Patient | Age | Sex | Malignancy | Immunotherapy | irAE | Serology | Time to onset (weeks) | Treatment | Improvement | Immunotherapy held for irAE |
---|---|---|---|---|---|---|---|---|---|---|
1 | 74 | F | NSCL | Nivolumab | Arthritis | ANA 1:160 Anti-dsDNA 77 | 7.3 | Prednisone 40 mg | Significant | Y |
2 | 49 | F | Melanoma | Ipilimumab Pembrolizumab | Arthritis | 52.7 | Prednisone 20 mg HCQ | Moderate | Y | |
3 | 42 | F | RCC | Ipilimumab/nivolumab | Arthritis | 3 | Prednisone Infliximab, MTX Etanercept | Moderate | N | |
4 | 57 | M | RCC | Ipilimumab/nivolumab | Arthritis | RF 214 | 48.4 | Prednisone MTX Etanercept Adalimumab | Significant | N |
5 | 59 | F | Melanoma | Ipilimumab/nivolumab | Arthritis | 21.7 | Prednisone 60 mg | Minimal | N | |
6 | 81 | M | Melanoma | Ipilimumab/nivolumab | Arthritis | ANA 1.5 | 13.1 | Prednisone 15 mg | Moderate | Y |
7 | 57 | F | Melanoma | Ipilimumab/nivolumab | Arthritis Sicca | ANA 1:320 | 6.7 | Prednisone 30 mg | Significant | Y |
8 | 61 | M | Melanoma | Ipilimumab/nivolumab | Sicca | 5.3 | Prednisone 60 mg* | Significant | Y† | |
9 | 63 | M | RCC | Atezolizumab | Sicca | 21.9 | Prednisone 60 mg* | Significant | Y† | |
10 | 68 | M | Melanoma | Ipilimumab/nivolumab | Sicca PMR | ANA 1:1280 SSA | 8.1 | Prednisone 30 mg | Significant | Y |
11 | 79 | M | Melanoma | Nivolumab | PMR Sicca | 2 | Prednisone 20 mg | Moderate | Y | |
12 | 63 | M | RCC | Nivolumab | PMR | 213 | Prednisone 40 mg Infliximab | Minimal | Y | |
13 | 68 | M | NSCL | Tremelimumab Durvalumab | Myositis | 4.6 | IV methylpred Prednisone 60 mg | Moderate | Y |
*Prednisone given for hypophysitis.
†Immunotherapy held for hypophysitis.
Atezolizumab, anti-PD-L1; durvalumab, anti-PD-L1; HCQ, hydroxychloroquine; MTX, methotrexate; NSCL, non-small cell lung cancer; PMR, polymyalgia rheumatica; RCC, renal cell carcinoma; RF, rheumatoid factor; tremelimumab, anti-CTLA-4.