Endocrinopathy
Conditions
Brief summary
To review cases from NTUH who developed endocrinopathy and metabolic diseases after immunotherapy, and statistically analyzed their age, clinical presentation, image findings, treatment and its response.
Detailed description
Immune checkpoint blockade-based immunotherapy is a new modality of cancer treatment with a unique mechanism that has gained increased numbers of indication and is now used in several cancer types. However, immune-related adverse events (irAEs) emerge as a new entity of diseases involving one or multiple organ systems. irAEs could result in interruption of immunotherapy, morbidities of patients or even death. Among various manifestations of irAEs, endocrinopathy and metabolic diseases are rare but important, and require prompt diagnosis and treatment to avoid life-threatening conditions. Thus, we intend to review cases from NTUH who developed endocrinopathy and metabolic diseases after immunotherapy, and statistically analyzed their age, clinical presentation, image findings, treatment and its response. We will also review literatures to evaluate the difference and similarity from previous diagnostic and treatment experience.
Interventions
Patients receive immunotherapy for cancer treatment
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who receive immunotherapy in NTUH and develop endocrinopathy after therapy
Exclusion criteria
* Patients less than 20 years old. Patients who are pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes of endocrine profiles | 10 year | Changes of serum fT4 TSH Glucose A1C ACTH cortisol LH FSH estradiol progesterone GH IGF1 prolactin |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Treatment response of the cancer after immunotherapy | 10 years | The changes of size and extent of the tumors |
Countries
Taiwan