Discontinuation (n=44) | Retreatment (n=36) | ||||
N/median | %/range | N/median | %/range | P value | |
Type of irAE | |||||
Elevated AST/ALT | 11 | 25.0% | 5 | 13.9% | |
Colitis | 10 | 22.7% | 6 | 16.7% | |
Pneumonitis | 5 | 11.4% | 3 | 8.3% | |
Skin | 3 | 6.8% | 5 | 13.9% | |
Elevated lipase | 2 | 4.6% | 5 | 13.9% | |
Adrenal insufficiency | 2 | 4.6% | 2 | 5.6% | |
Hypophysitis | 2 | 4.6% | 3 | 8.3% | |
Nephritis | 2 | 4.6% | 1 | 2.8% | |
Arthritis | 1 | 2.3% | 3 | 8.3% | |
Encephalitis | 1 | 2.3% | 0 | 0.0% | |
Hypothyroidism | 1 | 2.3% | 1 | 2.8% | |
Myocarditis | 1 | 2.3% | 0 | 0.0% | |
Other | 1 | 2.3% | 1 | 2.8% | |
Peripheral neuropathy | 1 | 2.3% | 0 | 0.0% | |
Polymyalgia rheumatica | 1 | 2.3% | 0 | 0.0% | |
Type 1 diabetes | 0 | 0.0% | 1 | 2.8% | |
Grade of irAE | 0.37 | ||||
G1/2 | 18 | 40.9% | 19 | 52.8% | |
G3/4 | 26 | 59.1% | 17 | 47.2% | |
Hospitalization* | 0.007 | ||||
No | 15 | 34.1% | 24 | 66.7% | |
Yes | 29 | 65.9% | 12 | 33.3% | |
Any steroid use (local or systemic)* | 0.007 | ||||
No | 7 | 15.9% | 16 | 44.4% | |
Yes | 37 | 84.1% | 20 | 55.6% | |
Systemic steroid use | 0.28 | ||||
No | 1 | 2.7% | 2 | 10.0% | |
Yes | 36 | 97.3% | 18 | 90.0% | |
Systemic steroid use ≥40 mg* | 0.01 | ||||
No | 6 | 16.2% | 10 | 50.0% | |
Yes | 31 | 83.8% | 10 | 50.0% | |
Duration of steroid course >4 weeks | 0.64 | ||||
No | 4 | 10.8% | 1 | 5.0% | |
Yes | 33 | 89.2% | 19 | 95.0% | |
Additional line of immunosuppression | 0.37 | ||||
No | 40 | 90.9% | 35 | 97.2% | |
Yes | 4 | 9.1% | 1 | 2.8% | |
Time to irAE onset, mos | 2.7 | 0.4–74.7 | 2.8 | 0.3–46.1 | 0.59 |
Therapy interruption before retreatment, mos | NA | NA | 0.9 | 0.2–31.6 |
*p-value<0.05.
ALT, alanine transaminase; AST, aspartate transaminase; mos, months.