2024 Department of Medicine Grand Rounds | Drug-Induced Liver Injury: Focus on Immunotherapy-related Hepatitis

Duarte, CA US
May 22, 2024

Immunotherapy is very novel in the anticancer treatment modalities.  It is part of multiple trials performed at City of Hope.  Side effects like immunotherapy hepatitis is very common and management is evolving. Dr. Kahn is the director at USC for liver transplantation and has great expertise in using specialized immunosuppressive medications (like tacrolimus, mycophenolate) used in liver transplant recipients. These same medications are considered potential treatment in refractory cases of immunotherapy related hepatitis as per some studies. Therefore we need guidance and information regarding current data regarding these medications.  

Being that immunotherapy is very novel in treatment of multiple cancers, there is limited information about management of side effects. Immunotherapy-related hepatitis occurs in up to 1% to 7% of patients during monotherapy and up to 13% to 30 % cases treated with combination therapy with immunotherapy. Current treatment involves treatment with corticosteroids, however, there are many patients who have steroid refractory hepatitis and treatment for these patients is limited and involves use of other immunosuppressive medications (like tacrolimus, mycophenolate) and there is limited data and guidelines to address this question.  This activity will help providers keep up-to-date with current practice and provide education about new treatment strategies and latest research in this area.
 

Target Audience

All physicians.

Learning Objectives

  • Discuss the epidemiology and pathophysiology of immunotherapy-related hepatitis.
  • Review the evaluation process of patients with abnormal liver enzymes who are receiving immunotherapy alone or in combination.      
  • Integrate the current available data and guidelines to manage these patients.
  • Distinguish immunotherapy-related hepatitis from other common etiologies causing abnormal liver test results in patient with multiple cancers.
  • Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics).
     
Activity summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
    City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
    City of Hope designates this 2024 Department of Medicine Grand Rounds | Drug-Induced Liver Injury: Focus on Immunotherapy-related Hepatitis for a maximum of 1.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 1.00 Attendance
Activity opens: 
05/22/2024
Activity expires: 
05/23/2024
Event starts: 
05/22/2024 - 12:00pm PDT
Event ends: 
05/22/2024 - 1:00pm PDT
City of Hope
1500 E Duarte Rd
Duarte, CA 91010
United States

Virtual Meeting- Zoom

Jeffrey A. Kahn, MD   Professor of Clinical Medicine, Keck School of Medicine of USC; Medical Director, Liver Transplant Program

Presenter: Dr. Kahn has indicated that there are no relevant financial relationships.

Planner: Dupinder Singh, MD has indicated that there are no relevant financial relationships.

This presentation and/or comments will provide a balanced, non-promotional, and evidence-based approach to all diagnostic, therapeutic and/or research related content. 

CME Committee/Reviewer no relevant financial relationships:  Daneng Li, MD

ACCREDITATION STATEMENT: City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CREDIT DESIGNATION: City of Hope designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

The following credit type(s) are being offered for this course:

 AMA PRA Category 1 Credit™  1.0

The following may apply AMA PRA Category 1 Credit™ for license renewal:

Registered Nurses: Nurses may report up to 1.0 credit hours toward the continuing education requirements for license renewal by their state Board of Registered Nurses (BRN). AMA PRA Category 1 Credit™ may be noted on the license renewal application in lieu of a BRN provider number.

Physician Assistants: The National Commission on Certification of Physicians Assistants states that AMA PRA Category 1 Credit™ accredited courses are acceptable for CME requirements for recertification.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
    City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
    City of Hope designates this 2024 Department of Medicine Grand Rounds | Drug-Induced Liver Injury: Focus on Immunotherapy-related Hepatitis for a maximum of 1.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 1.00 Attendance
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