Table 2.
AEs | Grades according to CTCAE v4.0 | Action required for the AE management | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Elderly patients | younger patients | Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 | Hospitalization | Invasive procedure | Systemic corticosteroids | Additive immunosuppressive therapy | |||||||||
E | Y | E | Y | E | Y | E | Y | E | Y | E | Y | E | Y | E | Y | E | Y | ||
Skin reaction | 5 | 7 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
Asthenia | 4 | 2 | 0 | 7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
Nausea | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | |
Hypereosinophilia | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
Hypophysitis | 0 | 0 | 0 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 2 | 0 | 0 | |
Colitis | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 1 | 1 | 1 | 2 | 2 | 2 | 1 | 1 | |
Hepatitis | 0 | 0 | 0 | 0 | 2a | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 2 | 0 | 2 | 0 | 1 | 0 | |
Pneumopathy | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | |
Severe infection | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1a | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
Total n (%) | 11 (48) | 9 (43) | 6 (26) | 7 (33) | 5 (22) | 4 (19) | 0 | 1 (5) | 1 (4) | 0 | b5 (22) | 2 (9) | c4 (17) | 2 (9) | d5 (22) | 4 (19) | e2 (9) | 1 (4) | |
p value (Fisher’s exact test) | 0.44 | 1.00 | 0.72 | 1.00 | 0.45 | 0.24 | 0.40 | 0.72 | 0.58 |
aAEs observed in patients previously treated with PD1 inhibitor in a sequential treatment
bHospitalization: in elderly group (median 32 days, [4; 64]) was required for 4 patients (including 1 patient for 2 successive AEs)/in younger group (median 17 days, [10; 24])
cInvasive procedures were: in elderly group: rectosigmoidoscopy (n = 1), liver biopsy (n = 2), bronchial fibroscopy (n = 1)/in younger group: rectosigmoidoscopy (n = 2)
dFive patients needed systemic corticosteroids (including 1 patient for 2 successive AEs)
eAdditive immunosuppressive therapy: in elderly group: mycophenolate mofetil (n = 1), infliximab (n = 1)/in younger group: infliximab (n = 1)