Table 2.
Univariate and multivariate predictors of overall survival > 12 mo among patients with malignancy using immune checkpoint inhibitor (n = 128)
|
Clinical variables
|
Univariate predictors
|
Multivariate predictors
|
||||
|
|
OR
|
95%CI
|
P
value
|
OR
|
95%CI
|
P
value
|
| Demographics | ||||||
| Age (yr) | 1.00 | 0.97-1.03 | 0.970 | |||
| Male | 0.92 | 0.45-1.87 | 0.822 | |||
| Female | 1.08 | 0.53-2.20 | 0.822 | |||
| Race | ||||||
| White | 1.37 | 0.58-3.25 | 0.473 | |||
| Black | 2.39 | 0.24-23.6 | 0.456 | |||
| Asian | 0.97 | 0.25-3.79 | 0.965 | |||
| Other | 0.45 | 0.14-1.45 | 0.181 | |||
| Type of malignancy | ||||||
| Melanoma | 0.87 | 0.43-1.74 | 0.688 | |||
| RCC | 1.65 | 0.53-5.12 | 0.390 | |||
| NSCLC | 2.52 | 0.65-9.80 | 0.181 | |||
| Sarcoma | 0.15 | 0.03-0.72 | 0.018 | 0.17 | 0.03-0.95 | 0.043 |
| Head and neck SCC | 1.04 | 0.22-4.84 | 0.961 | |||
| Other | 1.50 | 0.52-4.35 | 0.453 | |||
| Presence of IMC | 2.16 | 1.06-4.41 | 0.034 | 2.81 | 1.17-6.77 | 0.021 |
| Presence of high grade IMC | 0.47 | 0.16-1.38 | 0.167 | |||
| Stage IV malignancy | 0.48 | 0.14-1.61 | 0.233 | |||
| Type of Immune Checkpoint Inhibitor | ||||||
| Ipilimumab plus nivolumab | 1.32 | 0.30-5.77 | 0.714 | |||
| Ipilimumab | 0.74 | 0.29-1.85 | 0.517 | |||
| Nivolumab | 1.63 | 0.46-5.70 | 0.448 | |||
| Pembrolizumab | 2.93 | 1.27-6.73 | 0.011 | 1.06 | 0.38-2.98 | 0.911 |
| Atezolizumab | 1.32 | 0.30-5.77 | 0.714 | |||
| Number of ICI infusionsa | 1.19 | 1.08-1.32 | 0.001 | 1.23 | 1.09-1.40 | 0.001 |
| Dose of ICI (mg/kg) | 1.33 | 0.86-2.05 | 0.198 | |||
| Prior ICI use | 0.51 | 0.19-1.37 | 0.183 | |||
| Medical history | ||||||
| Non-liver, non-upper GI diseaseb | 0.87 | 0.38-2.02 | 0.747 | |||
| Personal history of autoimmune diseaseb | 1.47 | 0.63-3.40 | 0.373 | |||
| Family history of autoimmune diseaseb | 1.03 | 0.32-4.41 | 0.804 | |||
| Prior irAE | 2.84 | 0.31 - 25.9 | 0.356 | |||
| Prior immune-enhancing therapyb | 0.62 | 0.18-2.15 | 0.454 | |||
| Vitamin D use | 0.60 | 0.28-1.29 | 0.190 | |||
| Smoking (current or prior) | 0.74 | 0.37-1.50 | 0.410 | |||
| NSAID use | 1.04 | 0.41-2.69 | 0.928 | |||
| Any vaccine | 0.36 | 0.14-0.89 | 0.026 | 1.03 | 0.16-6.70 | 0.972 |
| Flu vaccine | 0.22 | 0.08-0.67 | 0.007 | 0.30 | 0.04-2.31 | 0.248 |
| Pneumonia vaccine | 0.41 | 0.11-1.48 | 0.175 | |||
| Other vaccine | 0.77 | 0.05-12.66 | 0.858 | |||
| Weight at start of ICI (kg) | 0.99 | 0.97-1.01 | 0.207 | |||
| Medications | ||||||
| Steroid at start of ICI | 0.74 | 0.29-1.93 | 0.541 | |||
| Steroid duration (d) | 1.00 | 0.997-1.01 | 0.368 | |||
| Infliximab use | 0.76 | 0.21-2.77 | 0.226 | |||
| Vedolizumab use | 1.00 | 0.99-1.01 | 1.000 | |||
Number of infusions of immune checkpoint inhibitor prior to immune checkpoint inhibitor-mediated colitis diagnosis (cases) or total (controls).
ICI: Immune checkpoint inhibitor; IMC: Immune checkpoint inhibitor-mediated colitis; OR: Odds ratios; CI: Confidence interval; SD: Standard deviation; RCC: Renal cell carcinoma; NSCLC: Non-small cell lung cancer; SCC: Squamous cell carcinoma; irAE: Immune related adverse event.