Clinical characteristics, time to onset and risk factors of immune checkpoint inhibitor-related pneumonitis (ICI-P) in published series
First author [ref.] | Subjects | Type of cancer | ICI-P | Treatment | Patient characteristics | Time to onset | Risk factors for ICI-P |
Abdel-Wahab [75] | 251 All irAEs | Melanoma 95.6% NSCLC 1.2% | 10 (4%) | Ipilimumab 60% Nivolumab 30% Pembrolizumab 10% | Male 63% (total population) Age 60 years (total population) Smokers? | 53% during 2nd and 3rd injection (total population) | |
Naidoo [76] | 915 | Melanoma 60% NSCLC 20% Other 17% | 43 (5%) | aPD-1 93% aPD-L1 7% Combo 44% | Male? Age 67 years Smokers 67% | 12 (1.3–82) weeks Mono 19.7 weeks Combo 11.6 weeks | Combo versus mono, 10 versus 3% (p=0.001) aPD-1 versus aPD-L1, 4 versus 1% (p=0.13) |
Delaunay [80] | 1828 | NSCLC 75% Melanoma 20.3% Others 4.7% | 64 (3.5%) | Ipilimumab 6.9% aPD-1 79% aPD-L1 14% Trials 9.4% | Male 84.4% Age 59 years Smokers 83% | 9.9 (1–117) weeks | |
Kato [78] | 111 | NSCLC 100% | 8 (7.2%) | Nivolumab 100% | Male 100% Age 65 years Smokers 100% | 5.3 (2.3–24) weeks | |
Suresh [77] | 205 | NSCLC 100% | 39 (19%) | Nivolumab 92% Combo 21% | Male 82% Age 68 years Smokers 95% | 2.9 (3–26) weeks | Squamous versus non-squamous RR: 2.29 (1.08 versus 4.83) Female versus male 0.25 versus 0.19 person-year Combo versus mono 0.28 versus 0.18 person-year |
Cho [79] | 167 | NSCLC 100% | 22 (13%) | Nivolumab 59% Pembrolizumab 32% Nivolumab–iplimumab 9% | Male 76% Age ≥70 years 30% Smokers 70% | 7.7 (2.9–139) weeks | Mono versus combo, 13.6 versus 10% Pembrolizumab versus nivolumab 12.6 versus 16.3% Age ≥70 years, 30.3% versus 54.5%; p=0.025 ILD 18.2% versus 2.8%; p=0.002 Extrathoracic metastasis 31.8% versus 58.6%; p=0.019 |
Data are presented as n or n (%), unless otherwise stated. irAE: immune-related adverse event; NSCLC: nonsmall cell lung cancer; aPD-1: antibody anti-programmed cell death-1, aPD-L1: antibody anti-programmed cell death ligand-1; combo: combination therapy; mono: monotherapy; ILD: interstitial lung disease.