Pharmacology of Immunotherapy Flashcards


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1

T cell CTLA interaction with APC B7 activates T cells?

False - inactivates

2

T cell PD-1 activation by PD-L1 inactivates T cells by blocking CD28/TCR-dependent signaling?

True

3

Cold tumors are not likely to trigger a strong immune response due to the exclusion of T cells in the microenvironment?

True

4

Checkpoint inhibitors would be especially useful in what type of tumor?

Cold

5

Which mAb targets CTLA-4 to block T cell-tumor interaction?

Ipilimumab

6

Which mAb targets PD1?

Nivolumab, Pembrolizumab

7

ADE of Nivolumab:

dyspnea, musculoskeletal pain

8

ADE of Pembrolizumab:

arthralgia, diarrhea, pruritis

9

Which mAb targets PD1?

Atezolizumab, Durvalumab

10

Hypo/hyper-thyroidism,
adrenal insufficiency, pancreatitis, T1DM, myasthenia gravis, Gullain-Barré Syndrome, ocular inflammation and p
otential toxicity to embryo or fetus are side effects of which agents:

Atezolizumab, Durvalumab

11

Capillary leak syndrome is associated with what agent?

Aldesleukin

12

Which agent is a recombinant IL-2 that induces T-cell and NK cell proliferation?

Aldesleukin

13

Patients should have normal renal and hepatic function; close supervision
in an ICU-capable facility is recommended for what agent?

Aldesleukin

14

What is the target of Interferon Alfa 2B?

IFNAR2 - activates JAK/STAT in T cells

15

Myelosuppression is associated with which agent?

Interferon Alfa-2B

16

Lenalidomide increases the production of what?

IL-2

IFNy

17

Sipuleucel-T reprograms a patient's PBMCs by exposure to:

PSA

PAP

18

Which vaccine increases a patient's GM-CSF?

T-VEC

Talimogene Laherparepvec

19

Which agents are used for CAR-T therapy?

Tisagenlecleucel, Axicabtagene Ciloleucel

20

MOA of CAR-T therapy?

T cell transfer to make a patient OVER-EXPRESS

CD28

TCR

that interacts with

CD19

21

CAR-T induced cytokine release is associated with what agent?

IL-6

22

What two agents can be used to treat CRS?

siltuximab and tocilizumab

23

Which two agents are anti-CD20 antibodies?

Rituximab, Obinutuzumab

24

Infusion reactions can be lethal with what agents?

Anti-CD20 agents (Rituximab, Obinutuzumab)

25

Which CD-20 agent has the lowest risk of infusion reactions?

Rituximab

26

Which two agents are radioisotope-conjugated anti-CD20 antibodies?

  1. Tositumomab: 131 Iodine
  2. Ibritumomab: 90 Yttrium

27

Which agent is an anti-CD19 antibody?

Blinatumomab

28

What is the BBW of Blinatumomab?

1. CRS

2. Neurotoxicity

29

Which agent is an anti-CD22 antibody?

Inotuzumab

30

What is the BBW of Inotuzumab?

Hepatotoxicity

QT prolongation

31

Which agent is an anti-CD33 antibody?

Gemtuzumab

32

Myelosuppression occurs in 100% of patients with which therapy?

Gemtuzumab

33

BBW of Gemtuzumab

Hepatotoxicity

Veno-occlusive disease

34

Which agent is an anti CD52 antibody?

Alemtuzumab:

35

Which agent can worsen thyroid gland disorders?

Alemtuzumab:

36

BBW of Alemtuzumab:

Potentially lethal infusion reactions

Autoimmune reactions

37

Which agent is an anti CXCR4 antibody?

Plerixafor

38

Which agent is an anti CD30 antibody?

Brentuximab vedotin

39

Brentuximab vedotin is conjugated to what

MMAE

40

Which mutations affect a protein whose activity is sufficient and necessary to cause neoplastic growth?

Driver mutations

41

What is primary driver of pancreatic cancer?

KRAS

42

Will Gefitinib work on KRAS?

No

-RAS signaling pathway no longer needed input to signal and does not respond to receptor blockade

43

What tumor suppressors are associated with hereditary breast and ovarian cancer?

BRCA1/BRCA2

44

What agent can be used for CML when imatinib no longer works due to clones that prevent binding?

Ponatinib