Table 3.
Univariate and multivariate predictors of overall survival > 12 mo among patients with immune checkpoint inhibitor colitis (n = 64)
|
Clinical variables
|
Univariate predictors
|
Multivariate predictors
|
||||
|
|
OR
|
95%CI
|
P
value
|
OR
|
95%CI
|
P
value
|
| Demographics | ||||||
| Age (yr) | 0.96 | 0.92-1.01 | 0.103 | 0.93 | 0.88-0.99 | 0.023 |
| Male | 0.82 | 0.29-2.32 | 0.711 | |||
| Female | 1.22 | 0.43-3.44 | 0.711 | |||
| Race | ||||||
| White | 0.87 | 0.23-3.27 | 0.835 | |||
| Black | 1.00 | 0.90-1.34 | 0.996 | |||
| Asian | 0.54 | 0.07-4.10 | 0.550 | |||
| Other | 1.07 | 0.97-1.11 | 0.912 | |||
| Type of malignancy | ||||||
| Melanoma | 1.26 | 0.45-3.51 | 0.654 | |||
| RCC | 0.51 | 0.12-2.28 | 0.381 | |||
| NSCLC | 0.53 | 0.10-2.85 | 0.456 | |||
| Sarcoma | 2.38 | 0.25-22.65 | 0.451 | |||
| Head and neck SCC | 1.05 | 0.89-1.10 | 0.865 | |||
| Other | 5.33 | 0.62-45.68 | 0.127 | |||
| Stage IV malignancy | 0.60 | 0.11-3.26 | 0.554 | |||
| Presence of high grade IMC | 0.91 | 0.32-2.57 | 0.855 | |||
| Type of immune checkpoint inhibitor | ||||||
| Ipilimumab plus nivolumab | 0.95 | 0.31-2.88 | 0.922 | |||
| Ipilimumab | 0.98 | 0.25-3.77 | 0.974 | |||
| Nivolumab | 0.09 | 0.01-0.83 | 0.033 | 0.13 | 0.01-1.43 | 0.096 |
| Pembrolizumab | 2.74 | 0.78-9.58 | 0.114 | 3.46 | 0.84-14.19 | 0.084 |
| Atezolizumab | 1.74 | 0.17-17.73 | 0.641 | |||
| Number of ICI infusionsa | 0.28 | 0.04-1.82 | 0.183 | |||
| Dose of ICI (mg/kg) | 1.88 | 0.36-9.83 | 0.457 | |||
| Prior ICI use | 0.46 | 0.12-1.80 | 0.265 | |||
| Medical history | ||||||
| Non-liver, non-upper GI diseaseb | 1.67 | 0.51-5.49 | 0.397 | |||
| Personal history of autoimmune diseaseb | 0.78 | 0.26-2.31 | 0.648 | |||
| Family history of autoimmune diseaseb | 0.93 | 0.20-4.29 | 0.922 | |||
| Prior immune-enhancing therapyb | 0.55 | 0.03-9.23 | 0.678 | |||
| Prior interferon-g therapy | 1.00 | 0.99-1.10 | 0.976 | |||
| Vitamin D use | 2.45 | 0.80-7.46 | 0.116 | 2.77 | 0.75-10.20 | 0.124 |
| Smoking (current or prior) | 1.66 | 0.59-5.65 | 0.334 | |||
| NSAID use | 2.55 | 0.49-13.16 | 0.265 | |||
| Any vaccine | 5.33 | 0.62-45.68 | 0.127 | |||
| Flu vaccine | 1.46 | 0.26-8.19 | 0.668 | |||
| Pneumonia vaccine | 1.00 | 0.99-1.05 | 0.995 | |||
| Other vaccine | 1.00 | 1.00-1.01 | 0.941 | |||
| Weight at start of ICI (kg) | 1.02 | 0.98-1.05 | 0.329 | |||
| Medications | ||||||
| Steroid at start of ICI | 0.98 | 0.25-3.77 | 0.974 | |||
| Steroid duration (d) | 1.00 | 1.00-1.01 | 0.736 | |||
| Infliximab use | 2.55 | 0.49-13.16 | 0.265 | |||
| Vedolizumab use | 1.00 | 1.00-1.01 | 0.936 | |||
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; SD: Standard deviation; RCC: Renal cell carcinoma; NSCLC: Non-small cell lung cancer; SCC: Squamous cell carcinoma; irAE: Immune related adverse event.