Table 3.
Endocrine IRAEs with PD1 and PDL1 antibodies
PD1 antibodies | |||||||||
---|---|---|---|---|---|---|---|---|---|
Study | Antibody | Cohort | Endocrinopathy | ||||||
Age (range) | n | Hypothyroidism | Hyperthyroidism | Adrenal insufficency | Hypophysitis | Other thyroid# | T1DM | ||
Topalian, et al(2012)12 | Nivolumab | 63 (29–85) | 296 | 7ǂ | 3 | NR | 2§ | NR | NR |
Topalian, et al(2014)11 | Nivolumab | 61 (29–85) | 107 | 6ǂ | 2 | NR | 1 | 1 | NR |
Motzer, et al(2015)109|| | Nivolumab | 61 (SD 9) | 168 | 10ǂ | NR | NR | NR | NR | NR |
Gettinger, et al(2015)67## | Nivolumab | 65 (38–85) | 129 | NR | NR | NR | NR | NR | NR |
Rizvi, et al(2015)113 | Nivolumab | 65 (57–71) | 117 | 3ǂ | NR | 1ǂ | NR | 1 | NR |
Brahmer, et al(2015)114 | Nivolumab | 62 (39–85) | 135 | 5ǂ | NR | NR | NR | NR | NR |
Robert, et al(2015)107 | Nivolumab | 64 (18–86) | 210 | 9ǂ | 7ǂ | NR | 1 | NR | 1 |
Larkin, et al(2015)132 | Nivolumab | 59 (25–90) | 316 | 27ǂ | 13ǂ | NR | 2 | NR | NR |
Robert, et al(2014)66 | Pembrolizumab | 59 (18–88) | 173 | 7ǂ | 3ǂ | NR | 2 | NR | NR |
Robert, et al(2015)115 | Pembrolizumab | 61–63 (18–89) | 556 | 52ǂ | 27ǂ | NR | 3 | NR | 2 |
Garon, et al(2015)116 | Pembrolizumab | 64 (28–93) | 495 | 34ǂ | 9ǂ | NR | NR | NR | NR |
Total | 2702 | 160 (5.9%) | 71 (3.3%) | 2 (1.7%) | 10 (0.6%) | 1 (1.3%) | 2 (0.4%) | ||
Event/Totalǂǂ | 160/2573 | 71/2153 | 2/117 | 10/1658 | 3/224 | 3/766 | |||
PDL1 antibodies | |||||||||
Study | Antibody | Cohort | Endocrinopathy | ||||||
Age (range) | n | Hypothyroidism | Hyperthyroidism | Adrenal insufficency | Hypophysitis | Other thyroid# | T1DM | ||
Brahmer, et al(2012) | MDX-1105 | 63 (29–83) | 207 | 6ǂ | NR | 2ǂ | NR | 2 | NR |
McDermott, et al(2016) | Atezolizumab | 61 (33–81) | 70 | 6ǂ | NR | NR | NR | NR | NR |
Total | 277 | 12 (4.3%) | NA | 2 (1.0%) | NA | 2 (1.0%) | NA | ||
Event/Totalǂǂ | 12/277 | NA | 2/207 | NA | 2/207 | NA |
Includes autoimmune thyroiditis, unspecified thyroid disorders.
Unspecified cause.
Reported as <1% of 296 patients, but exact number of event not reported;
18 endocrinopathies reported by no specifics given other than 10 hypothyroidism.
Eight endocrinopathies reported but no specifics given.
Percentage determined by total number of events divided from total number of patients only from studies reporting event. IRAE, immune-related adverse event; NA, not applicable; NR, none reported; T1DM, type 1 diabetes mellitus