Table 2. . Cases of immunotherapy-induced hypophysitis.
Case number | 1 | 2 | 3 | 4 | 5 | 6 |
---|---|---|---|---|---|---|
Age | 70 | 70 | 64 | 77 | 46 | 24 |
Gender (M/F) | M | F | M | M | M | F |
Immunotherapy | Ipilimumab | Ipilimumab | Ipilimumab | Ipilimumab | Ipilimumab | Pembrolizumab |
Treatment dose (mg/kg) | 3 | 3 | 3 | 3 | 3 | 2 |
Number of cycles prior to event | 3 | 4 | 4 | 2 | 3 | 35 |
Hormonal defect (time of diagnosis) | Corticotroph, thyrotroph, gonadotroph | Corticotroph, thyrotroph | Corticotroph, gonadotroph | Corticotroph, thyrotroph, gonadotroph | Corticotroph, thyrotroph | Corticotroph, primary hypothyroidism |
MRI findings | No abnormalities | No abnormalities | Not performed | No abnormalities | Not performed | Not performed |
Symptoms | Headache, syncope | Nausea | Tiredness | Headache | Asymptomatic | Nausea, vomiting |
Dexamethasone dose (mg) | 16 | 8 | 8 | 10 | Not given | Not given |
Recovery from event | No | No | Yes | No | Yes | No |
Hormone replacement (at the end of follow-up) | Levothyroxine, testosterone, hydrocortisone | Hydrocortisone, levothyroxine | None | Hydrocortisone, levothyroxine | None | Hydrocortisone, levothyroxine |
Additional IMAEs | None | Rash | None | Rash | None | None |
F: Female; IMAE: Immune mediated adverse event; M: Male; MRI: Magnetic resonance imaging.