Approach to immune checkpoint inhibitor (ICI) nephrotoxicity and rechallenge
#ISNWCN π―π΅ #WCN26 π―π΅ #WCN2026 π―π΅
#Onconephrology π¦ #Nephpearls #NephSky
π pubmed.ncbi.nlm.nih.gov/32775813/
Practical suggestions for the diagnosis and management of hypertension before, during, and after the start of anticancer therapy
#ISNWCN π―π΅ #WCN26 π―π΅ #WCN2026 π―π΅
#Onconephrology π¦ #Nephpearls #NephSky
π pubmed.ncbi.nlm.nih.gov/36621810/
Cancer Therapy Related Hypertension
#ISNWCN π―π΅ #WCN26 π―π΅ #WCN2026 π―π΅
#Onconephrology π¦ #Nephpearls #NephSky
π pubmed.ncbi.nlm.nih.gov/36621810/
Hypomagnesemia
π Manifestations and its association with cancer
π Causes in patients with cancer
#ISNWCN π―π΅ #WCN26 π―π΅ #WCN2026 π―π΅
#Onconephrology π¦ #Nephpearls #NephSky
π pubmed.ncbi.nlm.nih.gov/37086496/
Individualized management of malignancy-associated hypercalcemia
#ISNWCN π―π΅ #WCN26 π―π΅ #WCN2026 π―π΅
#Onconephrology π¦ #Nephpearls #NephSky
ππΌ pubmed.ncbi.nlm.nih.gov/41623290/
ICYMI
recording up now youtu.be/4EiLrH2hUCA?...
@sbrimble.bsky.social #onconephrology #NephGR #NephSky
The subdistribution hazard ratios for progressive kidney dysfunction are shown for each drug group compared with their respective propensity scoreβmatched cohort. The blue dots represent the hazard ratio and 95% CIs. Due to wide confidence intervals, MET inhibitors results reported in the text and not displayed here. MET inhibitors are included in overall treated group. Model is adjusted for hypertension, diabetes, ischemic heart disease, congestive heart failure, chronic obstructive pulmonary disease, cirrhosis, age, sex, race, body mass index, and eGFR before drug start. ALK indicates anaplastic lymphoma kinase; BRAF, B-Raf proto-oncogene, serine/threonine kinase; CDK4/6, cyclin dependent kinase 4 or 6; EGFR, endothelial growth factor receptor; ERBB2, human epidermal growth factor receptor 2; PARP, poly(adenosine diphosphate-ribose) polymerase; VEGFR, vascular endothelial growth factor receptor.
large cohort study of
CDK 4/6
BRAF
EGFR
VEGF
and other cancer treatments
#OncoNephrology #NephSky #KidneyWk
jamanetwork.com/journals/jam... from Shuchi Anand et al from @stanfordmedicine.bsky.social
ICYMI
Full rounds with some great discussion here
youtu.be/PhHCf97_Gc8?...
#NephGR from @kdjhaveri.bsky.social
#onconephrology
Another treatment-related cause of AKI to remember: Teclistamab, a bispecific monoclonal antibody targeting CD3 and B cell maturation antigen, used for relapsing/refractory MM
More info: academic.oup.com/ndt/article/...
#onconephrology
@ndt-era.bsky.social, @hjanders.bsky.social
Light Chain MGUS Calculator
#Onconephrology π¦ #Nephpearls #NephSky
H/T @sabinekaram.bsky.social
π± istopmm.com/lcmgus/
π pubmed.ncbi.nlm.nih.gov/36100605/
Synapse: Your Connection to our MSK Authors
Meet: Sheron Latcha
Research Focus: Medicine; Attending
Onconephrology
#Onconephrology #CancerAndKidneys #NephroOncology #KidneyHealthInCancer #RenalComplications
synapse.mskcc.org/synapse/work...
Grand Rounds #Onconephrology Special Session: part 2: " #Kidney #Transplant Considerations with Plasma #Cell Disorders," with Dr. Chris Blosser @uwmedicine.bsky.social #nephsky
Watch: youtu.be/MpHzh6aoh98
Grand Rounds #Onconephrology Special Session: part 1: "Proliferative #Glomerulonephritis with Monoclonal #Immunoglobulin Deposits: Off the Path," with Dr. Bilal Malik @uwmedicine.bsky.social #nephsky #kidney
Watch: youtu.be/7eF2iJv3vqA
Inspired by the onco-nephrology session at the #ERA25 I really enjoyed this paper on tips for common clinical challanges in an onco-nephrology clinic. #onconephrology
url:academic.oup.com/ckj/article/doi/10.1093/...
A population pharmacokinetic approach to compare 51Cr-EDTA and 99 mTc-DTPA clearances in measuring renal glomerular filtration rate in oncopediatrics
#onconephrology
#openaccess
The SAARC #Onconephrology Course is supported by CKA's Chennai Kidney Associates @ChennaiKidney tie up with @northwellhealth.bsky.social -We are happy that both @drshyambansal @kdjhaveri.bsky.social are course directors. @theisn.org @isn-india.bsky.social
Congrats to all our fellows.
Intravenous Magnesium and Cisplatin-Associated Acute Kidney Injury (CP-AKI) from @kdjhaveri.bsky.social
#Nephpearls #Onconephrology π¦ #NephSky
ππΌ pubmed.ncbi.nlm.nih.gov/40272825/
πImmune checkpoint inhibitors: π¦ΈββοΈheroes in cancerπ¦, π¦ΉββοΈvillains for kidneys π«?
#ICI-AKI can hit both
Glomeruli (C3GN, MCD, vasculitis)
&
Tubulointerstitium (ATIN, ATN, tubulitis)
π doi.org/10.34067/KID... π
@asnpublications.bsky.social K360
#Onconephrology #Nephrology #AKI #NephSky #NephPearls
π§°New tools for early ICI-AKI detection!
π§Urine, π©Έ serum, and πΈ imaging markers are changing the game.
Protect kidneys π« , save lives!π±
π doi.org/10.34067/KID...
@asnpublications.bsky.social K360
@sabinekaram.bsky.social et al
#Nephrology #OncoNephrology #AKI #NephSky #MedSky
#NephPearls
Happy to share our recent publication on βRecovery from acute kidney injury treated with dialysis in patients with multiple myeloma treated with proteasome inhibitorsβ @juancarlosqvelez.bsky.social #NDT #OxfordPublications
#OncoNephrology
academic.oup.com/ndt/advance-...
π¦π¦΄Treatment of Cancer-Associated Hypercalcemia
β‘οΈStart with IV fluids
β‘οΈThen hit osteoclasts with #Bisphosphonates or #Denosumab
But remember, real control = treating the malignancy
π www.nejm.org/doi/full/10....
#Hypercalcemia #Malignancy #OncoNephrology #Nephrology #IM #Oncology #MedSky #NephSky
Case of TMA following Doxil administration. www.kidneymedicinejournal.org/article/S259... #renalpath #nephksy #pathsky #onconephrology
β‘οΈNew drugs, new electrolyte twistsβ‘οΈ
ICIs, SGLT2i, ARNI, ns-MRA,GLP-1RAβgame changers in nephrology, but are we watching their electrolyte impact closely?
This table breaks it down!
π Surprised
π doi.org/10.1007/s101...
#Nephrology #OncoNephrology #MedSky #Electrolytes
How common is PRRT with Lu 177 dotatate cause Stage 3 AKI requiring dialysis
If common...is there any antidote for the same to treat for renal recovery
@kdjhaveri.bsky.social
#oncoNephrology
#ask_renal
#ASKRenal
NephMadness Va
Mitch Rosner on immune checkpoint inhibitor and renal toxicity
With a #NephMadness #visualAbstract from @corinateodosiu.bsky.social
ajkdblog.org/2023/03/01/n...
#NephSky #ISNWCN #onconephrology
Check out these #ISNacademy #isneducation cases in #onconephrology. These are cases for now:
πImmune Check point inhibitor related kidney injury
π¬ Lysozyme nephropathy
x.com/ISNkidneycare/β¦ academy.theisn.org/products/isnasβ¦
Check out these #ISNacademy #isneducation cases in #onconephrology. These are cases for now:
πImmune Check point inhibitor related kidney injury
π¬ Lysozyme nephropathy
x.com/ISNkidneycare/β¦ academy.theisn.org/products/isnasβ¦
It will be exciting to meet the @onconephrology leaders in person, listen to their insights, and ask them questions. I am always grateful to @kdjhaveri for publishing his book on #onconephrology, which I highly recommend to my colleagues. #ISNWCN
Multiple Assessments of Glomerular Filtration Rate (GFR) in a Patient Treated with Selpercatinib.
Selpercatinib and artifactual creatinine increase
The authors argue exogenous markers (iohexol) better than endogenous - though 5.2 (iohexol) and 8.6 (Cystatin C) are pretty close?
Correspondence in the @nejm.org
www.nejm.org/doi/full/10.... ($ π)
#NephSky #OncoNephrology
Lenvatinib (VEGFR1-3 FGFR, PDGFR, RET protooncogene KI) induced nephrotic syndrome
from what I can see about 6 weeks to months to resolve after stopping
would people rechallenge with it? Lower dose or best to avoid?
#Askrenal #OncoNephrology
cc @kdjhaveri.bsky.social @aisha-shaikh.bsky.social