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Severe Hyponatremia and Immune Nephritis Following an Initial Infusion of Nivolumab

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Abstract

Anti-programmed cell death-1 (PD-1) antibodies pembrolizumab and nivolumab are becoming increasingly important in the treatment of melanoma and non-small cell lung cancer. These agents are known to induce many immune-related adverse events, but rapid-onset nephritis and immune-related hyponatremia have not been described to date. We describe the case of an adult patient who developed severe hyponatremia and rapid-onset nephritis following the first infusion of nivolumab for metastatic melanoma.

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References

  1. Hodi FS, O’Day SJ, McDermott DF, Weber RW, Sosman JA, et al. Improved survival with ipilimumab in patients with metastatic melanoma. N Engl J Med. 2010;363(8):711–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Robert C, Long GV, Brady B, Dutriaux C, Maio M, et al. Nivolumab in previously untreated melanoma without BRAF mutation. N Engl J Med. 2015;372:320–30.

    Article  CAS  PubMed  Google Scholar 

  3. Postow MA, Chesney J, Pavlick AC, Robert C, Grossman K, et al. Nivolumab and ipilimumab versus ipilimumab in untreated melanoma. N Engl J Med. 2015;372(21):2006–17.

    Article  PubMed  Google Scholar 

  4. Weber JS, D’Angelo SP, Minor D, Hodi FS, Gutzmer R, et al. Nivolumab versus chemotherapy in patients with advanced melanoma who progressed after anti-CTLA-4 treatment (CheckMate 037): a randomised, controlled, open-label, phase 3 trial. Lancet Oncol. 2015;16:375–84.

    Article  CAS  PubMed  Google Scholar 

  5. Opdivo [package insert]. Princeton, NJ: Bristol-Meyers Squibb; 2016.

  6. Nivolumab Clinical Trials. U.S. National Library of Medicine. 2013. https://clinicaltrials.gov/ct2/results?term=nivolumab&Search=Search. Accessed 21 Sept 2015.

  7. Luke JJ, Ott PA. PD-1 pathway inhibitors: the next generation of immunotherapy for advanced melanoma. Oncotarget. 2015;6(6):3479–92.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Barbee MS, Ogunniyi A, Horvat TZ, Dang T. Current status and future directions of the immune checkpoint inhibitors ipilmumab, pembrolizumab, and nivolumab in oncology. Ann Pharmacother. 2015;49(8):907–37.

    Article  CAS  PubMed  Google Scholar 

  9. Naranjo CA, Busto U, Sellers EM, Sandor P, Ruiz I. A method for estimating the probability of adverse drug reactions. Clin Pharmacol Ther. 1981;30(2):239–45.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Jeremy W. Vandiver.

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JWV, ZS and CH declare no conflict of interest.

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Vandiver, J.W., Singer, Z. & Harshberger, C. Severe Hyponatremia and Immune Nephritis Following an Initial Infusion of Nivolumab. Targ Oncol 11, 553–556 (2016). https://doi.org/10.1007/s11523-016-0426-9

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  • DOI: https://doi.org/10.1007/s11523-016-0426-9

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