Table 1.

Summary diagnosis, treatment, and outcomes of case reports

ReferenceCase #ICI# of Doses Before SymptomsAutoimmune/PredispositionaTreatmentHgb RecoverybOther irAEICI RestartedDiagnosisc
Algaze et al191Nivolumab21CLLMethylprednisolone, prednisone, and folic acidCompleteNone ReportedYes/no recurrenceNod
Chambers et al291Atezolizumab29None reportedPrednisoneUnknownNoNoYes
Dirven et al181Nivolumab1CLLMethylprednisoloneCompleteNone reportedNoYes
2Nivolumab3CLLDexamethasoneCompleteYesNoYes
Dutertre et al161Atezolizumab1YesMethylprednisolone, prednisone, and rituximabUnknownNone reportedUnknownYes
Fetter et al51Nivolumab and ipilimumab4None reportedPrednisoneCompleteYesYese/recurrenceYes
2Pembrolizumab2None reportedPrednisonePartialYesNoYes
Fukushima et al301Atezolizumab3NoPrednisonePartialYesNoYes
Hasanov et al231Nivolumab7None reportedPrednisone and rituximabUnknownNone reportedNoYes
Jobson et al201Ipilimumab2CLLMethylprednisolone, intravenous immune globulin, cyclophosphamide, and splenectomyCompleteNone reportedYes/no recurrenceYesf
Johnstone and Khan311Pembrolizumab13None reportedPrednisone and folic acidCompleteYesNoYes
Khan et al141Nivolumab and ipilimumab2YesMethylprednisolone & rituximabCompleteNone reportedYes/recurrenceYes
Khosla et al91AtezolizumabNRNone reportedPrednisoneCompleteNone reportedNoYes
Kong et al131Nivolumab5YesPrednisoneCompleteNone reportedNoYesg
Ogawa et al241Pembrolizumab1None reportedPrednisoneNohNone reportedNoYesg
Okawa et al321Pembrolizumab1None reportedPrednisonePartialYesUnknownYes
Olson et al331Nivolumab and ipilimumab4None reportedPrednisone and cyclosporine ACompleteYesNoYes
Ramos and Rovere221Ipilimumab20None reportedPrednisoneUnknownNoUnknownYes
Robilliard et al341Pembrolizumab4NoPrednisoneUnknownYesNoYes
Shaikh et al351Nivolumab39None reportedPrednisone, vitamin B12, erythropoietin, and rituximabCompleteNone reportedNoYes
Sun et al101Pembrolizumab1None reportedMethylprednisolone and prednisoneCompleteNone reportedYes/no recurrenceYes
2Pembrolizumab1None reportedPrednisoneCompleteYesUnknownYes
3Nivolumab and ipilimumab2None reportedPrednisone and intravenous immune globulinUnknownYesNoYes
Tanios et al41Nivolumab24None reportedMethylprednisoloneNoiNone reportedNoYes
Tao et al271Penpulimab2None reportedPrednisone, intravenous immune globulin, and plasmapheresisPartialNone reportedNoNo
Tardy et al361Nivolumab2None reportedPrednisonePartialNone reportedYes/no recurrenceYes
Williams and Aitchison371Pembrolizumab34None reportedMethylprednisoloneCompleteYesNoYes
Younce et al281Atezolizumab1None reportedPrednisone, folic acid, darbepoetin, and iron sucrosePartialNone reportedYes/no recurrenceYes
Yun et al81Pembrolizumab3CLLPrednisone, rituximab, and ibrutinibCompleteNone reportedNoYesf
Zhang et al151Pembrolizumab1YesMethylprednisolone and prednisoneUnknownYesNoYes

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.