Clinically Approved Monoclonal Antibodies-based Immunotherapy: Association With Glycemic Control and Impact Role of Clinical Pharmacist for Cancer Patient Care

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dc.authoridALTAIE, Anmar/0000-0002-2183-6830
dc.authorwosidALTAIE, Anmar/ITV-8235-2023
dc.contributor.authorAl-Taie, Anmar
dc.contributor.authorSheta, Najat
dc.date.accessioned2024-05-19T14:42:35Z
dc.date.available2024-05-19T14:42:35Z
dc.date.issued2024
dc.departmentİstinye Üniversitesien_US
dc.description.abstractPurpose: Compared with more conventional, nonspecific therapy options, such as radiotherapy and chemother-apy, monoclonal antibodies (mAbs) constitute a crucial approach of cancer treatment. Multiple autoimmune diseases have been observed during treatment with mAb medications, including autoimmune diabetes mellitus (DM). This study provides a narrative review of clinically approved mAbs in cancer treatment and focuses on the development of hyperglycemia and DM arising from using these therapies. Furthermore, it highlights the critical role of oncology clinical pharmacists in the management of autoimmune DM and patient care while using these medications in an oncology setting. Methods: An extensive literature search was conducted using various sources of electronic databases, such as Scopus, Embase, Web of Science, and PubMed, and search engines, such as Google Scholar, for studies on mAb classification, types, mechanisms of action, pharmacokinetic properties, current clinical applications, and the associated common adverse effects with significant recommendations for patient care in an oncology setting, along with focusing on the proposed mechanisms and clinical studies that reported the association of DM after the use of these therapies. Findings: There are 4 types (murine, chimeric, humanized, and human) and 3 classes (unconjugated, conjugated, and bispecific) of mAbs with several mechanisms of action that can destroy cancer cells, including preventing tu-mor cell survival cascades, inhibiting tumor growth by interfering with tumor angiogenesis, evading programmed cell death, and bypassing immune checkpoints. However, multiple endocrinopathies, autoimmune diseases, and complications were reported from the use of these medications, including the development of autoimmune DM and diabetic ketoacidosis. These autoimmune disorders were reported most with the use of immune checkpoint inhibitors, including inhibitors of the programmed cell death protein 1 (nivolumab and pembrolizumab), its lig-and (atezolizumab, avelumab, and durvalumab), and cytotoxic T-lymphocyte-associated protein 4 (ipilimumab). Implications: mAbs are considered important approaches for the treatment of many cancer types. However, a high incidence of hyperglycemia, type 1 DM, and diabetic ketoacidosis is observed with the use of these medications, particularly immune checkpoint inhibitors. It is important for oncologic clinical pharmacists to be involved in addressing these autoimmune disorders from the use of these immunotherapies via the provision of patient edu-cation, medication adherence support, close monitoring, and follow-up, which will lead to better health-related outcomes and improved patient quality of life.en_US
dc.identifier.doi10.1016/j.clinthera.2023.10.016
dc.identifier.endpagee44en_US
dc.identifier.issn0149-2918
dc.identifier.issn1879-114X
dc.identifier.issue1en_US
dc.identifier.pmid37932154en_US
dc.identifier.scopus2-s2.0-85176274712en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpagee29en_US
dc.identifier.urihttps://doi.org10.1016/j.clinthera.2023.10.016
dc.identifier.urihttps://hdl.handle.net/20.500.12713/5260
dc.identifier.volume46en_US
dc.identifier.wosWOS:001165779000001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofClinical Therapeuticsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectHyperglycemia Immune Checkpoint Inhibitors Immunotherapy Monoclonal Antibodies Dm Type 1en_US
dc.titleClinically Approved Monoclonal Antibodies-based Immunotherapy: Association With Glycemic Control and Impact Role of Clinical Pharmacist for Cancer Patient Careen_US
dc.typeReview Articleen_US

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