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. 2021 Mar 26;12:624686. doi: 10.3389/fendo.2021.624686

Table 5.

Published cases of Immunotherapy treatments for pituitary tumors and carcinomas.

Response in tumor growth Hormone reduction Treatment Tumor subtype Pathology Previous treatment Age/sex Ref, year [ref no]
intracranial:
decreased by 59%, liver met: decreased by 98%. SD after 6 months
Decreased ACTH by 100% IPI and NIV 5 cycles followed by NIV only ACTH-CA Liver: mitotic index 50%, PDL-1 <1% TSS, RT BAD, TMZ 41/F Lin (29)
SD Decreased ACTH by 30%, am cortisol by 64%, UFC by 74% IPI and NIV 4 cycles, then NIV maintenance and ketoconazole ACTH-CA Ki-67:<1% TSS, RT, TMZ 41/M Sol (30)
PD PD PEM 4 cycles ACTH MIB>3%,
PDL-1 negative
TSS, RT, TMZ 66/M Caccese (31)
Pituitary: decreased by 15%, liver met: decreased by 57–69%. PD after 12 months Decreased ACTH by >93% then PD IPI and NIV 5 cycles followed by NIV 21 cycles ACTH-CA Ki-67: 5%,
Liver: Ki-67 10%, PDL-1 negative
TSS, RT, TMZ 60/F Duhamel (94)
PD PD IPI and NIV 2 cycles PRL Ki-67: 25% TSS, RT, TMZ 68/M Duhamel (94)

NFPA, non-functioning pituitary adenoma; CA, carcinoma; TSS, transsphenoidal surgery; RT, radiation therapy; BAD, bilateral adrenalectomy; PEM, pembrolizumab; IPI, ipilimumab; NIV, nivolumab; HR, hormonal response; SD, stable disease; PD, progressive disease; UFC, urinary free cortisol.