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. 2018 Apr 9;7(5):R196–R211. doi: 10.1530/EC-18-0079

Table 3.

Dysthyroidism induced by PD-1 antibodies according to pathology type.

Study (authors and publication year) Study phase (or name) Patient’s number Pathology Treatment Hypothyroidism (%) Hyperthyroidism (%) Thyroiditis (%)
Robert et al. (2014) (34) Phase 1 trial 173 Advanced melanoma which progressed after at least two ipilimumab doses i.v. pembrolizumab at 2 mg/kg every 3 weeks or 10 mg/kg every 3 weeks 4 1.7 NR
Robert et al. (2015) (33) Phase 3 study (KEYNOTE-006) 834 Advanced melanoma 1:1:1 pembrolizumab 10 mg/kg every 2 weeks or every 3 weeks or four doses of ipilimumab 3 mg/kg every 3 weeks 10.1/8.7/2 6.5/3.2/2.3 NR
Garon et al. (2015) (38) Phase 1 study (KEYNOTE-001) 495 Advanced NSCLC Pembrolizumab 2 mg or 10 mg/kg every 3 weeks or 10 mg/kg every 2 weeks 6.9 1.8 NR
Ribas et al. (2016) (35) Phase 1b study 655 Advanced or metastatic melanoma Pembrolizumab 10 mg/kg/2 weeks, 10 mg/kg/3 weeks, or 2 mg/kg/3 weeks 7 2 1
Langer et al. (2016) (39) Phase 2 study (KEYNOTE-021) 123 Stage IIIB or IV NSCLC without targetable EGFR or ALK genetic aberrations 4 cycles of pembrolizumab 200 mg plus carboplatin AUC 5 mg/mL/min and pemetrexed 500 mg/m2 every 3 weeks followed by pembrolizumab for 24 months (60 patients) vs the same treatment without pembrolizumab (63 patients) 15 (pembrolizumab + chemotherapy) 8 (pembrolizumab + chemotherapy) NR
Reck et al. (2016) (37) Phase 3 study (KEYNOTE-024) 305 Previously untreated advanced NSCLC with PD-L1 expression ≥50% of tumor cells and no sensitizing mutation of the EGFR gene or translocation of the ALK gene Pembrolizumab 200 mg every 3 weeks (154 patients) or the investigator’s choice of platinum-based chemotherapy (151 patients) 9.1 7.8 2.6
Seiwert et al. (2016) (40) Phase 1b study (KEYNOTE-012) 104 Recurrent or metastatic squamous cell carcinoma of the head and neck Pembrolizumab 10 mg/kg intravenously every 2 weeks 7 2 NR
Bellmunt et al. (2017) (43) Phase 3 study (KEYNOTE-045) 542 Advanced urothelial cancer that recurred or progressed after platinum-based chemotherapy Pembrolizumab 200 mg every 3 weeks vs the investigator’s choice of chemotherapy with paclitaxel, docetaxel, or vinflunine 6.4 3.8 0.8
Topalian et al. (2012) (68) Phase 1 study 296 Advanced melanoma, NSCLC, castration-resistant prostate cancer, or renal cell or colorectal cancer Nivolumab 0.1–10.0 mg/kg every 2 weeks 2 1 NR
Topalian et al. (2014) (69) Phase III trials 107 Advanced melanoma Nivolumab i.v. 1, 3, or 10 mg/kg/2 weeks 5.6 1.9 NR
Borghaei et al. (2015) (25) Phase III trials 580 NSCLC that had progressed during or after platinum-based doublet chemotherapy Nivolumab at a dose of 3 mg/kg/2 weeks (292 patients) or docetaxel at a dose of 75 mg/m2 of body-surface area every 3 weeks (290 patients) 7 1 0.34
Larkin et al. (2015) (27) Phase III trial (CheckMate 067) 945 Unresectable stage III or IV melanoma 1:1:1 nivolumab alone, nivolumab plus ipilimumab, or ipilimumab alone 8.6/15/4.2 4.2/9.9/1 NR
Brahmer et al. (2015) (70) Phase III trial (CheckMate 017) 272 Advanced NSCLC disease progression during or after first-line chemotherapy with limited treatment options Nivolumab, at a dose of 3 mg/kg/2 weeks (135 patients), or docetaxel, at a dose of 75 mg/m2 of body-surface area every 3 weeks (137 patients) 4/0 NR NR
Rizvi et al. (2015) (29) Phase II trial (CheckMate 063) 117 Advanced, refractory, squamous non-small-cell lung cancer Nivolumab i.v. 3 mg/kg every 2 weeks 3 1 1
Motzer et al. (2015) (26) Phase III trial (CheckMate 025) 821 Advanced clear-cell RCC and previous treatment with one or two regimens of antiangiogenic therapy 1:1 Nivolumab i.v. 3 mg/kg/2 weeks (410 patients) or a 10-mg everolimus tablet orally once daily (411 patients) NR NR NR
Weber et al. (2015) (28) Phase III trial (CheckMate 037) 405 Unresectable or metastatic melanoma, and progressed after ipilimumab, or ipilimumab and a BRAF inhibitor if BRAFV600 mutation-positive 2:1 Nivolumab i.v. 3 mg/kg/2 weeks (272 patients) or ICC (dacarbazine 1000 mg/m2/3 weeks or paclitaxel 175 mg/m2 combined with carboplatin area under the curve 6 every 3 weeks (133 patients) 5.9/0 1.9/0 NR
Ferris et al. (2016) (19) Phase III trial (CheckMate 141) 361 Recurrent SCC of the head and neck with disease progression within 6 months after platinum-based chemotherapy Nivolumab 3 mg/kg/2 weeks (240 patients) or standard, single-agent systemic therapy (methotrexate, docetaxel, or cetuximab) 121 patients 3.8/0.9 0.8/0 0.8/0
Sharma et al. (2017) (16) Phase II trial (CheckMate 275) 270 Metastatic or surgically unresectable locally advanced urothelial carcinoma Nivolumab 3 mg/kg intravenously every 2 weeks 8 NR NR

ALK, anaplastic lymphoma kinase; AUC, area under curve; EGFR, epidermal growth factor receptor; ICC, investigator’s choice of chemotherapy; i.v., intravenous; NCSLC, non-small-cell lung cancer; NR, not reported; RCC, renal cell carcinoma; SCC, squamous cell carcinoma.