Table 1.
Patient characteristics receiving infliximab for grade 3 and 4 pneumonitis
Case |
Age, Years |
Sex |
Cancer |
Immunotherapy |
Corticosteroid, mg/kg* |
Time, Days^ |
Ventilatory Support, FiO2% |
irAEs |
Bronchoscopy, Lymphocytes, % |
Outcome |
1 | 66 | M | Melanoma | Ipilimumab | 1.2 | 2 | Nasal cannula, 24% | – | No | Improved |
2 | 66 | M | Pancreatic | Ipilimumab | 1.3 | 5 | High-flow, 45% | Hepatic& | No | Improved |
3 | 52 | F | AML | Ipilimumab, nivolumab | 3.3 | 9 | High-flow, 60% | – | Yes‡ | Improved |
4 | 69 | F | AML | Ipilimumab, nivolumab | 1.1 | 7 | MV, 90% | Dermatologic, gastrointestinal | Yes‡ | Improved |
5 | 79 | M | AML | Nivolumab | 2.4 | 34 | High-flow, 50% | Renal | Yes, 13 | Death+ |
6 | 72 | M | AML | Ipilimumab, nivolumab | 1.1 | Chronic | High-flow, 30% | Hematologic | Yes, 26 | Death+ |
7 | 72 | F | MDS | Ipilimumab, nivolumab | 2.0 | 2 | BiPAP, 70% | Dermatologic | Yes, 18 | Death |
8 | 68 | F | Lung | Nivolumab | 0.8 | 9 | High-flow, 75% | – | No | Death |
9 | 61 | M | Urothelial | Nivolumab | 1.2 | 7 | High-flow, 75% | – | Yes‡ | Death |
AML: acute myeloid leukemia; MDS: myelodysplastic syndrome; MV: mechanical ventilation; BiPAP: bi-level positive airway pressure
Maximal dosage (all patients were initiated on intravenous methylprednisone, and those that improved were transitioned to oral prednisone)
Time from steroid administration to infliximab dosing
Initially had improvement
irAE occurred prior to pneumonitis
No bronchoalveolar lavage cell count and differential performed