Table 1.
Summary of Cases Treated with MMF for CIP
| No. | Disease | ICIs | CIP Status | MMF Dosage | Combined Immune Modulators | CIP Outcome |
|---|---|---|---|---|---|---|
| 121 | ES-SCLC | Sintilimab | Grade 2 relapsed to Grade 3 with fungal and bacterial infections | 1.5g bid | Methylprednisolone, Infliximab | Poorly controlled CIP, death, survival 76 days |
| 221 | LUSC Stage IV | Sintilimab | Grade 3 relapse with fungal and bacterial infections | 1g bid | Methylprednisolone, IVIG (not used during relapse) | Initial response, poorly controlled CIP after relapse, death, survival 58 days |
| 322 | LUSC Stage IVB | Pembrolizumab | Grade 2 steroid-resistant, relapsed to Grade 3 | 1g qd | Prednisolone | Complete remission, no recurrence of CIP or lung cancer |
| 422 | LUSC Stage IVA | Pembrolizumab | Grade 3 steroid-resistant, relapse | 1g qd | Prednisolone | Complete remission, no CIP recurrence, but lung cancer progressed |
| 523 | LS-SCLC | Atezolizumab | Grade 3 with radiation-related pneumonia and bacterial infection | 1g bid | Methylprednisolone, Infliximab, IVIG | Significant symptom relief, radiological improvement, but liver metastasis progressed |
| 624 | LUSC Stage IIB | Atezolizumab | Grade 4 with Klebsiella pneumoniae infection | 1g bid | Methylprednisolone, IVIG | Significant symptom relief, radiological improvement |
| 725 | LUSC | Pembrolizumab | Grade 4 with cytomegalovirus infection | NA | Prednisone, IVIG | Disease worsened, death |
| 826 | Melanoma Stage IV | Pembrolizumab | Pneumonia relapse after steroid tapering | Bid | Prednisone, Infliximab | Steroid and MMF-resistant, rapid and durable response to infliximab, melanoma-maintained remission |
Abbreviations: ES-SCLC, Extensive-Stage Small Cell Lung Cancer; LUSC, Lung Squamous Cell Carcinoma; LS-SCLC, Limited-Stage Small Cell Lung Cancer; NA, Not Available.