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. 2018 Nov 8;363:k4226. doi: 10.1136/bmj.k4226

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.