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Systematic Review

Dermatological adverse events associated with immune checkpoint inhibitor-based combinations of anticancer therapies: a systematic review

    Antoine Salloum‡

    *Author for correspondence: Tel.: +1 267 279 8618;

    E-mail Address: antoine.g.salloum@gmail.com

    Department of Internal Medicine, Roger Williams Medical Center, RI, USA

    Dermatologic SurgiCenter, Philadelphia, PA, USA

    ‡Authors contributed equally

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    ,
    Maya Habre‡

    Faculty of Medicine, University of Balamand, Beirut, Lebanon

    Department of Dermatology, Saint Georges Hospital University Medical Center, Beirut, Lebanon

    ‡Authors contributed equally

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    ,
    Joanna Abi Chebl‡

    Faculty of Medicine, University of Balamand, Beirut, Lebanon

    ‡Authors contributed equally

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    ,
    Karen Abi Chebl§

    Faculty of Medicine, American University of Beirut, Beirut, Lebanon

    ,
    Carl Atallah§

    University of Balamand Faculty of Medicine & Medical Sciences El-Koura, Lebanon

    ,
    Georgio Medawar

    Department of Internal Medicine, Roger Williams Medical Center, RI, USA

    &
    Hampig R Kourie

    Department of Hematology-Oncology, Oncology department, Hotel Dieu de France Hospital, Beirut, Lebanon

    Published Online:https://doi.org/10.2217/imt-2021-0244

    Aim: This paper presents the reported dermatological adverse events (AEs) associated with approved combinations of immunotherapy with drugs of the same class, or in combination with targeted therapy or chemotherapy. Materials & methods: PubMed was used as an electronic database, and a total of 29 articles were reviewed which reported dermatological AEs following combination therapies with nivolumab, ipilimumab, axitinib, pembrolizumab, lenvatinib, avelumab, atezolizumab, carboplatin, etoposide, paclitaxel, bevacizumab, pemetrexed, cisplatin and durvalumab. Results: The dermatological AEs reported were mutually inclusive and the highest incidence of specific AEs was seen in the following combinations: rash in the nivolumab/ipilimumab and lenvatinib/pembrolizumab combinations, pruritus in the atezolizumab/nab-paclitaxel combination, dry skin and palmar–plantar erythrodysesthesia in the axitinib/pembrolizumab combination, and alopecia and severe skin reactions in the pembrolizumab/carboplatin/paclitaxel combination. Conclusion: Knowledge of such side effects is of benefit when choosing an optimal treatment regimen and should be integrated into the monitoring and follow-up phases of treatment.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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