Table 4.
ircAE Grade | General Recommendations | Phenotype-Specific Recommendations |
---|---|---|
1 | Start moderate- to high-potency topical corticosteroids Continue ICB |
- |
2 | Consider adding systemic corticosteroids (prednisone 0.5–1 mg/kg daily) Continue ICB |
Psoriasiform rash: Consider narrow-band UVB phototherapy or apremilast Pruritus: Consider GABA analogs Bullous Pemphigoid: Hold ICB until grade 0 or 1 |
3+ | Start systemic corticosteroids (prednisone 0.5–2 mg/kg daily) Hold ICB until grades 0–1 |
Maculopapular or lichenoid rash: Consider infliximab or tocilizumab Psoriasiform rash: Consider ustekinumab, guselkumab, infliximab, adalimumab, apremilast, or retinoids Pruritus: Consider GABA analogs, omalizumab, or dupilumab Bullous Pemphigoid: Consider rituximab SJS/TEN: Hospitalization |