AI Article Synopsis

  • Mogamulizumab is increasingly used to treat T-cell lymphomas, and a study was done to find immune-related muscle issues caused by this medication in patients at Dana-Farber Cancer Institute.
  • The study found 5 out of 42 patients (11.9%) experienced muscle-related adverse events, including myositis and myocarditis, with some cases also linked to myasthenia gravis.
  • The side effects can develop late, sometimes up to 100 days after the last treatment, and the study suggests using IVIG and corticosteroids for effective management of these serious complications.

Article Abstract

Mogamulizumab is being increasingly prescribed for the treatment of T-cell lymphomas (MF/SS/ATLL). We conducted a retrospective cohort study to identify muscular immune-related adverse events (irAEs) associated with mogamulizumab in patients with T-cell lymphoma followed at Dana-Farber Cancer Institute from January 2015 to June 2022. We identified 5 cases of mogamulizumab-associated myositis and/or myocarditis (MAM/Mc), 2 additionally affected by myasthenia gravis, among 42 patients with T-cell lymphoma. Three cases experienced -mogamulizumab-associated rash (MAR) prior to developing MAM/Mc. The incidence (n = 5/42, 11.9%) of muscular mogamulizumab-associated irAEs may be higher than has been previously reported in clinical trials and may be of late onset (a median of 5 cycles and as late as 100 days from the last infusion). We highlight the utility of IVIG, together with systemic corticosteroids, for the treatment of these potentially fatal side effects associated with mogamulizumab therapy.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10400128PMC
http://dx.doi.org/10.1093/oncolo/oyad155DOI Listing

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