Characteristics | ICI-exposed myositis cases (n=345) |
Age (years), median (P25–P75) (n=265) | 71 (63–76) |
Sex, n (%) | |
Male | 228 (69.7) |
Female | 99 (30.3) |
Unknown | 18 |
Reporter type, n (%) | |
Health professional | 293 (86.2) |
Other | 47 (13.8) |
Unknown | 5 |
Reporting year, n (%) | |
2019 | 4 (1.2) |
2018 | 184 (53.3) |
2017 | 90 (26.1) |
2016 | 47 (13.6) |
2008–2015 | 20 (5.8) |
Cancer type, n (%) | |
Lung cancer | 111 (34.8) |
Skin cancer | 109 (34.2) |
Melanoma | 102 (32.0) |
Other cancers | 32 (31%) |
Exposure to ICIs | |
Monotherapy, n (%) | 294 (85.2) |
Anti-PD-1 | 252 (73.0) |
Nivolumab | 154 (44.6) |
Pembrolizumab | 97 (28.1) |
Nivolumab or pembrolizumab | 1 (0.3) |
Anti-PD-L1 | 15 (4.3) |
Atezolizumab | 7 (2.0) |
Avelumab | 3 (0.9) |
Durvalumab | 5 (1.4) |
Anti-CTLA-4 | 27 (7.8) |
Ipilimumab | 27 (7.8) |
Tremelimumab | 0 (0.0) |
Combination therapy | 51 (14.8) |
Nivolumab/ipilimumab | 49 (14.2) |
Pembrolizumab/ipilimumab | 1 (0.3) |
Durvalumab/tremelimumab | 1 (0.3) |
Time to onset (days) (n=97) | |
Median (P25–P75) | 33 (19–57) |
Min–Max | 1–606 |
Reported myositis term | |
Myositis | 276 (80.0) |
Dermatomyositis | 25 (7.2) |
Polymyositis | 20 (5.8) |
Immune-mediated necrotising myopathy | 13 (3.8) |
Orbital myositis | 8 (2.3) |
Inclusion body myositis | 2 (0.6) |
Antisynthetase syndrome | 1 (0.3) |
Specific co-reported irAEs | |
Myocarditis | 39 (11.3%) |
Myasthenia | 41 (11.9%) |
Death, n (%) | 77 (22.3) |
Anti-CTLA-4, Anti-Cytotoxic-T-Lymphocyte-Associated Protein (CTLA)-4; Anti-PD-1, Anti-Programmed-Death-1; anti-PD-L1, anti-Programmed-Death-Ligand-1; ICI, immune checkpoint inhibitor; irAEs, immune-related-adverse events.