Table 1.
Characteristics [n (%)] | Patients with PAD (n = 27) |
---|---|
Demographics | |
Age, years (mean, SD) | 63.6 (11.5) |
Male | 14 (52) |
Caucasian | 26 (96) |
Pre-existing autoimmune disease | |
Rheumatoid arthritis | 8 (30) |
Psoriasis/psoriatic arthritis | 8 (30)* |
Inflammatory bowel disease | 4(15)* |
Axial spondyloarthritis | 3 (11) |
Systemic lupus erythematosus | 2 (7) |
Polymyalgia rheumatica | 1 (4) |
Dermatomyositis | 1 (4)* |
Others | 3 (11) |
Cancer type | |
Lung | 15 (56) |
Melanoma | 8 (30) |
Other | 4 (15) |
Cancer stage | |
2 | 1 (4) |
3 | 1 (4) |
4 | 25 (93) |
Cancer therapy | |
Pembrolizumab | 20 (74) |
Nivolumab | 7 (26) |
Ipilimumab | 2 (7)* |
Duration of ICI therapy, months (median, IQR) | 4.0 (2.0–9.0) |
Immune-related adverse events | |
No irAE | 6 (22) |
Any irAE | 21 (78) |
Flares | 14 (52) |
New irAE | 14 (52) |
New rheumatic irAE | 10 (37) |
New other irAE | 6 (22) |
CTCAE grade (PAD flares; new irAEs) | |
1 (asymptomatic/mild) | 4 (15); 3 (11) |
2 (moderate) | 8 (30); 6 (22) |
3 (severe) | 2 (7); 4 (15) |
4 (life-threatening) | 0; 1 (4) |
Time to flare, months (median, IQR) | < 1 (< 1–2) |
Treatment for irAE (for PAD flare; for new irAE) | |
Prednisone > 10 mg daily | 8 (30); 10 (37) |
Immunosuppressive drugs | 7 (26); 9 (33) |
Biologic drug | 1 (4); 0 |
ICI discontinuation (due to PAD flare; due to new irAE) | 2 (7); 8 (30) |
Tumor response to ICI therapy* | |
Complete response | 4 (15) |
Partial responses | 10 (37) |
Stabilization | 1 (4) |
Progression | 11 (41) |
Follow-up time, months (median, IQR) | 11.0 (6.0–17.5) |
ICI immune checkpoint inhibitor; irAE immune-related adverse event; PAD preexisting autoimmune disease
*Three patients had two pre-existing autoimmune diseases. All psoriatic arthritis patients had psoriasis. One patient received ipilimumab followed by pembrolizumab, and one patient received pembrolizumab followed by ipilimumab. Eleven patients had more than 1 irAE. Data on tumor response were missing in 1 patient