Table 3.
Rechallenging immune-checkpoint inhibitors and prevention of immune-related adverse events.
| Rechallenge | Class switch: PD-1/PD-L1 to CTLA4, vice versa (43, 138) |
| Resume same agent: After complete recovery from irAE (34, 135, 139) | |
| Drop CTLA4 agent: In patients who had irAE with CTLA4 and PD-1 combination (140) | |
| Prevention | Testing inflammatory markers such as lactoferrin and calprotectin in patients with ≥ grade 2 diarrhea |
| For the patient with grade 1 hepatitis, liver chemistries must be repeated 1-2 times/week | |
| For patients with G2 hepatitis, therapy must be held until resolution to G1 |