In our practice, we tend to see patients every week while on ipi + nivo. We do so in order to pick up early toxicity as soon as possible and intervene accordingly. We typically do not draw routine weekly labs, but have a low threshold to do so depending on a sign or symptom prompting further evaluation.
On occasion, if a patient is not able to attend as frequently, phone calls may be substituted, however, for the most part, this is the exception to the rule.
What is the policy of other practices? How often are patients seen and is it typically by the RN, APP, or MD? Are labs obtained?