Table 4:
Discovery Cohort (N = 213) | Validation Cohort (N = 169) | |||||
---|---|---|---|---|---|---|
Odds Ratio | 95% CI | P value | Odds Ratio | 95% CI | P value | |
Immune Checkpoint Inhibitor Class | ||||||
Ipi + Nivo vs. Pembrolizumab | 3.34 | 1.1 – 9.8 | 0.001 | 3.37 | 1.4 – 8.1 | 0.009 |
Nivolumab vs. Pembrolizumab | 1.04 | 0.1 – 9.3 | 1.25 | 0.3 – 5.3 | ||
Ipilimumab vs. Pembrolizumab | 7.48 | 2.6 – 21.8 | 2.68 | 1.5 – 4.9 | ||
Ipi + Nivo vs. Ipilimumab | 0.45 | 0.2 – 1.0 | 1.26 | 0.5 – 2.9 | ||
Neutrophil-to-Lymphocyte Ratio | ||||||
≥ 5 vs. < 5 | 0.34 | 0.1 – 0.9 | 0.046 | 0.61 | 0.3 – 1.3 | 0.38 |
Vitamin D Intake | ||||||
Yes vs. No | 0.35 | 0.1 – 0.9 | 0.01 | 0.46 | 0.2 – 0.9 | 0.03 |
Characteristics with a univariate Fisher’s exact P-value of 0.30 or less were incorporated into a multivariable logistic regression. The model demonstrated higher odds of developing colitis in patients treated with combination (ipilimumab + nivolumab) or ipilimumab monotherapy compared to those treated with pembrolizumab monotherapy. Furthermore, NLR ≥ 5 and pre-treatment vitamin D supplementation were associated with decreased odds of colitis. The validation cohort confirmed the relationship between colitis and vitamin D intake.