Table 4.
Organ System | Immune-Related Adverse Events60,158, 159, 160 | Estimated Incidence |
---|---|---|
Skin | Maculopapular rash, pruritis, vitiligo-like lesions, erythema multiforme, lichenoid, eczematous, psoriasiform, morbilliform, palmar-plantar erythrodysesthesia, bullous dermatoses, hand-foot syndrome | Overall: 71.5% Maculopapular rash: 14%-24% |
Gastrointestinal | Immune-related diarrhea, colitis, hepatitis, gastritis, enterocolitis | Diarrhea: 25%-54% Colitis: 3% Hepatitis: 10%-30% |
Endocrine | Hypothyroidism, hyperthyroidism, primary adrenal insufficiency, hypophysitis, diabetes | Hypothyroidism: 6.6% Hyperthyroidism: 2.9% Primary adrenal insufficiency: 0.7% Hypophysitis: 1.3% |
Lung | Pneumonitis | 2.7%-10% |
Musculoskeletal | Arthralgia, myalgia, inflammatory arthritis, myositis, polymyalgia-like syndrome | Arthralgia or myalgia: 40% |
Renal | Nephritis, acute kidney injury | Acute kidney injury: 1%-5% |
Neurological | Headache, myasthenia gravis or myasthenic syndrome, aseptic meningitis, encephalitis, Guillain-Barré syndrome, peripheral neuropathy, demyelinating disorders | Overall: 3%-12% High-grade: <1% |
Hematologic | Hemolytic anemia, acquired thrombotic thrombocytopenic purpura, hemolytic uremic syndrome, aplastic anemia, lymphopenia, immune thrombocytopenia | Anemia: 9.8% Thrombocytopenia: 2.8% |
Ocular | Uveitis, iritis, episcleritis | Uveitis: 1% Episcleritis: <1% |
Incidences provided are for both monotherapy and combination immune checkpoint inhibitor regimens.