Immune-related adverse events
Number of irAEs | |
One irAE | 97 (75%) |
Multiple irAEs | 32 (25%) |
ICI monotherapy | 11 |
ICI and non-ICI | 10 |
ICI and ICI | 11 |
Type of irAEs | |
Colitis/enteritis | 55 (32%) |
Pneumonitis | 51 (30) |
Hepatitis | 23 (14%) |
Thyroiditis | 8 (5%) |
Myocarditis | 5 (3%) |
Dermatitis | 5 (3%) |
Myositis | 4 (2%) |
Arthritis | 4 (2%) |
Hypophysitis | 4 (2%) |
Adrenal insufficiency | 3 (2%) |
Nephritis | 2 (1%) |
Pancreatitis | 2 (1%) |
Flare of underlying autoimmune disease | 2 (1%) |
Others | 2 (1%) |
CTCAE grade of irAEs | |
Grade 3 (severe) | 110 (85%) |
Grade 4 (life-threatening) | 14 (11%) |
Grade 5 (fatal) | 5 (4%) |
Hospital course | |
Length of hospital stay (mean) | 11 days |
Patients admitted to ICU | 11 (8%) |
Length of ICU stay (mean) | 7 days |
Management of irAEs | |
Methylprednisolone | 102 (80%) |
Prednisone | 21 (17%) |
Dexamethasone | 2 (1.5%) |
Hydrocortisone | 2 (1.5%) |
Steroids-refractory irAEs | 12 (9%) |
Infliximab | 6 |
IVIG | 2 |
Infliximab and IVIG | 1 |
Mycophenolate mofetil | 2 |
Vedolizumab | 1 |
Dose of steroids | |
<1 mg/kg/day | 10 (8%) |
=1 mg/kg/day | 79 (62%) |
>1 mg/kg/day | 38 (30%) |
The irAEs-related admissions | |
Total number of admissions | 194 |
ITOX service | 140 (72%) |
Other services | 54 (28%) |
Readmission rate | 26.00% |
CTCAE, common Terminology Criteria for Adverse Events; ICI, immune checkpoint inhibitor; ICU, intensive care unit; irAEs, immune-related adverse events; ITOX, immune toxicity; IVIG, intravenous immunoglobulin.