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.
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.
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).
Associations between specific morphologic characteristics of first cirAE and hepatobiliary irAE, pulmonary irAE, ocular irAE, and other irAE were not significant.
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).
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
Patients with psoriasis as their first cirAE trended toward increased rates of thyroiditis, but this did not reach statistical significance.