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. 2021 Mar 24;157(5):1–6. doi: 10.1001/jamadermatol.2021.0326

Table 3. Associations Between cirAE Features and irAE Types.

Characteristic OR (95% CI) P value
Organ class of irAE
Endocrine irAE
cirAE morphologic characteristic (psoriasiform)b 4.54 (1.21-17.04) .03a
cirAEseverity 0.83 (0.34-2.03) .68
GI irAE
cirAE morphologic characteristic (mucositis)b 5.70 (1.11-29.40) .04a
cirAEseverity 1.74 (0.72-4.20) .22
Hepatobiliary irAE
cirAE morphologic characteristicc NS NS
cirAEseverity 0.44 (0.10-1.98) .28
Pulmonary irAE
cirAE morphologic characteristicc NS NS
cirAEseverity 1.3 (0.41-4.11) .65
Rheumatologic irAE
cirAE morphologic characteristic (mucositis)b 7.87 (1.18-52.74) .03e
cirAEseverity 0.27 (0.03-2.07) .21
Specific irAE diagnosis
Thyroiditis
cirAE morphologic characteristic (psoriasiform)d 3.68 (0.93-14.51) .06f
cirAEseverity 0.59 (0.19-1.80) .35
Gastroenterocolitis
cirAE morphologic characteristic (mucositis)d 6.80 (1.24-37.39) .03a
cirAEseverity 1.69 (90.67-4.26) .26
Arthritis
cirAE morphologic characteristic (mucositis)d 7.96 (1.18-53.62) .03e
cirAEseverity 0.31 (0.40-2.46) .27

Abbreviations: cirAE, cutaneous immune-related adverse event; GI, gastrointestinal; irAE, noncutaneous immune-related adverse event; NS, not significant; OR, odds ratio.

a

P values remained statistically significant with 2-sided P value beneath the critical value, as defined using the false discovery rate control method, with a false discovery rate of 0.15.14 ICI regimen was significant only in analyses of gastrointestinal irAEs and gastroenterocolitis.

b

Provided OR is for mucositis or psoriasiform first cirAE relative to reference category of maculopapular reaction in multivariate model adjusted for age, sex, ICI regimen (statistically significant to P < .05), and cancer type (statistically significant to P < .05).

c

Associations between specific morphologic characteristics of first cirAE and hepatobiliary irAE, pulmonary irAE, ocular irAE, and other irAE were not significant.

d

Provided OR is for psoriasiform or mucositis first cirAE relative to the reference category of maculopapular reaction in multivariate model adjusted for age, sex, ICI regimen (statistically significant to P < .05), and cancer type (statistically significant to P < .05).

e

The association between mucositis and rheumatologic irAE, and mucositis and arthritis had P values below the significance threshold of P < .05, but their significance did not remain after accounting for the issue of multiple hypothesis testing using the false discovery rate control method.4

f

Patients with psoriasis as their first cirAE trended toward increased rates of thyroiditis, but this did not reach statistical significance.