Table 3

Nephrologist-confirmed ICPi nephrotoxicity

AgeSexCancerICPi durationComorbiditiesOther drugsBaseline sCr mg/dL (umol/L)Peak sCr mg/dL (umol/L)Other IRAEUrine proteinUrine WBCDiagnosis/ biopsy resultTreatmentRenal outcome
63FMelanoma20 daysNone1.2 (105)1.7 (147)Yes3 mg/dL125 cel/uLAINStopping ICINon-recovery
68MMelanoma30 daysHypertensionPPI; diuretics1.2 (102)6.9 (609)Yes3 mg/dL125 cel/uLAINStopping ICPi+corticosteroidsNon-recovery
69MMelanoma83 daysHypertensionACEi/ARB; PPI; NSAIDs diuretics1.1 (97)2.4 (214)Yes3 mg/dL10 cel/uL+castsAINStopping ICPi+corticosteroidsFull recovery
76MMelanoma83 daysNone0.9 (81)1.7 (147)Yes3 mg/dL 0AINStopping ICPiPartial recovery
66MMelanoma30 daysHypertension, ischemic cardiomyopathyACEi/ARB; PPI; NSAIDs1.1 (95)3.9 (341)Yes – –AINStopping ICPi+corticosteroidsFull recovery
42MLymphoma35 daysHypertension0.8 (74)4.8 (427)No5.86 g/24 hours0MCD+ATNStopping ICPi+corticosteroidsPartial recovery
55MMelanoma181 daysHypertension0.9 (79)1.7 (147)Yes10 mg/dL0TMAStopping ICPi+corticosteroidsPartial recovery
56FMelanoma104 daysIschemic cardiomyopathyACEi/ARB0.7 (66)3.5 (306)Yes10 mg/dL0TMAStopping ICPi+corticosteroidsPartial recovery
45MMelanoma55 daysType 2 diabetes0.7 (61)0.9 (79)No9 g/24 hours –MCDStopping ICPi+corticosteroidsFull recovery
53FOvary64 daysNone0.7 (67)0.9 (81)No12 g/24 hours –Membranous nephropathyStopping ICPi+corticosteroidsFull recovery
39MColon61 daysNone0.9 (80)1.2 (109)No2.2 g/24 hours –Membranous nephropathyStopping ICPi+corticosteroidsFull recovery
72FOvary64 daysHypertensionACEi/ARB; PPI1.2 (106)2.1 (186)No70 cel/uLAINStopping ICPi+corticosteroidsPartial recovery
  • ACEi, angiotensin-converting enzyme inhibitors; AIN, acute interstitial nephritis; ARB, angiotensin-receptor blockers; ATN, acute tubular necrosis; ICPi, immune checkpoint inhibitors; IRAE, Immune-related adverse event; MCD, minimal change disease; NSAIDs, non-steroidal anti-inflammatory drugs; PPI, proton pump inhibitors; TMA, thrombotic microangiopathy; WBC, white blood cell count.