A French study on the muscular and cardiac toxicity of immune checkpoint inhibitors

French researchers have investigated the adverse effects of immune checkpoint inhibitors, which are latest-generation anti-cancer drugs:

  • their research focused on the myotoxic and cardiotoxic effects of these molecules,
  • data from the national health data system (SNDS) were screened and analysed for the period 2011-2022,
  • based on 172,000 patients treated in France during this period, between 0.7 and 0.9% presented with myotoxicity (peaking at 7% for those treated for malignant thymoma),
  • and slightly fewer (0.3 to 0.6%) presented with cardiotoxicity.

The authors highlight the existence of predictive factors for the occurrence of such adverse effects, such as a history of autoimmune myasthenia gravis.

 

Incidence and risk factors of immune checkpoint inhibitor myocardial and muscle toxicity: a French nationwide study. Salem JE, Ajrouche A, Rozes A et al. Eur Heart J. 2025 Aug