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)