Table 2. General management of immune-related adverse events caused by immune checkpoint inhibitors (55).
| Severity CTCAE grade | Ambulatory vs. inpatient care | Corticosteroids | Other immunosuppressive drugs | ICI |
|---|---|---|---|---|
| 1 | Ambulatory | Not recommended | Not recommended | Continue |
| 2 | Ambulatory | Topical or systemic steroids oral 0.5–1 mg/kg/day | Not recommended | Suspended temporally* |
| 3 | Hospitalization | Systemic steroids Oral or IV 1–2 mg/kg/day for 3 days then reduce to 1 mg/kg/day | To be considered for patients with unresolved symptoms after 3–5 days of steroid course Organ Specialist referral advised | Suspend and discuss resumption based on risk/benefit ratio with patient |
| 4 | Hospitalization consider intensive care unit | Systemic steroids iv methylprednisolone 1–2 mg/kg/day for 3 days then reduce to 1 mg/kg/day | To be considered for patients with unresolved symptoms after 3–5 days of steroid course; organ specialist referral advised | Discontinue permanently |
*, outside skin or endocrine disorders where immunotherapy can be maintained. ICI, immune checkpoint inhibitors.