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. 2021 Oct 14;89(1):21–30. doi: 10.1007/s00280-021-04362-7

Table 4.

Treatment of interstitial pneumonia in the case group

Case Age (years) Sex Immune checkpoint inhibitors History of interstitial pneumonia Radiological pattern of interstitial pneumonia CTCAE grade of pneumonitis Initial therapy of corticosteroids Other treatment Results of treatment
1 58 M Pembrolizumab Cause unknown; from the time of lung cancer diagnosis (idiopathic interstitial pneumoniaa) Usual interstitial pneumonia Grade 3 Methylprednisolone sodium succinate drip infusion in vein 500 mg 3 days Tacrolimus oral administration 4 mg Oral corticosteroid administration continued while IV prednisolone was tapered Remission of interstitial pneumonia
2 74 M Nivolumab Nivolumab-induced interstitial pneumoniab Organizing pneumonia pattern Grade 3 Prednisolone sodium succinate drip infusion in vein 20 mg None Oral corticosteroid administration continued while IV prednisolone was tapered Remission of interstitial pneumonia
3 74 M Atezolizumab Cause unknown; from the time of lung cancer diagnosis (idiopathic interstitial pneumoniaa) Organizing pneumonia pattern Grade 2 Oral prednisolone 30 mg (0.5 mg/kg) None Oral corticosteroid administration continued while IV prednisolone was tapered Remission of interstitial pneumonia
4 64 M Nivolumab Radiation pneumonitis Organizing pneumonia pattern Grade 3 Methylprednisolone sodium succinate drip infusion in vein 1000 mg 3 days None Oral corticosteroid administration continued while IV prednisolone was tapered Remission of interstitial pneumonia
5 75 M Pembrolizumab Pembrolizumab-induced interstitial pneumoniab Organizing pneumonia pattern Grade 3 Prednisolone sodium succinate drip infusion in vein 50 mg (1 mg/kg) None Oral corticosteroid administration continued while IV prednisolone was tapered Remission of interstitial pneumonia
6 68 M Nivolumab Nivolumab-induced interstitial pneumoniab Organizing pneumonia pattern Grade 4c Methylprednisolone sodium succinatedrip infusion in vein 1000 mg 3 days None Prednisolone sodium succinate IV infusion 60 mg (1 mg/kg) death due to disease progression
7 69 M Pembrolizumab Pembrolizumab-induced interstitial pneumoniab Organizing pneumonia pattern Grade 1 Oral prednisolone 20 mg None Oral corticosteroid administration continued while IV prednisolone was tapered Remission of interstitial pneumonia
8 81 M Nivolumab Radiation pneumonitis Nonspecific interstitial pneumonia Grade 3 Prednisolone sodium succinate drip infusion in vein 60 mg (1 mg/kg) None Oral corticosteroid administration continued while IV prednisolone was tapered Remission of interstitial pneumonia
9 50 M Nivolumab Radiation pneumonitis Organizing pneumonia pattern Grade 2 Prednisolone sodium succinate drip infusion in vein 70 mg (1 mg/kg) None Oral corticosteroid administration continued while IV prednisolone was tapered Remission of interstitial pneumonia
10 71 M Nivolumab Radiation pneumonitis Nonspecific interstitial pneumonia Grade 3 Prednisolone sodium succinate drip infusion in vein 20 mg None Continue oral administration while tapering prednisolone interstitial pneumonia was remitted
11 76 F Nivolumab Radiation pneumonitis Organizing pneumonia pattern Grade 1 None (without hope for corticosteroids) None Oral corticosteroid administration continued while IV prednisolone was tapered Remission of interstitial pneumonia

CTCAE common terminology criteria for adverse events; IV intravenous

aIdiopathic interstitial pneumonia is an interstitial pneumonia of unknown cause

bImmune checkpoint inhibitor-induced interstitial pneumonia improved initially and then reoccurred when patients were re-challenged with immune checkpoint inhibitors

cRespiratory failure present