Table 2.
Clinical, endoscopic, and histological characteristics and clinical course of patients with CPI-associated gastritis.
| Patient | Endoscopic features | Histopathological features | Treatment for ir-gastritis | Subsequent therapies | Autoimmune side effects after re-challenge |
|---|---|---|---|---|---|
| 1 | Moderate pangastritis | Lymphocytes Plasma cells Granulocytes Erosive mucosa 17 apoptoses/10 HPF |
Pantoprazole 40 mg 2×/day Prednisolone 1 mg/kg bw |
Dabrafenib plus trametinib | No re-challenge with CPI |
| 2 | Severe erosive pangastritis | Lymphocytes Plasma cells Granulocytes 4 apoptoses/10 HPF |
Pantoprazole 40 mg 2×/day Prednisolone 1 mg/kg bw |
Nivolumab plus relatlimab | No immune-related adverse events |
| 3 | Severe erythematous pangastritis | Lymphocytes Plasma cells Granulocytes Ulcerations 6 apoptoses/10 HPF |
Pantoprazole 40 mg 2×/day Prednisolone 1 mg/kg bw |
Pembrolizumab plus domatinostat | No immune-related adverse events |
| 4 | Severe pangastritis, separation of the gastric mucosa |
Lymphocytes Plasma cells Granulocytes 14 apoptoses/10 HPF |
Dexamethasone 8 mg Metoclopramide 10 mg 2×/day Pantoprazole 40 mg 2×/day |
Nivolumab | No immune-related adverse events |
| 5 | Severe hemorrhagic pangastritis | Lymphocytes Plasma cells Granulocytes Intestinal metaplasia 3 apoptoses/10 HPF |
Pantoprazole 40 mg 2×/day Prednisolone 1 mg/kg bw |
Nivolumab Binimetinib plus encorafenib |
No immune-related adverse events |
CPI, checkpoint inhibition; ir, immune-related. bw, bodyweight; HPF, high power field.