Table 2.
Effect of treatment on each specific grade 1-5 adverse event. Values are odds ratios* unless stated otherwise
Group | Fatigue | Pruritus | Rash | Diarrhoea | Colitis | Nausea | Vomiting | ALT increased | AST increased | Pneumonitis | CRE increased | Hypothyroidism | Hyperthyroidism | Arthralgia |
No of studies | 26 | 24 | 24 | 27 | 16 | 26 | 19 | 16 | 16 | 14 | 10 | 19 | 14 | 17 |
No of patients | 13 641 | 12 371 | 12 371 | 14 139 | 8729 | 13 641 | 9761 | 7666 | 7666 | 6855 | 4585 | 9252 | 7562 | 9762 |
Nivolumab as control | ||||||||||||||
Ipilimumab | 1.14 | 0.48 | 0.69 | 0.42 | 0.17 | 0.75 | 0.43 | 0.63 | 0.68 | 1.02 | 0.33 | 2.68 | 2.58 | 1.96 |
Tremelimumab | 0.84 | 0.55 | 0.24 | 0.15 | 0.99 | 0.61 | 0.52 | NA | NA | NA | NA | 1.49 | 0.72 | NA |
Pembrolizumab | 1.22 | 0.82 | 0.87 | 0.93 | 0.66 | 0.88 | 1.09 | 0.47 | 0.49 | 0.37 | 1.85 | 0.96 | 1.12 | 0.60 |
Atezolizumab | 1.26 | 1.21 | 1.13 | 1.28 | NA | 0.61 | 0.49 | NA | NA | 0.58 | NA | 0.67 | NA | 0.82 |
Two ICI drugs | 0.95 | 0.43 | 0.47 | 0.29 | 0.13 | 0.48 | 0.29 | 0.12 | 0.15 | 0.24 | 0.10 | 0.73 | 0.32 | 0.96 |
One ICI drug with conventional therapy | 0.55 | 0.79 | 0.47 | 0.31 | 0.24 | 0.23 | 0.28 | 0.49 | 0.72 | 0.19 | 0.71 | 3.73 | 1.53 | 0.55 |
Conventional therapy | 0.70 | 4.76 | 2.19 | 0.76 | 4.80 | 0.31 | 0.38 | 1.58 | 1.86 | 2.26 | 1.14 | 15.69 | 7.58 | 0.77 |
Ipilimumab as control | ||||||||||||||
Tremelimumab | 0.75 | 1.15 | 0.36 | 0.37 | 5.66 | 0.82 | 1.20 | NA | NA | NA | NA | 0.56 | 0.28 | NA |
Pembrolizumab | 1.08 | 1.71 | 1.28 | 2.24 | 3.79 | 1.17 | 2.53 | 0.74 | 0.72 | 0.37 | 5.63 | 0.36 | 0.44 | 0.31 |
Atezolizumab | 1.11 | 2.49 | 1.65 | 3.08 | NA | 0.82 | 1.14 | NA | NA | 0.57 | NA | 0.25 | NA | 0.42 |
Two ICI drugs | 0.84 | 0.90 | 0.68 | 0.70 | 0.74 | 0.65 | 0.67 | 0.19 | 0.22 | 0.24 | 0.32 | 0.27 | 0.13 | 0.49 |
One ICI drug with conventional therapy | 0.48 | 1.65 | 0.68 | 0.74 | 1.37 | 0.31 | 0.64 | 0.77 | 1.06 | 0.19 | 2.05 | 1.38 | 0.59 | 0.28 |
Conventional therapy | 0.62 | 9.95 | 3.20 | 1.83 | 27.91 | 0.42 | 0.88 | 2.51 | 2.74 | 2.23 | 3.47 | 5.84 | 2.92 | 0.40 |
Tremelimumab as control | ||||||||||||||
Pembrolizumab | 1.44 | 1.48 | 3.56 | 6.04 | 0.65 | 1.45 | 2.07 | NA | NA | NA | NA | 0.65 | 1.57 | NA |
Atezolizumab | 1.48 | 2.16 | 4.64 | 8.32 | NA | 1.00 | 0.94 | NA | NA | NA | NA | 0.45 | NA | NA |
Two ICI drugs | 1.12 | 0.78 | 1.91 | 1.89 | 0.13 | 0.80 | 0.56 | NA | NA | NA | NA | 0.50 | 0.44 | NA |
One ICI drug with conventional therapy | 0.65 | 1.43 | 1.92 | 1.99 | 0.24 | 0.38 | 0.53 | NA | NA | NA | NA | 2.51 | 2.11 | NA |
Conventional therapy | 0.83 | 8.63 | 8.93 | 4.96 | 5.04 | 0.51 | 0.73 | NA | NA | NA | NA | 10.58 | 10.57 | NA |
Pembrolizumab as control | ||||||||||||||
Atezolizumab | 1.03 | 1.47 | 1.29 | 1.37 | NA | 0.69 | 0.45 | NA | NA | 1.57 | NA | 0.69 | NA | 1.35 |
Two ICI drugs | 0.78 | 0.53 | 0.53 | 0.31 | 0.19 | 0.55 | 0.27 | 0.26 | 0.31 | 0.64 | 0.06 | 0.76 | 0.28 | 1.58 |
One ICI drug with conventional therapy | 0.45 | 0.97 | 0.54 | 0.33 | 0.36 | 0.26 | 0.25 | 1.04 | 1.48 | 0.53 | 0.38 | 3.85 | 1.35 | 0.92 |
Conventional therapy | 0.57 | 5.79 | 2.50 | 0.82 | 7.36 | 0.36 | 0.35 | 3.38 | 3.81 | 6.06 | 0.62 | 16.21 | 6.71 | 1.29 |
Atezolizumab as control | ||||||||||||||
Two ICI drugs | 0.75 | 0.36 | 0.41 | 0.23 | NA | 0.80 | 0.59 | NA | NA | 0.42 | NA | 1.12 | NA | 1.18 |
One ICI drug with conventional therapy | 0.43 | 0.66 | 0.41 | 0.24 | NA | 0.38 | 0.56 | NA | NA | 0.33 | NA | 5.57 | NA | 0.68 |
Conventional therapy | 0.56 | 3.96 | 1.93 | 0.59 | NA | 0.51 | 0.77 | NA | NA | 3.91 | NA | 23.47 | NA | 0.95 |
Two ICI drugs as control | ||||||||||||||
One ICI drug with conventional therapy | 0.57 | 1.83 | 1.00 | 1.06 | 1.89 | 0.48 | 0.95 | 4.03 | 4.76 | 0.79 | 6.67 | 5.01 | 4.75 | 0.58 |
Conventional therapy | 0.74 | 10.97 | 4.69 | 2.62 | 38.41 | 0.64 | 1.30 | 13.15 | 12.38 | 9.41 | 11.00 | 21.54 | 23.79 | 0.81 |
One ICI drug with conventional therapy as control | ||||||||||||||
Conventional therapy | 1.28 | 5.99 | 4.68 | 2.48 | 20.80 | 1.33 | 1.38 | 3.24 | 2.59 | 11.51 | 1.69 | 4.25 | 4.94 | 1.40 |
ALT=alanine transaminase; AST=aspartate transaminase; CRE=blood creatinine; ICI=immune checkpoint inhibitor; NA=not applicable.
Significant values are shown in italics.