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. Author manuscript; available in PMC: 2013 Jan 14.
Published in final edited form as: N Engl J Med. 2012 Jun 2;366(26):2443–2454. doi: 10.1056/NEJMoa1200690

Table 1.

Treatment-Related Adverse Events of Special Interest That Occurred in at Least 1% of All Treated Patients.

Event Anti-PD-1 Antibody, 0.1 mg/kg N = 18) Anti-PD-1 Antibody, 0.3 mg/kg (N = 19) Anti-PD-1 Antibody, 1.0mg/ kg(N = 79) Anti-PD-1 Antibody, 3.0 mg/kg (N = 50) Anti-PD-1 Antibody, 10.0 mg/kg (N = 130) Anti-PD-1 Antibody, Total (N = 296)
All Events Grade 3 or 4 Events All Events Grade 3 or 4 Events All Events Grade 3 or 4 Events All Events Grade 3 or 4 Events All Events Grade 3 or 4 Events All Events Grade 3 or 4 Events
number of patients (percent)
Any adverse event of special interest* 8 (44) 0 6 (32) 0 39 (49) 5 (6) 19 (38) 2 (4) 50 (38) 11 (8) 122 (41) 18 (6)
Pulmonary disorders
 Pneumonitis 0 0 0 0 3 (4) 2 (3) 1 (2) 0 5 (4) 1 (1) 9 (3) 3 (1)
 Allergic rhinitis 1 (6) 0 0 0 2 (3) 0 0 0 1 (1) 0 4 (1) 0
Diarrhea 1 (6) 0 2 (11) 0 15 (19) 0 3 (6) 0 12 (9) 3 (2) 33 (11) 3 (1)
Skin events
 Rash 3 (17) 0 2 (11) 0 16 (20) 0 4 (8) 0 11 (8) 0 36 (12) 0
 Pruritus 0 0 2 (11) 0 13 (16) 0 4 (8) 0 9 (7) 1 (1) 28 (9) 1 (<1)
 Vitiligo 3 (17) 0 0 0 3 (4) 0 2 (4) 0 0 0 8 (3) 0
 Pruritic rash 0 0 0 0 1 (1) 0 1 (2) 0 4 (3) 0 6 (2) 0
 Urticaria 0 0 0 0 0 0 3 (6) 0 2 (2) 0 5 (2) 0
 Macular rash 0 0 0 0 0 0 1 (2) 0 3 (2) 1 (1) 4 (1) 1 (<1)
 Alopecia 0 0 0 0 2 (3) 0 0 0 1 (1) 0 3 (1) 0
 Hypopigmentation 0 0 0 0 2 (3) 0 0 0 1 (1) 0 3 (1) 0
Laboratory investigations
 Alanine aminotransferase increased 0 0 1 (5) 0 4 (5) 0 2 (4) 0 4 (3) 2 (2) 11 (4) 2 (1)
 Thyroid-stimulating hormone increased 2 (11) 0 0 0 2 (3) 0 2 (4) 0 3 (2) 1 (1) 9 (3) 1 (<1)
 Aspartate aminotransferase increasec 0 0 1 (5) 0 2 (3) 0 2 (4) 1 (2) 3 (2) 1 (1) 8 (3) 2 (1)
Endocrine disorders
 Hypothyroidism 0 0 1 (5) 0 2 (3) 0 1 (2) 0 3 (2) 1 (1) 7 (2) 1 (<1)
 Hyperthyroidism 1 (6) 0 0 0 0 0 1 (2) 0 1 (1) 1 (1) 3 (1) 1 (<1)
Infusion-related reaction or hypersensitivty 0 0 0 0 2 (3) 0 3 (6) 0 4 (3) 1 (1) 9 (3) 1 (<1)
*

The numbers reported within a column may not add up to the total number reported for “any adverse event of special interest” because patients who had more than one adverse event were counted for each event but were counted only once for “any adverse event of special interest” and because data for only those events that were reported in at least 1% of all treated patients are shown. Colitis, hepatitis, hypophysitis, and thyroiditis were among the adverse events of special interest that were reported in less than 1% of patients. PD-1 denotes programmed death 1.

Levels of alanine aminotransferase, thyroid-stimulating hormone, and aspartate aminotransferase were considered to be increased if they exceeded the upper limit of the normal range for the local laboratory.