Summary diagnosis, treatment, and outcomes of case reports
| Reference | Case # | ICI | # of Doses Before Symptoms | Autoimmune/Predispositiona | Treatment | Hgb Recoveryb | Other irAE | ICI Restarted | Diagnosisc |
|---|---|---|---|---|---|---|---|---|---|
| Algaze et al19 | 1 | Nivolumab | 21 | CLL | Methylprednisolone, prednisone, and folic acid | Complete | None Reported | Yes/no recurrence | Nod |
| Chambers et al29 | 1 | Atezolizumab | 29 | None reported | Prednisone | Unknown | No | No | Yes |
| Dirven et al18 | 1 | Nivolumab | 1 | CLL | Methylprednisolone | Complete | None reported | No | Yes |
| 2 | Nivolumab | 3 | CLL | Dexamethasone | Complete | Yes | No | Yes | |
| Dutertre et al16 | 1 | Atezolizumab | 1 | Yes | Methylprednisolone, prednisone, and rituximab | Unknown | None reported | Unknown | Yes |
| Fetter et al5 | 1 | Nivolumab and ipilimumab | 4 | None reported | Prednisone | Complete | Yes | Yese/recurrence | Yes |
| 2 | Pembrolizumab | 2 | None reported | Prednisone | Partial | Yes | No | Yes | |
| Fukushima et al30 | 1 | Atezolizumab | 3 | No | Prednisone | Partial | Yes | No | Yes |
| Hasanov et al23 | 1 | Nivolumab | 7 | None reported | Prednisone and rituximab | Unknown | None reported | No | Yes |
| Jobson et al20 | 1 | Ipilimumab | 2 | CLL | Methylprednisolone, intravenous immune globulin, cyclophosphamide, and splenectomy | Complete | None reported | Yes/no recurrence | Yesf |
| Johnstone and Khan31 | 1 | Pembrolizumab | 13 | None reported | Prednisone and folic acid | Complete | Yes | No | Yes |
| Khan et al14 | 1 | Nivolumab and ipilimumab | 2 | Yes | Methylprednisolone & rituximab | Complete | None reported | Yes/recurrence | Yes |
| Khosla et al9 | 1 | Atezolizumab | NR | None reported | Prednisone | Complete | None reported | No | Yes |
| Kong et al13 | 1 | Nivolumab | 5 | Yes | Prednisone | Complete | None reported | No | Yesg |
| Ogawa et al24 | 1 | Pembrolizumab | 1 | None reported | Prednisone | Noh | None reported | No | Yesg |
| Okawa et al32 | 1 | Pembrolizumab | 1 | None reported | Prednisone | Partial | Yes | Unknown | Yes |
| Olson et al33 | 1 | Nivolumab and ipilimumab | 4 | None reported | Prednisone and cyclosporine A | Complete | Yes | No | Yes |
| Ramos and Rovere22 | 1 | Ipilimumab | 20 | None reported | Prednisone | Unknown | No | Unknown | Yes |
| Robilliard et al34 | 1 | Pembrolizumab | 4 | No | Prednisone | Unknown | Yes | No | Yes |
| Shaikh et al35 | 1 | Nivolumab | 39 | None reported | Prednisone, vitamin B12, erythropoietin, and rituximab | Complete | None reported | No | Yes |
| Sun et al10 | 1 | Pembrolizumab | 1 | None reported | Methylprednisolone and prednisone | Complete | None reported | Yes/no recurrence | Yes |
| 2 | Pembrolizumab | 1 | None reported | Prednisone | Complete | Yes | Unknown | Yes | |
| 3 | Nivolumab and ipilimumab | 2 | None reported | Prednisone and intravenous immune globulin | Unknown | Yes | No | Yes | |
| Tanios et al4 | 1 | Nivolumab | 24 | None reported | Methylprednisolone | Noi | None reported | No | Yes |
| Tao et al27 | 1 | Penpulimab | 2 | None reported | Prednisone, intravenous immune globulin, and plasmapheresis | Partial | None reported | No | No |
| Tardy et al36 | 1 | Nivolumab | 2 | None reported | Prednisone | Partial | None reported | Yes/no recurrence | Yes |
| Williams and Aitchison37 | 1 | Pembrolizumab | 34 | None reported | Methylprednisolone | Complete | Yes | No | Yes |
| Younce et al28 | 1 | Atezolizumab | 1 | None reported | Prednisone, folic acid, darbepoetin, and iron sucrose | Partial | None reported | Yes/no recurrence | Yes |
| Yun et al8 | 1 | Pembrolizumab | 3 | CLL | Prednisone, rituximab, and ibrutinib | Complete | None reported | No | Yesf |
| Zhang et al15 | 1 | Pembrolizumab | 1 | Yes | Methylprednisolone and prednisone | Unknown | Yes | No | Yes |
Note. AIHA, autoimmune hemolytic anemia; CLL, chronic lymphocytic leukemia; Hgb, hemoglobin; HLH, hemophagocytic lymphohistiocytosis; ICI, immune checkpoint inhibitor; irAE, immune-related adverse event; ITP, immune thrombocytopenic purpura.
↵a History of autoimmune/predisposition to developing.
↵b Complete hemoglobin recovery is defined as 0.0–1.0 g/dL relative to pretreatment hemoglobin, while partial hemoglobin recovery is characterized as 1.1–2.0 g/dL relative to pretreatment hemoglobin. Unknown recovery is recorded when data are missing, making interpretation impossible.
↵c The treating physician considers ICI the most likely etiology of AIHA.
↵d Physician was unable to exclude other possible causes of AIHA.
↵e This patient was rechallenged with 3 doses of pembrolizumab after developing nivolumab and ipilimumab–associated AIHA.
↵f Patient was diagnosed with exacerbated T-cell dysfunction in CLL causing AIHA.
↵g Patient was diagnosed with exacerbation of preexisting AIHA induced by ICI treatment.
↵h Patient died of other causes before recovery.
↵i Patient died because of bradycardia and cardiac arrest caused by anemia with a hemoglobin of 3 g/dL.