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. 2018 May;10(Suppl 13):S1516–S1533. doi: 10.21037/jtd.2017.12.52

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.