Cancer Immunotherapy: An Evidence-Based Overview and Implications for Practice

Clin J Oncol Nurs. 2017 Apr 1;21(2 Suppl):13-21. doi: 10.1188/17.CJON.S2.13-21.

Abstract

Background: Significant research progress has been made in immunotherapies since the mid-1990s, and this rapid evolution necessitates evidence-based education on immunotherapies, their pathophysiology, and their toxicities to provide safe, effective care. .

Objectives: The aim of this article is to provide an evidence-based overview, with implications for practice, of checkpoint inhibitors, monoclonal antibodies, oncolytic viral therapies, and chimeric antigen receptor T-cell therapies. .

Methods: Each immunotherapy category is presented according to the pathophysiology of its immune modulation, the classes of agents within each category, evidence-based toxicities associated with each class, and implications for practice. .

Findings: Immunotherapies vary in their pathophysiology and offer potential to be highly effective for the management of a wide array of cancer types. Understanding the unique pathophysiology and toxicities is necessary to assess, manage, and provide safe, effective patient-focused care.

Keywords: immunotherapy; monoclonal antibodies; pathophysiology; toxicities.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antibodies, Monoclonal / therapeutic use*
  • Education, Nursing, Continuing
  • Evidence-Based Nursing / education
  • Evidence-Based Nursing / standards*
  • Female
  • Humans
  • Immunotherapy / standards*
  • Male
  • Melanoma / immunology*
  • Melanoma / therapy*
  • Middle Aged
  • Patient-Centered Care / standards*
  • Practice Guidelines as Topic*

Substances

  • Antibodies, Monoclonal