Table 1. Incidence of adverse events in combination studies with anti-PD-1/anti-PD-L1 agents.
Ref. | Trial | Treatment | Number of patients | AEs (%) | Grade 3/4 AEs (%) | Treatment discontinuation due to AEs (%) |
---|---|---|---|---|---|---|
(86) | Phase III | nivo + ipi | 945 | 96%. Diarrhea: 44; Fatigue: 35; Pruritus: 33 | 58.5% | 39.6% |
(88) | Phase II | pembro + ipi | 153 | 58%. Diarrhea: 46; Pruritus: 39; Rash: 39 | 42% | 20% |
(91) | Phase I | M + T ± D | 50 | Cohort A (M + T + D): Pyrexia: 63%; Fatigue: 54% | 4% | 4% |
Cohort B (M + T): Diarrhea: 30%; Rash: 25% | ||||||
Cohort C (T→M): Vomiting: 67% | ||||||
(92) | Phase I/II | pembro + D + T | 15 | NR | 67% | 33% |
(93) | Phase Ib | A + V + cobi | 11 | 20% (hypertransaminasaemia) | 40% elevation of CPK; sepsis; diarrhea and hypertransaminasaemia | 9% |
anti-PD-1, anti-programmed death antigen-1; anti-PD-L1, anti-programmed death antigen-ligand-1; nivo, nivolumab; ipi, ipilimumab; pembro, pembrolizumab; M, durvalumab; T, trametinib; D, dabrafenib; pts, patients; DLT, dose-limiting toxicity; NR, not reported; A, atezolizumab; V, vemurafenib; cobi, cobimetinib; CPK, creatine-phosphokinase.