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).