Table 3

Tolerance of ICI reintroduction

Patient 1Patient 2Patient 3Patient 4Patient 5Patient 6Patient 7
Delay of resumption of ICI after meningitis
(days)
37354241184
(No ICI discontinuation)
12619
ICI regimen at the rechallengeIpilimumab
1 mg/kg
+nivolumab
3 mg/kg
Ipilimumab
1 mg/kg
+nivolumab
3 mg/kg
Spartalizumab
400 mg
Nivolumab
3 mg/kg
Nivolumab
3 mg/kg
Spartalizumab
400 mg
+ribociclib
600 mg/day
Nivolumab
3 mg/kg
Steroid treatment at the time of ICI resumption*0.5 mg/kg/day000000
Meningitis recurrenceNoNoNoNoNoNoNo
Other irAEs occurrence at rechallenge with ICIsNoNoInterstitial lung disease (grade 3)NoNoNoNo
Cancer status at 3 months from rechallenge with ICIsPDPRPDPDPRPDPR
Cancer status at latest follow-up
(months from rechallenge)
Death caused by cancer progressionMaintained CR
(32 months)
Maintained PR
(25 months)
Death caused by cancer progressionMaintained PR
(6 months)
Death caused by cancer progressionMaintained PR
(17 months)
  • *Prednisone equivalent doses.

  • CR, complete response; ICI, immune-checkpoint inhibitor; irAE, immune-related adverse event; PD, progression disease; PR, partial response.