Imjudo (tremelimumab) is an immunotherapy treatment for certain types of liver cancer and non-small cell lung cancer (NSCLC) in adults. It is given together with other anticancer medications. Imjudo (tremelimumab) is given as an infusion through the vein (IV). For liver cancer, it’s given just once on the first day of treatment. For NSCLC, it’s given every 3 weeks. It’s convenient since it lasts a while in the body, but commonly causes mild rash and diarrhea. Imjudo (tremelimumab) can also cause other rare, serious side effects due to overstimulating the immune system.
Hepatocellular carcinoma (liver cancer) that can’t be removed with surgery, together with Imfinzi (durvalumab)
Metastatic non-small cell lung cancer without EGFR or ALK gene changes, together with Imfinzi (durvalumab) and platinum-based chemotherapy
Your immune system keeps your body healthy by fighting infections and cancer cells. Typically, your body has a system in place to prevent the immune system from becoming too active and attacking healthy cells in your body. There's a special protein called CTLA-4 that cells in your body use to keep the immune system in check. But sometimes, cancer cells use this protein as a way to “hide” from your immune system, allowing the cancer to grow and spread.
Imjudo (tremelimumab) is an immune checkpoint inhibitor (immunotherapy). More specifically, it’s an CTLA-4 inhibitor. By blocking CTLA-4, Imjudo (tremelimumab) helps the immune system detect and attack cancer cells.
Source: DailyMed
Side effects that you should report to your care team as soon as possible:
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
Lasts a long time in the body, so it doesn’t need to be given daily
Only a single dose needed along with Imfinzi (durvalumab) for hepatocellular carcinoma (HCC)
Uses your own immune system to attack the cancer
Commonly causes rash, fatigue, and nausea
Can cause rare but serious immune-related side effects
Requires monitoring time after infusion to check for infusion reactions
Imjudo (tremelimumab) is given as an infusion through the vein (IV). It’s uncommon, but some people have reactions to the IV infusion. You’ll be monitored for an hour after finishing your Imjudo (tremelimumab) infusion to make sure you don’t have any reactions to the treatment. Let your healthcare team know immediately if you notice any signs of an infusion reaction, like trouble breathing, dizziness, chest pain, flushing, or chills during or after the infusion. They can pause the infusion and manage your symptoms. Once the reaction is under control, they can restart the infusion at a slower rate, and give you medications to prevent reactions in the future.
It’s common to have rash with Imjudo (tremelimumab) that can be itchy. Let your healthcare team know if you have a worsening rash, blisters, or peeling skin. They might recommend other treatments for your rash and have you take a break from Imjudo (tremelimumab) while your skin returns to normal.
Fatigue is a common side effect of cancer treatments including Imjudo (tremelimumab). If you feel tired or weak, do your best to stay well-rested, eat well, and stay hydrated. Light exercise and movement can also help prevent fatigue. You might need to adjust your routine to schedule activities when you have more energy.
Diarrhea is another common Imjudo (tremelimumab) side effect. Keep track of your bowel habits to make sure you’re having regular bowel movements while taking this medication. Contact your healthcare team if you notice blood or mucus in your stool, have severe stomach pain, or are having more bowel movements a day than usual. They’ll check if you have an infection that’s causing your diarrhea, make sure the diarrhea isn’t making you dehydrated, and recommend strategies or medications to manage the diarrhea.
Immune-related adverse events are rare but serious side effects of immunotherapy, including Imjudo (tremelimumab). These side effects can happen to any part of your body at any time, even after you’ve stopped taking this medication. Your provider will monitor your blood tests to check if you have signs of these reactions. Keep track of how you’re feeling, and contact your provider if you notice anything out of the ordinary with your body, such as new or worsening shortness of breath, skin changes, chest pain, vision changes, or muscle and joint soreness.
Imjudo (tremelimumab) is likely to cause harm or death to the unborn baby, based on studies done in animals. If you’re able to become pregnant, your provider will have you do a pregnancy test before starting this medication. Use birth control while on Imjudo (tremelimumab) and for 3 months after stopping this medication.
There aren’t any studies about whether Imjudo (tremelimumab) is safe while breastfeeding, so you should avoid breastfeeding while taking Imjudo (tremelimumab) and for at least 3 months after stopping the medication.
Imjudo (tremelimumab) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Imjudo (tremelimumab) works by activating the immune system to attack cancer. But in some people, the immune system can become overactive and cause very serious immunotherapy side effects. These reactions can happen any time after you start Imjudo (tremelimumab) treatment. Most commonly, they affect the lungs, gut, and skin, but they can affect any part of the body.
Before each Imjudo (tremelimumab) dose, your provider will check your blood tests to see if your organs are healthy. Let your provider know if you have new or worsening breathing problems, rash, or diarrhea. Those could be signs of rare, serious immunotherapy side effects.
If you experience an immune-related side effect, it’s important that you get medical attention as soon as possible to lower the risk of serious damage. Your provider might have you take a break from Imjudo (tremelimumab) while checking up on you. They might also recommend steroids or other medications to stop the inflammation from the overactive immune system.
Some people had reactions to the Imjudo (tremelimumab) infusion, which in rare cases was life-threatening. Alert your healthcare team if you have trouble breathing, chills, flushing, upset stomach, or chest discomfort with the infusion. They’ll pause the infusion and give you medication to manage your symptoms. If the infusion reaction isn’t serious, they’ll resume the Imjudo (tremelimumab) infusion at a slower rate to make sure you’re doing well with the infusion. They might also give you medications to take before your Imjudo (tremelimumab) infusion to prevent reactions in the future.
Based on how Imjudo (tremelimumab) works and on animal studies, Imjudo (tremelimumab) is likely to cause harm to the unborn baby. If you’re able to have children, your provider will ask you to do a pregnancy test before starting Imjudo (tremelimumab). Use birth control if you’re taking Imjudo (tremelimumab), and continue using birth control until 3 months after stopping the medication. If you become pregnant while taking Imjudo (tremelimumab), let your healthcare team know right away.
Your provider will determine your Imjudo (tremelimumab) treatment schedule based on the cancer type. You’ll also receive other medications, like Imfinzi (durvalumab) and/or chemotherapy, as part of your treatment plan, sometimes even on the days you’re not receiving Imjudo (tremelimumab).
Liver cancer (adults who weigh 66 lbs or more): The typical dose is 300 mg infused through the veins (IV) on Day 1 of your first treatment cycle only.
NSCLC (adults who weigh 66 lbs or more): The typical dose is 75 mg infused through the veins (IV) for a maximum of 5 doses.
Cycles 1 to 4: Once every 3 weeks during the first 4 treatment cycles.
Cycle 5: No Imjudo (tremelimumab) infusion.
Cycle 6: Once on Day 1 of the 6th treatment cycle.
Your dose will be different if your body weight is less than 66 lbs.
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