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. 2022 Oct 26;8(1):197–201. doi: 10.1016/j.ekir.2022.10.019

Table 1.

Summary of previous reports of metabolic acidosis with ICI therapy

Case # [Ref] Cancer Drug Target Urine pH Serum creatinine (mg/dl) Peak creatinine (mg/dl) Urine anion gap AIN on kidney biopsy
1S11 Lung Pembrolizumab PD-1 6.5 1.5 1.5 10 Yes
2 S11 Melanoma Nivolumab PD-1 6.3 1.5 4.9 48 Yes
3S11 Renal Cell Nivolumab PD-1 6.7 2.1 2.6 NA NA
4S10 Lung Nivolumab followed by pembrolizumab PD-1 6.5 0.55 1.67 36 NA
5S10 Melanoma Pembrolizumab PD-1 6.0 1.4 2.0 49 Yes
6S13 Lung Pembrolizumab PD-1 6.0 0.8 0.8 36 Yes
7S12 Squamous cell carcinoma of the skull Cemiplimab PD-1 6.0 1.3 2.8 39 Yes
Case Lung Pembrolizumab PD-1 6.0 0.6 0.6 26 No

AIN, acute interstitial nephritis; ICI, immune checkpoint inhibitor; NA, not available; PD-1, programmed death-1.