Table 4.
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