Publications by authors named "E Richtig"

Background: Patients with cancer treated with immune-checkpoint inhibitors (ICIs) have a substantial risk of venous thromboembolism (VTE). The association between ICI-induced inflammation and hypercoagulability is unclear, and no biomarkers currently exist to stratify VTE risk.

Objectives: The authors sought to determine the association between the early changes in C-reactive protein (CRP) after ICI initiation and the risk of VTE.

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Article Synopsis
  • Immune checkpoint inhibitors (ICIs) are a key treatment for melanoma but can cause pancreatic injury, which is not well-studied or managed.* -
  • A study involving 1516 melanoma patients found that 204 experienced elevated lipase levels, with many showing symptoms of pancreatitis, leading to treatment interruptions for nearly half of them.* -
  • Despite the lack of guidelines recommending routine lipase monitoring, it was performed in the study, revealing higher-than-expected rates of elevation, particularly in symptomatic patients.*
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Background: The impact of the order of treatment with checkpoint inhibitors or BRAF/MEK inhibitors on the development of brain metastases in patients with metastatic unresectable V600-mutant melanoma is unknown. The SECOMBIT trial examined the impact of the order of receipt of these treatments in such patients.

Methods: In this three-arm trial, we reviewed patients without brain metastases who received the BRAF/MEK inhibitors encorafenib and binimetinib until they had progressive disease followed by the immune checkpoint inhibitors ipilimumab and nivolumab (arm A); or treatment with ipilimumab and nivolumab until they had progressive disease followed by encorafenib and binimetinib (arm B); or treatment with encorafenib and binimetinib for 8 weeks followed by ipilimumab and nivolumab until they had progressive disease followed by retreatment with encorafenib arm binimetinib (arm C).

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