Table 3.
Cases of anaemia observed with nivolumab in the literature
Case report | No. of cycles before anaemia | Nivolumab dose | Type of anaemia | Primary malignancy | Mediator IgG or C3 | Treatment of AIHA | Immunotherapy re-challenge |
Yuki et al11 | 31 cycles | Nivolumab 2 mg/kg every 6 weeks | PRA (pure red cell aplasia) | Melanoma | None | High- dose steroids | Yes, without recurrence of anaemia |
Khan et al7 | 2 cycles | Nivolumab and ipilimumab | AIHA | Melanoma | Unknown | High-dose steroids, rituximab | Yes, with recurrence of anaemia |
Tardy et al9 | 2 cycles | Nivolumab 3 mg/kg | AIHA | Hodgkin lymphoma | IgG | High-dose steroids | Yes, without recurrence of anaemia |
Schwab et al10 | 8 cycles | Nivolumab 3 mg/kg every 2 weeks | AIHA | Squamous cell skin cancer | IgG, C3 | High-dose steroids | No |
Palla et al8 | 2 cycles | Nivolumab 3 mg/kg every 2 weeks | AIHA | Metastatic lung cancer | C3 | High-dose steroids | No; patient died |
Kong et al6 | 4 cycles | Nivolumab | AIHA | Metastatic melanoma | IgG | High-dose steroids | No |
AIHA, autoimmune haemolytic anaemia; Ig, imuunoglobulin.