Table 4. Treatment-related adverse events during the continuation period.
Nivolumab followed by ipilimumab (n=32) | Ipilimumab followed by nivolumab (n=32) | |||||
---|---|---|---|---|---|---|
Grade 1–2 | Grade 3 | Grade 4 | Grade 1–2 | Grade 3 | Grade 4 | |
Increased lipase | 5 (16%) | 5 (16%) | 2 (6%) | 6 (19%) | 4 (13%) | 2 (6%) |
Increased amylase | 8 (25%) | 1 (3%) | 1 (3%) | 4 (13%) | 1 (3%) | 0 |
Increased ALT | 7 (22%) | 0 | 0 | 6 (19%) | 0 | 0 |
Increased AST | 6 (19%) | 0 | 0 | 3 (9%) | 0 | 0 |
Increased bloodthyroid-stimulatinghormone | 2 (6%) | 0 | 0 | 4 (13%) | 0 | 0 |
Pruritus | 8 (25%) | 0 | 0 | 10 (31%) | 0 | 0 |
Vitiligo | 8 (25%) | 0 | 0 | 10 (31%) | 0 | 0 |
Rash | 5 (16%) | 0 | 0 | 7 (22%) | 0 | 0 |
Rash (maculopapular) | 6 (19%) | 0 | 0 | 3 (9%) | 1 (3%) | 0 |
Diarrhoea | 9 (28%) | 1 (3%) | 0 | 2 (6%) | 1 (3%) | 0 |
Nausea | 7 (22%) | 0 | 0 | 3 (9%) | 0 | 0 |
Vomiting | 4 (13%) | 0 | 0 | 4 (13%) | 0 | 0 |
Abdominal pain | 2 (6%) | 0 | 0 | 3 (9%) | 2 (6%) | 0 |
Colitis | 1 (3%) | 0 | 0 | 0 | 1 (3%) | 0 |
Acute pancreatitis | 0 | 0 | 0 | 0 | 2 (6%) | 0 |
Hypothyroidism | 7 (22%) | 0 | 0 | 8 (25%) | 0 | 0 |
Adrenal insufficiency | 1 (3%) | 1 (3%) | 1 (3%) | 2 (6%) | 0 | 0 |
Fatigue | 13 (41%) | 2 (6%) | 0 | 4 (13%) | 0 | 0 |
Arthralgia | 5 (16%) | 1 (3%) | 0 | 4 (13%) | 0 | 0 |
Back pain | 0 | 1 (3%) | 0 | 1 (3%) | 0 | 0 |
Muscle spasms | 1 (3%) | 1 (3%) | 0 | 0 | 0 | 0 |
Hyperglycaemia | 4 (13%) | 1 (3%) | 0 | 0 | 2 (6%) | 0 |
Cough | 4 (13%) | 0 | 0 | 1 (3%) | 0 | 0 |
Pneumonitis | 3 (9%) | 1 (3%) | 0 | 1 (3%) | 0 | 0 |
Headache | 4 (13%) | 0 | 0 | 2 (6%) | 0 | 0 |
Encephalitis | 0 | 0 | 1 (3%) | 0 | 0 | 0 |
Hypertension | 0 | 1 (3%) | 0 | 0 | 0 | 0 |
Cardiac failure | 0 | 1 (3%) | 0 | 0 | 0 | 0 |
Deafness | 0 | 1 (3%) | 0 | 0 | 0 | 0 |
Hearing impaired | 0 | 1 (3%) | 0 | 0 | 0 | 0 |
Data are n (%). ALT=alanine aminotransferase. AST=aspartate aminotransferase. No treatment-related deaths were recorded.