Indications for and contraindications of immune checkpoint inhibitors in cancer patients with COVID-19 vaccination

Future Oncol. 2021 Sep;17(26):3477-3484. doi: 10.2217/fon-2021-0288. Epub 2021 Jun 30.

Abstract

The COVID-19 pandemic has lasted over 1 year and will not disappear in a short time. There is no specific remedy against the virus as yet. Vaccination is thus far one of the most important strategies for preventing COVID-19. Cancer patients with COVID-19 have a higher mortality because of immunosuppression. Immune checkpoint inhibitors (ICIs) are a novel anticancer strategy for blocking inhibitory pathways, which are related to the immune response. There is a question regarding whether COVID-19 vaccination and ICI treatment impact each other in cancer patients. This review explores both sides of the relationship between ICI treatment and COVID-19 vaccination and suggests good efficacy and safety of ICI treatment after COVID-19 vaccination as well as little impact on the virus protection and toxicity associated with COVID-19 vaccination during ICI treatment.

Keywords: COVID-19; cancer; efficacy; immune checkpoint inhibitor; vaccination.

Plain language summary

Lay abstract The COVID-19 pandemic has lasted over 1 year. Vaccination is a promising strategy for preventing COVID-19. Cancer patients are prone to infection with COVID-19, and these patients have high mortality. Immune checkpoint inhibitors (ICIs) are a novel anticancer strategy. Whether COVID-19 vaccination and ICI treatment impact each other in cancer patients remains unknown. This review explores both sides of the relationship between ICI treatment and COVID-19 vaccination and suggests good efficacy and safety of ICI treatment after COVID-19 vaccination as well as little impact on the virus protection and toxicity associated with COVID-19 vaccination during ICI treatment.

Publication types

  • Review

MeSH terms

  • COVID-19 / epidemiology
  • COVID-19 / immunology
  • COVID-19 / prevention & control*
  • COVID-19 Vaccines / administration & dosage
  • COVID-19 Vaccines / adverse effects*
  • COVID-19 Vaccines / immunology
  • Clinical Decision-Making
  • Contraindications, Drug
  • Humans
  • Immune Checkpoint Inhibitors / administration & dosage
  • Immune Checkpoint Inhibitors / adverse effects*
  • Immunogenicity, Vaccine
  • Neoplasms / drug therapy*
  • Neoplasms / immunology
  • Pandemics / prevention & control
  • Patient Selection
  • SARS-CoV-2 / immunology
  • SARS-CoV-2 / pathogenicity*
  • Treatment Outcome

Substances

  • COVID-19 Vaccines
  • Immune Checkpoint Inhibitors