
Journal Article
Post-marketing surveillance of the safety and effectiveness of nivolumab for classic Hodgkin lymphoma in Japan
2024
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Overview
Nivolumab was approved for relapsed/refractory classic Hodgkin lymphoma (cHL) in Japan in 2016. After its approval, a prospective, non-interventional, observational post-marketing surveillance was initiated to evaluate the safety and effectiveness of nivolumab treatment for up to 12 months in patients with relapsed/refractory cHL. Of 304 registered patients, 288 were included in safety analyses and 282 in effectiveness analyses. There were 191 (66.3%) male patients, median age was 64.0 years, and 54 patients (18.8%) had performance status ≥ 2. Treatment-related adverse events (TRAEs) were reported in 183 (63.5%) patients, with grade 3–5 TRAEs in 86 (29.9%). The most common TRAEs were infusion reaction (14.6%), hepatic function abnormal (5.9%), interstitial lung disease (ILD) (5.6%), and hypothyroidism (5.2%). TRAEs of special interest in ≥ 5% of patients were infusion reaction (15.6%), hepatic failure/hepatic dysfunction/hepatitis/cholangitis sclerosing (13.2%), thyroid dysfunction (9.7%), and ILD (7.3%). In multivariable analyses, prior allogeneic hematopoietic stem cell transplantation was a risk factor for hepatic failure/hepatic dysfunction/hepatitis/cholangitis sclerosing, and prior thyroid gland disorders was a risk factor for thyroid dysfunction. The overall response rate was 61.7%. In conclusion, nivolumab showed a similar safety profile and comparable effectiveness to that reported in clinical trials for relapsed/refractory cHL (CheckMate 205, ONO-4538-15).
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