Table 4.
Characteristic | All cases (n = 91) |
---|---|
Age, years | |
Median (range) | 61 (22–84) |
Gender | |
Female/male | 36 vs 55 |
Ethnicity | |
Asian | 14/91 (15%) |
Tumor types | |
Melanoma | 48/91 (53%) |
NSCLC | 14/91 (15%) |
Past medical history* | 20/91 (22%) |
Prior immunotherapy | 22/91 (24%) |
IL-2 | 2/91 |
Interferon | 7/91 |
Ipilimumab | 16/91 |
Nivolumab | 3/91 |
Immune checkpoint inhibitor | |
Anti-CTLA-4 | 3/91 (3%) |
Anti-PD-1 | 65/91 (71%) |
Anti-PD-L1 | 7/91 (8%) |
Anti-CTLA-4 + anti-PD-1 | 14/91 (15%) |
Anti-PD-L1 + 4-1BB blockade | 1/91 |
CTLA-4 or PD-1 blockade | 1/91 |
Time-to-diagnosis in cycles (range) | 4.5 (1–17) |
Combination therapy | 2.7 (1–5) |
With/without DKA | 4 vs 5.9 |
GADA pos./GADA neg. | 3.1 vs 5.9 |
Diabetic ketoacidosis | 64/91 (71%) |
Glycemia, median (range) | 565 mg/dL (209–1211) |
Glycated hemoglobin, median (range) | 7.6% (5.4–11.4) |
Low-C-peptide at diagnosis | 58/69 (84%) |
Elevated lipase | 13/25 (52%) |
Positive pancreas autoantibodies | |
At least one | 47/88 (53%) |
Two or more | 13/88 (15%) |
Type of pancreas autoantibodies | |
GADA | 51% |
IA-2 | 18% |
ICA | 13% |
Anti-insulin | 26% |
ZnT8 | 4% |
HLA analysis | 51/91 (56%) |
Susceptible | 31/51 (61%) |
Susceptible and protective | 2/51 (4%) |
Neutral | 10/51 (20%) |
Protective | 8/51 (16%) |
Thyroid dysfunction with ICI | 21/91 (24%) |
Prior history of thyroid dysfunction | 2/21 |
*Diabetes mellitus, thyroid disease or risk thereof.
4-1BB, CD137; CTLA-4, cytotoxic T lymphocyte antigen 4; DKA, diabetes ketoacidosis; GADA, glutamic acid decarboxylase; HLA, human leukocyte antigen; IA-2, insulinoma-associated antigen-2; ICA, islet-cell antibodies; ICI, immune checkpoint inhibitor; IL-2, Interleukin-2; NSCLC, non-small cell lung cancer; PD-1, programmed cell death protein 1; PD-L1, programmed death-ligand 1; ZnT8, zinc transporter 8.