Table 1.
Study | No. of Patients with Initial Kidney Immune-Related Adverse Events | Number of Patients Rechallenged | Immune Checkpoint Inhibitor Treatment Rotation | % of Patients on Immunosuppression at the Time of Rechallenge | % of Immune Checkpoint Inhibitor Acute Kidney Injury Recurrence |
---|---|---|---|---|---|
Isik et al. (6) | 16 | Combination to anti–PD-1 Anti–PD-1 to same Anti–PD-1 to anti–PD-L1 |
81% |
n=3 (19%) 33% stage 1 33% stage 2 33% stage 3 |
|
Cortazar et al. (7) | 138 Stage 3 (57%) Stage 2 (43%) |
31 | Most patients were rechallenged with the same ICI agent. Mostly anti–PD-1 | 39% |
n=7 (23%) 29% stage 3 71% stage ≤2 |
Dolladille et al. (1) | 276 Stage N/A |
78 | Informative rechallenges mostly done with an anti–PD-1/PD-L1 monotherapy | N/A |
n=4 (5.1%) stage N/A |
Hultin et al. (12) | 23 Average creatinine at peak 3.8 mg/dl |
5 | Four received anti–PD-1 monotherapy One patient received single anti– CTLA-4 |
60% (40% N/A) |
No recurrence of renal irAE |
Espi et al. (9) | 13 Stage 1 (43%) Stage 2 (36%) Stage 3 (21%) |
5 | All patients were rechallenged with the same ICI all anti–PD-1 | 20% | n=1 (20%) stage 2 |
Acute kidney injury stage according to Kidney Disease: Improving Global Outcomes clinical practice guidelines: 1.5–1.9 fold from baseline serum creatinine (SCr) (AKI stage 1); 2–2.9 fold from baseline SCr (AKI stage 2); and over threefold from baseline SCr (AKI stage 3). PD-1, programmed death 1 pathway; PD-L1, programmed death ligand 1; ICI, immune checkpoint inhibitor; irAE, immune-related adverse event.