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. 2024 Jun 5;23(1):e0191. doi: 10.1097/CLD.0000000000000191

TABLE 1.

CTCAE (version 5.0) grading of immunotherapy hepatotoxicity

Grade 1 Grade 2 Grade 3 Grade 4 Grade 5
Serum AST/ ALT 1–3 × ULN (abn baseline) > 3–5 × ULN (abn baseline) > 5–20 × ULN (abn baseline) > 20 × ULN (abn baseline) Death
Alkaline phosphatase 2.5 × ULN (abn baseline) > 2.5–5 × ULN (abn baseline) > 5–20 × ULN (abn baseline) > 20 × ULN (abn baseline) Death
Total bilirubin 1–1.5 × ULN (abn baseline) > 1.5–3 × ULN (abn baseline) 3–10 × ULN (abn baseline) > 10 × ULN (abn baseline) Death

Abbreviations: abn, abnormal; ALT, alanine aminotransferase; AST, aspartate aminotransferase; CTCAE, common terminology criteria for adverse events; ULN, upper limit of normal.