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Concurrent decrease in IL-10 with development of immune-related adverse events in a patient treated with anti-CTLA-4 therapy

Jingjing Sun, Jade Schiffman, Anitha Raghunath, Derek Ng Tang, Hong Chen and Padmanee Sharma
Jingjing Sun
1Department of Genitourinary Medical Oncology, The University of Texas, M. D. Anderson Cancer Center, Houston, TX, USA
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Jade Schiffman
2Department of Ophthalmology, The University of Texas, M. D. Anderson Cancer Center, Houston, TX, USA
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Anitha Raghunath
2Department of Ophthalmology, The University of Texas, M. D. Anderson Cancer Center, Houston, TX, USA
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Derek Ng Tang
1Department of Genitourinary Medical Oncology, The University of Texas, M. D. Anderson Cancer Center, Houston, TX, USA
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Hong Chen
1Department of Genitourinary Medical Oncology, The University of Texas, M. D. Anderson Cancer Center, Houston, TX, USA
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Padmanee Sharma
1Department of Genitourinary Medical Oncology, The University of Texas, M. D. Anderson Cancer Center, Houston, TX, USA
3Department of Immunology, The University of Texas, M. D. Anderson Cancer Center, Houston, TX, USA
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DOI:  Published January 2008
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    Figure 1

    Clinical trial schema. Bladder cancer patients are treated with 2 doses of anti-CTLA-4 antibody at 3 mg/kg at study weeks 0 and 3 prior to undergoing surgery at study week 7 and post-operative follow-up visits at study weeks 11-15 and 23-24. Blood is collected as: pre-therapy samples prior to administration of the first dose of antibody at study week 0; after dose #1 at study week 3 prior to administration of dose #2; after dose #2 at study week 7 prior to surgery; and at each post-op visit.

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    Figure 2

    Increased plasma concentrations of IFN-γ detected after administration of anti-CTLA-4 antibody. All 4 patients analyzed thus far had elevated levels of IFN-γ detected in plasma samples collected after the first and second doses of anti-CTLA-4 antibody as compared to pre-therapy levels. IFN-γ levels decreased in the post-operative setting consistent with no further administration of antibody. Healthy donors (HD, n = 10) were found to have low concentrations of plasma IFN-γ similar to the pre-therapy values seen in the bladder cancer patients.

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    Figure 3

    Decreased plasma concentration of IL-10 in one patient after treatment with anti-CTLA-4 antibody. Patients treated with anti-CTLA-4 antibody were found to have low levels of plasma IL-10 concentrations, similar to values seen for healthy donors (HD, n = 10), except for one patient (patient CW). Patient CW had a high pre-therapy concentration of plasma IL-10 which decreased after treatment with anti-CTLA-4 antibody and then increased again in the post-operative setting which lacks anti-CTLA-4 antibody administration. Patient CW's immune-related adverse event (irAE) coincided with the decrease in IL-10 levels (black arrow).

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    Figure 4

    Visual examination of patient CW. Humphrey's visual field 30-2 (study week 13) of the right eye (OD) with an inferior arcuate scotoma and of the left eye (OS), with both superior and inferior arcuate scotomas.

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    Table 1

    Documented events for patient CW while enrolled on a clinical trial protocol consisting of treatment with anti-CTLA-4 antibody.

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Cancer Immunity Archive: 8 (1)
January 2008
Volume 8, Issue 1
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Concurrent decrease in IL-10 with development of immune-related adverse events in a patient treated with anti-CTLA-4 therapy
Jingjing Sun, Jade Schiffman, Anitha Raghunath, Derek Ng Tang, Hong Chen and Padmanee Sharma
Cancer Immun January 1 2008 (8) (1) 9;

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Concurrent decrease in IL-10 with development of immune-related adverse events in a patient treated with anti-CTLA-4 therapy
Jingjing Sun, Jade Schiffman, Anitha Raghunath, Derek Ng Tang, Hong Chen and Padmanee Sharma
Cancer Immun January 1 2008 (8) (1) 9;
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