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. 2022 Jul 20;11(6):511–526. doi: 10.1159/000526038

Table 7.

General principles for the treatment of irAEs

Treatment Grade
G1 (hospitalization not required) G2 (hospitalization not required) G3 (hospitalization required) G4 (hospitalization required, considering the ICU)
Glucocorticoids Not recommended Local use of glucocorticoids or systemic use of glucocorticoids, with oral administration of prednisone at 0.5–1 mg/ (kg·day) Systemic therapy with glucocorticoids, oral administration of prednisone, or intravenous administration of methylprednisolone at 1–2 mg/(kg·day) Systemic therapy with glucocorticoids, intravenous administration of methylprednisolone at 1–2 mg/(kg·day). For 3 consecutive days, if the symptoms are relieved, gradually reduce the dose to 1 mg/(kg·day) for maintenance, and then gradually reduce the dose until discontinuing the drug about 6 weeks later

Other immunosuppressive agents Not recommended Not recommended For patients whose symptoms are not relieved after 3–5 days of glucocorticoid treatment, consider using it under the guidance of a specialist For patients whose symptoms are not relieved after 3–5 days of glucocorticoid treatment, consider treatment under the guidance of a specialist

ICI treatment Continue the treatment Suspend the treatment Discontinue and discuss whether to resume ICI treatment based on the patient's risk/benefit ratio Permanent withdrawal

ICU, intensive care unit.