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Table 2 Observed irAEs in patients who developed CPI related nephrotoxcity and their outcome

From: Nephrotoxicity of immune checkpoint inhibitors beyond tubulointerstitial nephritis: single-center experience

Patient #

CPI

AKI severity

Assosciated irAE

Relation to AKI diagnosis

Renal and non renal irAE outcome

11

Nivolumab

Nephrotic syndrome

Hypothyrodisim (G2)

4 weeks prior to AKI

Persistent hypothyrodisim

Complete remission of nephrotic syndrome

14

Pembrolizumab

G3

Colitis (G3)

2 weeks prior to AKI

Diarrhea and renal function improved partially then patient developed 2nd AKI

2

Nivolumab

G3

Elevated dsDNA and RNP titers

At the time of AKI diagnosis

Titers became undetectable after 4 week

Partial renal recovery

6

Nivolumab

G3

Hypothyrodisim (G2)

10 weeks prior to AKI

Persistent hypothyrodisim

Complete renal recovery

3

Nivolumab

G3

Myositis

6 weeks after AKI

Myosisits had resolved

Partial renal recovery

7

Tremelimumab

G3

Dermatitis (G1)

Pneumonitis (G2)

At the time of AKI diagnosis

Dermatitis and pneumonitis had resolved within 2 week

Partial renal recovery

15

Nivolumab

G1

Hypothyrodisim (G2)

Esophagitis (G2)

5 weeks prior to AKI

Esophagitis and AKI had fully recovered

Persistent hypothyrodisim

10

Pembrolizumab

G3

Dermatitis (G1)

Pneumonitis (G2)

At the time of AKI diagnosis

Dermatitis and pneumonitis had resolved within 1 week

Partial renal recovery

8

Nivolumab and Ipilimumab

G3

Dermatitis (G1)

Thyroditis (G3)

Adrenal insuffiency (G1)

5 weeks prior to AKI

Persistent hypothyrodisim and adrenal insuffiency

Complete renal recovery

  1. Common Terminology Criteria for Adverse Events (CTCAE)
  2. Grade 1 Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated
  3. Grade 2 Moderate; minimal, local or noninvasive intervention indicated; limiting ageappropriate instrumental ADL
  4. Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL
  5. Grade 4 Life-threatening consequences; urgent intervention indicated
  6. CPI immue Checkpoint inhibitor, AKI acute kidney injury, irAE immue related adverse events