Successful treatment by pembrolizumab in a patient with end-stage renal disease with advanced non-small cell lung cancer and high PD-L1 expression

We report a 66-year-old Japanese male with end-stage renal disease (ESRD) and advanced non-small cell lung cancer (NSCLC) who was on hemodialysis. The patient harbored high programmed death ligand 1 (PD-L1) expression and was successfully treated with pembrolizumab. Laboratory examination upon diagn...

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Veröffentlicht in:Respiratory investigation 2018-07, Vol.56 (4), p.361-364
Hauptverfasser: Ishizuka, Shiho, Sakata, Shinya, Yoshida, Chieko, Takaki, Akira, Saeki, Sho, Nakamura, Kazuyoshi, Fujii, Kazuhiko
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container_end_page 364
container_issue 4
container_start_page 361
container_title Respiratory investigation
container_volume 56
creator Ishizuka, Shiho
Sakata, Shinya
Yoshida, Chieko
Takaki, Akira
Saeki, Sho
Nakamura, Kazuyoshi
Fujii, Kazuhiko
description We report a 66-year-old Japanese male with end-stage renal disease (ESRD) and advanced non-small cell lung cancer (NSCLC) who was on hemodialysis. The patient harbored high programmed death ligand 1 (PD-L1) expression and was successfully treated with pembrolizumab. Laboratory examination upon diagnosis showed elevated serum creatinine (6.58 mg/dL). We administered pembrolizumab (200 mg/body) and repeated every 3 weeks. His renal dysfunction gradually progressed, hemodialysis was initiated after eight courses of pembrolizumab, and the antitumor effect was maintained at five months after hemodialysis initiation. Therefore, pembrolizumab can be administered for patients with ESRD and advanced NSCLC, who harbor high PD-L1 expression, during preparation for hemodialysis.
doi_str_mv 10.1016/j.resinv.2018.03.005
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The patient harbored high programmed death ligand 1 (PD-L1) expression and was successfully treated with pembrolizumab. Laboratory examination upon diagnosis showed elevated serum creatinine (6.58 mg/dL). We administered pembrolizumab (200 mg/body) and repeated every 3 weeks. His renal dysfunction gradually progressed, hemodialysis was initiated after eight courses of pembrolizumab, and the antitumor effect was maintained at five months after hemodialysis initiation. Therefore, pembrolizumab can be administered for patients with ESRD and advanced NSCLC, who harbor high PD-L1 expression, during preparation for hemodialysis.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>29764752</pmid><doi>10.1016/j.resinv.2018.03.005</doi><tpages>4</tpages></addata></record>
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subjects Aged
Anti-PD-1-antibody
Antibodies, Monoclonal, Humanized - administration & dosage
Antineoplastic Agents, Immunological - administration & dosage
B7-H1 Antigen - genetics
B7-H1 Antigen - metabolism
Carcinoma, Non-Small-Cell Lung - complications
Carcinoma, Non-Small-Cell Lung - drug therapy
Carcinoma, Non-Small-Cell Lung - genetics
Chronic renal failure
End-stage renal disease
Gene Expression
Hemodialysis
Humans
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - therapy
Lung Neoplasms - complications
Lung Neoplasms - drug therapy
Lung Neoplasms - genetics
Male
Neoplasm Staging
Pembrolizumab
Renal Dialysis
Treatment Outcome
title Successful treatment by pembrolizumab in a patient with end-stage renal disease with advanced non-small cell lung cancer and high PD-L1 expression
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