Info

Ipilimumab

  • Mechanism:
    • Binds to CTLA-4
  • Dosing:
    • 3 mg/kg IV every 3 wks (up to 4 doses);
    • tx can be held due to ↑ liver enzymes
  • PK/PD: T1/2 ∼15 d
  • AEs:
    • Musculoskeletal pain,
    • fatigue,
    • rash,
    • diarrhea,
    • & immune-mediated AEs (BBW,
    • commonly includes dermatitis,
    • endocrine disorders,
    • enterocolitis,
    • hepatitis)
  • DDI: No significant drug interactions
  • Clinical pearls: Tx immune-related tox w/ steroids (prednisone 1-2 mg/kg/d)