TABLE 3.
Summary results on the characteristics of patients with ICIs-P.
Characteristic | All cases (N = 61) |
---|---|
Age, years | |
Median (range) | 58 (23–82) |
Gender | N (%) |
Male/Female, N (%) | 37(60.7)/24(39.3) |
Tumor type | N (%) |
Melanoma | 18 (29.5) |
NSCLC | 16 (26.2) |
RCC | 6 (9.8) |
UC | 2 (3.3) |
metrocarcinoma | 2 (3.3) |
Other Tumor | 17 (27.9) |
Agent(ICIs) | N (%) |
Pembrolizumab | 23 (37.7) |
Nivolumab | 17 (27.9) |
Toripalimab | 3 (4.9) |
Atezolizumab | 2 (3.3) |
Nivolumab + Ipilimumab | 7 (11.5) |
Ipilimumab + Pembrolizumab | 4 (6.5) |
Pembrolizumab + bevacizumab | 1 (1.6) |
Other ICIs (Frequency only 1 time) | 4 (6.5) |
ICIs type | N (%) |
Anti-PD-1/L1 | 48 (78.7) |
Anti-CTLA-4 | 1 (1.6) |
Combination | 12 (19.7) |
The median time of onset, day (min-max) [IQR] | 108 (1–1,020) [52–278] |
Symptoms | N (%)# |
Typical symptoms of pancreatitis | 46 (78.0) |
Asymptomatic | 9 (15.2) |
Nonspecific symptoms | 4 (6.8) |
Elevation of serum amylase or lipase | N (%) |
Yes/No | 55(90.2)/6(9.8) |
Imaging findings of pancreatitis | N (%)# |
Yes/No | 53(91.4)/5(8.6) |
Grading of pancreatitis | N (%) |
G3-G4 | 39 (64.0) |
G2 | 15 (24.5) |
G1 | 7 (11.5) |
Other immune-related adverse events | N (%)* |
Colitis | 8 (12.3) |
Hepatobiliary injury | 12 (18.5) |
Dysthyroidism (hyper/hypo) | 5 (7.6) |
Gastritis | 2 (3.1) |
Hyperlipemia | 3 (4.6) |
Other irAEs | 6 (9.2) |
None | 29 (44.6) |
Treatment of pancreatitis | N (%) |
Intravenous fluids | 6 (9.8) |
Steroids/Steroids and other treatments | |
For pancreatitis only | 27 (44.3) |
For other reasons also | 18 (29.5) |
Discontinuation of ICIs therapy only | 2 (3.3) |
Other | 8 (13.1) |
Management of ICIs | N (%)# |
Permanently discontinued | 30 (58.8) |
Temporarily discontinued, then restarted | 7 (13.7) |
Continued | 3 (5.9) |
Treatment already completed at the onset | 11 (21.6) |
Outcome | N (%) |
Improvement | 51 (83.6) |
Death | 5 (8.2) |
Recurrence | 5 (8.2) |
Abbreviations: #Some articles are not available; *Some cases had multiple adverse reactions; ICIs-P, Immune checkpoint inhibitors-induced pancreatitis; N,number; NSCLC, non-small cell lung carcinoma; RCC, renal cell carcinoma; UC, urothelial carcinoma; PD-1, programmed cell death protein 1; PD-L1, programmed death ligand 1; CTLA-4, cytotoxic T lymphocyte antigen 4; IQR, interquartile range.