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. Author manuscript; available in PMC: 2020 Jun 1.
Published in final edited form as: J Thorac Oncol. 2019 Mar 7;14(6):1102–1108. doi: 10.1016/j.jtho.2019.02.026

Table 2:

Treatment history and response data for 3 patient

Case
#
Prior
therapies
Prior
Radiation
therapy
(RT)
Type of
immune
checkpoint
inhibitor
(ICI)
Time
elapsed
betwee
n last
dose of
thoraci
c RT
and
initiatio
n of ICI
Best
response
to ICI
Length of time
on PD-1/PD-
L1 therapy
until
development
of pericarditis
Other irAEs Therapy and
Outcome
Histopathologic
findings
1 Carboplatin + Pemetrexed + Bevacizumab × 3 cycles Palliative RT to the right lung hilum (30 Gy) and right hip PD-L1 inhibitor 14 days Partial response (RECIST v1.1) 78 days None Presented with cardiac tamponade, and had cardiac arrest, did not respond to resuscitation and died Complete pathologic response in hilar, carinal lymph nodes, right upper lobe of liver and pancreas, residual viable tumor identified in the left adrenal gland Cytology negative for malignant cells in pericardial effusion
2 Carboplatin + Pemetrexed × 6 cycles followed by Pemetrexed maintenance Palliative RT (44Gy) to Right lung upper lobe PD-L1 inhibitor + CTLA-4 inhibitor 145 days Partial response (RECIST v1.1) 131 days Grade 2 hypothyroidism (day 42) Received pericardial drainage and pacemaker for arrhythmias, experienced further clinical decline and died 13 days after her presentation Complete pathologic response in bilateral lung, periportal and peripancreatic LNs, only residual disease limited to thyroid gland (contiguous dissemination)
3 Cisplatin + Pemetrexed + Multikinase TKI × 6 cycles, followed by Pemetrexed + TKI No prior RT PD-L1 inhibitor N/A Stable disease 98 days* None Received pericardial window, with symptomatic improvement, PD after further 3 months of therapy with no additional toxicity after reintroduction.

(*trace pericardial effusion noted in an imaging study after 60 days of therapy).