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  • ||||||||||  Rituxan (rituximab) / Roche
    CHYLOTHORAX AS A RARE PULMONARY COMPLICATION OF NEWLY DIAGNOSED WALDENSTROM MACROGLOBULINEMIA (Convention Center Exhibit Hall: Rapid Fire Area 3D) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6484;    
    Presentation of chylothorax should raise suspicion for malignancy on a patient's differential. Thorough and timely workup is important for further management including medical therapy with chemotherapy, chest tube placement or even pleurodesis if indicated.
  • ||||||||||  Rituxan (rituximab) / Roche, Activase (alteplase) / Roche, Boehringer Ingelheim, Kyowa Kirin, Mitsubishi Tanabe
    MICROSCOPIC POLYANGIITIS; A RARE PRESENTATION WITH CARDIAC TAMPONADE AND A COMPLEX PLEURAL EFFUSION (Convention Center Exhibit Hall: Poster Area 3) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6440;    
    Clinicians should be vigilant regarding rare initial presentations of vasculitis especially in the setting of multiorgan involvement. Specific findings of pericarditis or cardiac tamponade with pleural effusions with AKI without resolution should raise a question of vasculitis and should be ruled out in order promptly to start immunosuppressive therapy.
  • ||||||||||  Actemra IV (tocilizumab) / Roche, JW Pharma, Imfinzi (durvalumab) / AstraZeneca
    THE LAST BREATH: CONFRONTING MORTALITY IN CHECKPOINT INHIBITORS (Convention Center Exhibit Hall: Poster Area 3) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6433;    
    Physicians should be aware of the varied features of checkpoint inhibitor pneumonitis (CIP) and consider the use of immunosuppressive agents when necessary. CIP signifies the role of interdisciplinary collaboration in managing it, and palliative care plays a significant role in providing comfort and support to patients with poor prognosis.
  • ||||||||||  Keytruda (pembrolizumab) / Merck (MSD)
    CHECK YOURSELF BEFORE YOU WRECK YOURSELF: A CASE OF PEMBROLIZUMAB-INDUCED PNEUMONITIS (Convention Center Exhibit Hall: Poster Area 3) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6423;    
    If recognized early and treated appropriately, the vast majority of patients recover. Unfortunately, patients with multiple comorbidities or poor functional baseline may not do as well or may need additional treatment such as IVIG or biologics such as rituximab.
  • ||||||||||  Imfinzi (durvalumab) / AstraZeneca
    BREAKING BOUNDARIES: UNRAVELLING THE ENIGMA OF LARGE CELL NEUROENDOCRINE CANCER (Convention Center Exhibit Hall: Poster Area 3) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6420;    
    LCNEC of the lung is a rare and aggressive malignancy with poor prognosis that resembles SCLC in histological characteristics but has treatment guidelines extrapolated from NSCLC. Given the high frequency of brain metastasis, revision of treatment guidelines to possibly include prophylactic brain irradiation is necessitated and further multi-institutional research studies are required to achieve a deeper insight into its behaviour and management.
  • ||||||||||  Adcetris (brentuximab vedotin) / Takeda, Pfizer
    HISTIOCYTIC SARCOMA PRESENTING AS MEDIASTINAL LYMPHADENOPATHY (Convention Center Exhibit Hall: Poster Area 3) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6406;    
    HS is an aggressive and rare hematopoietic malignancy that presents with a variety of symptoms. A high degree of suspicion is required for an accurate and timely diagnosis.
  • ||||||||||  Ocrevus (ocrelizumab) / Roche
    A RARE CASE OF ORGANIZING PNEUMONIA DUE TO OCRELIZUMAB (Convention Center Exhibit Hall: Poster Area 3) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6402;    
    al., making this the second case report of ocrelizumab-induced COP. This case raises awareness of potential complications of ocrelizumab requiring close monitoring.
  • ||||||||||  Rituxan (rituximab) / Roche
    ANTINEUTROPHIL CYTOPLASMIC AUTOANTIBODY (ANCA) VASCULITIS WITH ACUTE INTERSTITIAL NEPHRITIS (Convention Center Exhibit Hall: Poster Area 2) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6382;    
    Treatment with prednisone and rituximab led to improvement in kidney function. This case adds to the evidence supporting the possible occurrence of AAV-associated AIN and highlights the importance of recognizing this presentation for effective management.
  • ||||||||||  IMMUNE CHECK POINT INHIBITOR USE CAUSING A FULMINANT DKA CASE IN ICU (Convention Center Exhibit Hall: Poster Area 2) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6353;    
    Oncology patients can develop serious adverse effects by immunotherapy; in the form checkpoint inhibitor associated type 1diabetes with its life threatening complication in a patient with no prior history of diabetes. Education of the patients and close monitoring for hyperglycemia and further endocrine workup should be done by primary care physicians and specialists for early diagnosis and supportive care of the patients on ICIs.
  • ||||||||||  Opdivo (nivolumab) / BMS, Yervoy (ipilimumab) / BMS
    A BROKEN HEART: A CASE OF IPILIMUMAB AND NIVOLUMAB-INDUCED MYOCARDITIS (Convention Center Exhibit Hall: Poster Area 1) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6317;    
    Immune checkpoint inhibitors may cause several immune-related side effects; one rare side effect is cardiac toxicity, including myocarditis. Though these side effects are rare, they have a high mortality rate; As a result a high index of suspicion is imperative for early diagnosis and treatment of these cohorts of patients.
  • ||||||||||  Ocrevus (ocrelizumab) / Roche
    A RARE CASE OF ORGANIZING PNEUMONIA INDUCED BY OCRELIZUMAB (Convention Center Exhibit Hall: Poster Area 3) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6096;    
    Ocrelizumab is a very rare cause of OP. A thorough history and broad differential need to be considered for appropriate diagnosis of OP as removal of the offending agent is indicated.
  • ||||||||||  Darzalex (daratumumab) / J&J
    DARATUMUMAB-INDUCED SUBACUTE FIBRINOUS ORGANIZING PNEUMONIA (Convention Center Exhibit Hall: Poster Area 3) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6039;    
    Daratumumab is an antineoplastic agent that can potentially cause AFOP, a rare type of interstitial pneumonia. In patients with interstitial pneumonia and negative infectious workup, lung biopsy, and histopathology can help diagnose AFOP and differentiate from other mimics such as lung malignancy and fungal pneumonia.
  • ||||||||||  Nulojix (belatacept) / BMS
    DISSEMINATED HISTOPLASMOSIS IN A PATIENT WITH ACUTE KIDNEY TRANSPLANT REJECTION: A CASE REPORT OF DARLING'S DISEASE (Convention Center Exhibit Hall: Poster Area 2) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6031;    
    Our study, while illustrating many signs of this rare disease, begs the question of whether there is a specific association between kidney transplants and histoplasmosis. Furthermore, the relationship between acute transplant rejection and a temporal association between the first 1-2 years of transplant and development of histoplasmosis is yet to be clearly identified.
  • ||||||||||  Opdivo (nivolumab) / BMS, Yervoy (ipilimumab) / BMS
    IMMUNOTHERAPY-INDUCED DIABETIC KETOACIDOSIS (Convention Center 256) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_6023;    
    All patients who are started on ICI's should be educated on signs and symptoms of DKA and the need to seek urgent medical attention if symptoms arise. For patients with pre-existing diabetes, insulin therapy for be initiated immediately.
  • ||||||||||  Keytruda (pembrolizumab) / Merck (MSD)
    ACHIEVING REMISSION IN METASTATIC SARCOMATOID LUNG CARCINOMA WITH PEMBROLIZUMAB AND PLATINUM-DOUBLET TREATMENT (Convention Center Exhibit Hall: Rapid Fire Area 3D) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_5959;    
    This case underscores the critical role of advanced molecular diagnostics in guiding the management of complex cancer cases. The successful application of Pembrolizumab in a patient with Sarcomatoid carcinoma, characterized by a high PDL-1 expression, adds valuable insight into the potential of immunotherapy in treating rare and aggressive forms of cancer.
  • ||||||||||  Keytruda (pembrolizumab) / Merck (MSD), Lenvima (lenvatinib) / Eisai, Merck (MSD)
    MYOPATHY LEADING TO RHABDOMYOLYSIS AS A RARE SIDE EFFECT OF LENVATINIB AND PEMBROLUZIMAB THERAPY (Convention Center Exhibit Hall: Poster Area 2) -  Sep 11, 2024 - Abstract #CHEST2024CHEST_5900;    
    Myositis and rhabdomyolysis have also been reported in the literature as a rare side effect in anti-PDL-1 drugs, such as pembrolizumab, and anti-CTLA-4 drugs, such as ipilimumab.[3,4] One proposed mechanism to this process is new autoimmune hypothyroidism leading to rhabdomyolysis.[5] In patients who are on both TKI's and ICI's, it may be difficult to discern the instigating agent as illustrated in this case report...Prior to admission, she was taking amlodipine, diazepam, glipizide, Lantus, levothyroxine, lisinopril-hydrochlorothiazide, metformin, rosuvastatin, pembrolizumab, and lenvatinib for several months... Serial CK levels can be useful in patients presenting to the clinic with muscle pain or weakness.7 Routine screening for musculoskeletal symptoms in patients on TKI's and ICI's should be a part of regular follow up.
  • ||||||||||  Tecentriq (atezolizumab) / Roche
    Five-Year Follow-Up of IMpower010: Exploratory Analysis of Outcomes and Safety by Extent of Resection in Stage II-IIIA Non-Small Cell Lung Cancer (NSCLC) (Sheraton Times Square, Empire East) -  Sep 10, 2024 - Abstract #AATSITSOS2024AATS_ITSOS_93;    
    P3
    After ?5 years of follow-up in IMpower010, patients who underwent lobectomy and received adjuvant atezolizumab after chemotherapy had greater DFS and OS improvements than those who received BSC after adjuvant chemotherapy in the prespecified PD-L1 TC ?1% and ?50% populations, although patient numbers were limited across surgery types, particularly for bilobectomy. The AE profiles of patients who underwent pneumonectomy/bilobectomy and lobectomy/sleeve lobectomy were similar between surgical subgroups after adjuvant chemotherapy and atezolizumab.
  • ||||||||||  Opdivo (nivolumab) / BMS, Yervoy (ipilimumab) / BMS
    Pericardial Mesothelioma: Is there a Role for Surgery in the Age of Immunotherapy? A Case Report and Review of Literature (Sheraton Times Square, Central Park) -  Sep 10, 2024 - Abstract #AATSITSOS2024AATS_ITSOS_25;    
    As with pleural mesothelioma, the standard of care treatment is systemic therapy, and the role of surgery remains controversial. In this case, with the patient in imminent cardiovascular collapse electing the aggressive option, her life was clearly extended, and she was able to return home and resume standard of care immunotherapy.
  • ||||||||||  Verzenio (abemaciclib) / Eli Lilly
    Mapping microRNA Functions in Mesothelioma can Lead to Novel Precision Therapies (Sheraton Times Square, Central Park) -  Sep 10, 2024 - Abstract #AATSITSOS2024AATS_ITSOS_22;    
    Our discovery platform systematically integrates new, customized bioinformatic algorithms with experimental testing (in vitro and in vivo) to efficiently sort therapeutic miRNAs and identify DPM-related genes, some of which are novel. We are establishing a new treatment paradigm and combinatorial library of miR+drug that expands the DPM thera
  • ||||||||||  Opdivo (nivolumab) / BMS
    Journal:  Epigenetic regulation of cell state by H2AFY governs immunogenicity in high-risk neuroblastoma. (Pubmed Central) -  Sep 10, 2024   
    Here, we leverage genome-wide CRISPR/Cas9 screens and identify H2AFY as a resistance gene to the clinically approved PD-1 blocking antibody, nivolumab...With a multi-omics approach, we uncover H2AFY-associated genes that are functionally relevant and prognostic in patients. Altogether, our study elucidates the role of H2AFY as an epigenetic gatekeeper for cell states and immunogenicity in high-risk neuroblastoma.
  • ||||||||||  Teysuno (gimeracil/oteracil/tegafur) / Nordic Group, Otsuka, Keytruda (pembrolizumab) / Merck (MSD)
    Journal, Tumor mutational burden, PD(L)-1 Biomarker:  Exceptional Response to Pembrolizumab in HER2-Positive Gallbladder Carcinoma with High Tumor Mutational Burden. (Pubmed Central) -  Sep 10, 2024   
    Altogether, our study elucidates the role of H2AFY as an epigenetic gatekeeper for cell states and immunogenicity in high-risk neuroblastoma. To our knowledge, this is the first report showing the efficacy of pembrolizumab in a patient with cholangiocarcinoma harboring both HER2-positive and TMB-H.
  • ||||||||||  Darzalex (daratumumab) / J&J, Soliris (eculizumab) / AstraZeneca, Entresto (sacubitril/valsartan) / Novartis, ROVI Pharmaceuticals Laboratories
    Clinical, Review, Journal:  Advances in understanding and managing pediatric heart failure and transplant. (Pubmed Central) -  Sep 10, 2024   
    The problem of the highly sensitized transplant recipient remains, although novel therapeutics have been added to our toolbox of options to maintain healthy allograft function. Ongoing research aims to further enhance our understanding and management of pediatric heart failure, emphasizing the need for continued innovation in this complex field.
  • ||||||||||  Darzalex (daratumumab) / J&J, Soliris (eculizumab) / AstraZeneca, Entresto (sacubitril/valsartan) / Novartis, ROVI Pharmaceuticals Laboratories
    Clinical, Journal:  Advances in understanding and managing pediatric heart failure and transplant. (Pubmed Central) -  Sep 10, 2024   
    The problem of the highly sensitized transplant recipient remains, although novel therapeutics have been added to our toolbox of options to maintain healthy allograft function. Ongoing research aims to further enhance our understanding and management of pediatric heart failure, emphasizing the need for continued innovation in this complex field.
  • ||||||||||  Kesimpta (ofatumumab subcutaneous) / Novartis, Genmab, Mavenclad (cladribine) / EMD Serono, Lemtrada (alemtuzumab) / Sanofi
    Clinical, Retrospective data, Review, Journal, Immunomodulating:  Immunomodulators and immunosuppressants for progressive multiple sclerosis: a network meta-analysis. (Pubmed Central) -  Sep 10, 2024   
    Given the relative rarity of PMS, controlled, non-randomised studies on large samples may usefully integrate data from pivotal RCTs. Outcomes valuable and meaningful to people with PMS should be consistently adopted and measured to permit the evaluation of relative effectiveness among treatments.
  • ||||||||||  Rituxan (rituximab) / Roche
    Review, Journal:  An unusual case of early onset opsoclonus-myoclonus syndrome: Case report and literature review. (Pubmed Central) -  Sep 10, 2024   
    Despite the range of therapeutic options for managing opsoclonus-myoclonus syndrome described in the literature, the efficacy of these available therapies needs to be better established. A modified upfront approach with dexamethasone and intravenous immunoglobulin could be an option in settings where rituximab is unavailable.
  • ||||||||||  Journal:  Mechanistic modeling of cell viability assays with in silico lineage tracing. (Pubmed Central) -  Sep 10, 2024   
    Variations in mother cells prior to drug treatment all impinging on ERK pathway activity are associated with the rapidly dividing phenotype and trametinib resistance. This work lays a foundation for the application of mechanistic modeling to large-scale cell viability assay datasets and better understanding determinants of cellular heterogeneity in drug response.
  • ||||||||||  Teysuno (gimeracil/oteracil/tegafur) / Nordic Group, Otsuka, AiRuiKa (camrelizumab) / HLB Bio Group
    Journal, PD(L)-1 Biomarker, IO biomarker, Metastases:  An exploratory clinical study of ?-glucan combined with camrelizumab and SOX chemotherapy as first-line treatment for advanced gastric adenocarcinoma. (Pubmed Central) -  Sep 10, 2024   
    Advanced gastric adenocarcinoma patients received ?-glucan, camrelizumab, oxaliplatin, oral S-1 every 3 weeks...This preliminary study demonstrates that ?-glucan plus camrelizumab and SOX chemotherapy offers favorable efficacy and a manageable safety profile in patients with advanced gastric adenocarcinoma, and further studies are needed to verify its efficacy and safety. Chinese Clinical Trials Registry, identifier ChiCTR2100044088.
  • ||||||||||  relatlimab (BMS-986016) / BMS, Opdivo (nivolumab) / BMS
    Review, Journal:  Advances in understanding the role of immune checkpoint LAG-3 in tumor immunity: a comprehensive review. (Pubmed Central) -  Sep 10, 2024   
    Despite the encouraging clinical potential of LAG-3, the physiological function and mechanism of action in tumors are still not well understood. In this review, we systematically summarized the structure of LAG-3, ligands of LAG-3, cell-specific functions and signaling of LAG-3, and the current status of LAG-3 inhibitors under development.