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. 2021 Jun 16;9(17):4415–4422. doi: 10.12998/wjcc.v9.i17.4415

Table 1.

Severity grading of immune checkpoint inhibitor-induced hepatotoxicity according to National Cancer Institute’s common terminology criteria for adverse events version 4.03

Grade
1 mild
2 moderate
3 severe
4 life-threatening
AST (× ULN) > 1-3 × > 3-5 × > 5-20 × > 20 ×
ALT (× ULN) > 1-3 × > 3-5 × > 5-20 × > 20 ×
ALP (× ULN) > 1-2.5 × > 2.5-5 × > 5-20 × > 20 ×
GGT (× ULN) > 1-2.5 × > 2.5-5 × > 5-20 × > 20 ×
Total bilirubin (× ULN) > 1-1.5 × > 1.5-3 × > 3-10 × > 10 ×

AST: Aspartate aminotransferase; ALT: Alanine aminotransferase; ALP: Alkaline phosphatase; GGT: Gamma-glutamyl transferase; ULN: Upper limit of normal.