Malignant thoracic tumor
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Cases using immune checkpoint inhibitors in the treatment of malignant thoracic tumors. 2)Cases in which hemophagocytic syndrome (HPS) developed as an immune-related adverse event,HPS was clinically diagnosed based on the HLH-2004 criteria. 1. The patient is currently undergoing or has completed treatment with an immune checkpoint inhibitor 2. At least 5 of the following 8 items are satisfied: 1 Fever 2 Splenomegaly 3 Cytopenia of 2 or more cell lines in peripheral blood (Hemoglobin < 9.0 g/dL, Platelets < 100,000/uL, Neutrophils < 1,000/uL) 4 Fasting triglycerides >= 265 mg/dL or Fibrinogen <= 1.5 g/L 5 Hemophagocytosis observed in bone marrow / spleen / lymph nodes / liver 6 Low or absent NK cell activity (per institutional criteria) 7 Ferritin >= 500 ng/mL 8 Soluble IL-2 receptor >= 2,400 U/mL 3)Other causes of hemophagocytic syndrome have been excluded.
Exclusion criteria
Exclusion criteria: 1)Cases in which the subject is found not to meet the eligibility criteria after enrollment in this study 2)Individuals who have submitted a request to withdraw from participation in this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of hemophagocytic syndrome as an immune-related adverse event in malignant thoracic tumors. | — |
Secondary
| Measure | Time frame |
|---|---|
| Clinical characteristics, treatment course, prognosis, and therapeutic efficacy of immune checkpoint inhibitors in patients who developed hemophagocytic syndrome. | — |
Countries
Japan
Contacts
Nihon University School of Medicine Division of Respiratory Medicine, Department of Internal Medicine