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. 2019 Dec 19;9:19419. doi: 10.1038/s41598-019-56026-5

Table 1.

Treatment characteristics, demographic and clinic-biological data of ICI-related hypophysites recorded in the French Pharmacovigilance Database (FPVD) until May 2018.

Patients Immune Check Point Inhibitor(s) (ICI)
ipilimumab (ipi) nivolumab (nivo) Pembrolizumab (pembro) ipilimumab + nivolumab (ipi + nivo)
Number of cases 40 28 13 13
Women n (%) 21 (52·5) 12 (49·9) 7 (53·8) 9 (69·2)
Age (mean ± SD) (years) 68·4 (±15·2) 62·8 (±9·8) 65·4 (±15·8) 55·5 (±13·7)
Body Mass Index (mean ± SD) (kg/m2) 27·1 (±4·9) 23·7 (±4·42) 22·3 (±3·9) 25·37 (±3·94)
Previous immunotherapy (n) 2 1 1 0
ICI treatment (median [min-max])
Number of courses 4[1–7] 10[1–33] 7[1–19] 3[2–4]
Dose per course (mg) 235 [150–330] 242 [123–354] 136 [88–190] ipi 7460–90 + nivo 229 [190–260]
Cumulated dose before hypophysitis (mg) 756 [495–1140] 1901 [294–8910] 616 [120–3610] ipi 255 [146–300] + nivo 770 [438–924]
Time of onset (days) 79 [14–506] 155·5 [5–552] 184 [6–686] 119 [18–500]
Indication
Melanoma 40 7 13 11
Non small cell type lung cancer 0 17 0 1
Small cell type lung cancer 0 1 0 0
Colorectal cancer 0 1 0 0
Renal cell carcinoma 0 2 0 0
Pleural mesothelioma 0 0 0 1
Hypophysitis severity/outcome/MRI
Grade 1 0 0 0 0
Grade 2 9 4 4 4
Grade 3 17 22 9 9
Grade 4 5 2 0 0
Grade 5* 3 0 0 0
Recovered 1 0 1 0
MRI with pituitary enlargement 7 2 1 6
Management
Levothyroxine supplementation 15 1 1 3
Hydrocortisone supplementation 32 28 13 12
Other supplementation 1 0 0 0
Immunotherapy continuation 4 14 8 9

Qualitative data are expressed as number and rates, and qualitative ones as mean (±SD) or median with [minimal and maximal values]. Gradation of severity is detailed in the Methods section. MRI: magnetic resonance imaging.

*Without enough evidence to exclude disease progression fatality.