Table 1.
Characteristics of melanoma patients with CPI-associated gastritis.
| Patient | 1 | 2 | 3 | 4 | 5 |
|---|---|---|---|---|---|
| Stage (AJCC, eighth edition) | IV | IV | IV | IV | IV |
| Age | 41 | 38 | 45 | 54 | 52 |
| Sex | Female | Male | Male | Female | Female |
| Other autoimmune events | Hepatitis (concurrent with gastritis) |
Lichen ruber (4 months before gastritis) |
Hypophysitis Thyroiditis (2 months before gastritis) |
Thyroiditis (3 months before gastritis) |
None |
| Weight loss | None | 9 kg in 3 w | 10 kg in 3 w | 8 kg in 3 w | None |
| Clinical symptoms | Nausea | Nausea | Heartburn | Nausea | |
| Vomiting | Vomiting | Appetite loss | Vomiting | Hemoglobin loss | |
| Epigastric pain | Nausea | ||||
| Time between start of CPI and occurrence of symptoms (days) | 29 | 336 | 118 | 166 | 50 |
| Last therapy before onset of gastritis | Ipilimumab and nivolumab | Pembrolizumab and epacadostat | Nivolumab | Nivolumab and relatlimab | Ipilimumab and nivolumab |
| Previous therapies | None | None | Ipilimumab/nivolumab | None | BRAF/MEK inhibition |
AJCC, American Joint Committee on Cancer; CPI, checkpoint inhibition; w, weeks.