De novo autoimmune connective tissue disease and mortality in patients treated with anti-programmed death receptor-1 and anti-programmed death-ligand 1 therapy: a population-level cohort study

Br J Dermatol. 2024 Aug 14;191(3):460-462. doi: 10.1093/bjd/ljae184.

Abstract

Using a population-level cohort analysis, our study demonstrates that, although rare, de novo autoimmune cutaneous connective tissue diseases (AiCTDs) in the setting of immune checkpoint inhibitors (ICIs) are not associated with a greater risk of mortality and overall approach a statistically significant decrease in mortality when compared with patients treated with ICIs who do not experience cutaneous immune-related adverse events. These findings are significant and highly relevant to dermatologists and oncologists caring for ICI recipients as it adds to the limited information on development of cutaneous AiCTD following ICI administration, for which enhanced understanding is critical to improving the care for this challenging patient population.

Publication types

  • Letter

MeSH terms

  • Adult
  • Aged
  • Autoimmune Diseases / drug therapy
  • Autoimmune Diseases / mortality
  • B7-H1 Antigen* / antagonists & inhibitors
  • Cohort Studies
  • Connective Tissue Diseases* / drug therapy
  • Connective Tissue Diseases* / immunology
  • Connective Tissue Diseases* / mortality
  • Female
  • Humans
  • Immune Checkpoint Inhibitors* / adverse effects
  • Immune Checkpoint Inhibitors* / therapeutic use
  • Male
  • Middle Aged
  • Programmed Cell Death 1 Receptor* / antagonists & inhibitors

Substances

  • Programmed Cell Death 1 Receptor
  • B7-H1 Antigen
  • Immune Checkpoint Inhibitors
  • CD274 protein, human
  • PDCD1 protein, human