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Durvalumab-induced Immune-related Hepatitis in a Patient with Non-small Cell Lung Cancer
Authors:Masakatsu Nakamura  Toshimi Otsuka  Ranji Hayashi  Tomoe Horita  Masafumi Ota  Naoko Sakurai  Hikaru Takano  Tasuku Hayashi  Motona Kumagai  Sohsuke Yamada  Tomiyasu Arisawa
Affiliation:1.Department of Gastroenterology, Kanazawa Medical University, Japan;2.Department of Pathology and Laboratory Medicine, Kanazawa Medical University, Japan
Abstract:We herein report the case of a 79-year-old patient with unresectable stage III non-small cell lung cancer who developed immune-related hepatitis caused by durvalumab administration. Durvalumab was administered at 10 mg/kg every two weeks after the treatment with carboplatin (AUC2), paclitaxel (35 mg/m2), and 60 Gy radiation. At the day 208 in which the 14th durvalumab administration was scheduled, the patient was urgently hospitalized due to CTCAE Grade 4 hepatic dysfunction detected during the an outpatient blood sampling test. He was diagnosed with immune-related hepatitis and started on methylprednisolone 60 mg/day. After 51 days, his liver dysfunction improved and he was discharged.
Keywords:immune-related hepatitis   durvalumab   non-small cell lung cancer
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