Peravali M, Gomes-Lima C, Tefera E, Baker M, Sherchan M, Farid S, Burman K, Constantinescu F, Veytsman I. Racial disparities in immune-related adverse events of immune checkpoint inhibitors and association with survival based on clinical and biochemical responses. World J Clin Oncol 2021; 12(2): 103-114 [PMID: 33680877 DOI: 10.5306/wjco.v12.i2.103]
Corresponding Author of This Article
Monica Peravali, MD, Academic Fellow, Department of Hematology/ Oncology, MedStar Washington Hospital Center, 110 Irving Street, Washington, DC 20010, United States. monica.peravali@medstar.net
Research Domain of This Article
Oncology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Oncol. Feb 24, 2021; 12(2): 103-114 Published online Feb 24, 2021. doi: 10.5306/wjco.v12.i2.103
Table 1 Patient characteristics
irAE
Overall
Yes
No
n
%
n
%
n
%
Gender
0.8120
Female
129
44.0
41
45.1
88
43.6
Male
164
56.0
50
54.9
114
56.4
Race
0.0141
White
140
47.8
55
60.4
85
42.1
Black
122
41.6
28
30.8
94
46.5
Asian
13
4.4
4
4.4
9
4.5
Hispanic
2
0.7
0
0
2
1.0
Native American
1
0.3
1
1.1
0
0
Other
11
3.8
1
1.1
10
5.0
Unknown
4
1.4
2
2.2
2
1.0
Death
0.1488
No
131
44.7
35
38.5
96
47.5
Yes
162
55.3
56
61.5
106
52.5
PDL1 positive
0.0695
Yes
71
24.2
25
27.5
46
22.8
No
70
23.9
15
16.5
55
27.2
Missing
152
51.9
51
56.0
101
50.0
PDL1 expression
0.0354
< 50%
69
23.5
16
17.6
53
26.2
≥ 50%
32
10.9
14
15.4
18
8.9
Missing
192
65.5
61
67.0
131
64.9
Line of therapy
0.9432
1
85
29.0
29
31.9
56
27.7
2
130
44.4
37
40.7
93
46.0
3
35
11.9
12
13.2
23
11.4
4
17
5.8
5
5.5
12
5.9
5
8
2.7
2
2.2
6
3.0
6
2
0.7
1
1.1
1
0.5
7
2
0.7
0
0
2
1.0
8
1
0.3
0
0
1
0.5
Missing
13
4.4
5
5.5
8
4.0
Progression
0.0140
Yes
121
41.3
28
30.8
93
46.0
No
172
58.7
63
69.2
109
54.0
Table 2 Patient characteristics
irAE
Overall
Yes
No
P value
n
mean
SD
n
mean
SD
n
mean
SD
Age at ICPi initiation
293
63.3
12.8
91
66.1
13.2
202
62.0
12.4
0.0108
Table 3 Patient characteristics
irAE
Overall
Yes
No
P value
n
Median
(Q1, Q3)
n
Median
(Q1, Q3)
n
Median
(Q1, Q3)
Number of cycles of immunotherapy
277
5
(2, 12)
82
8.0
(3.0, 19.0)
195
4.0
(2.0, 9.0)
0.0011
LDH
55
243
(171, 290)
25
190
(163, 259)
30
253
(186, 383)
0.0376
Progression free survival (mo)
118
3.9
(1.9, 7.4)
27
5.8
(2.7, 13.0)
91
3.0
(1.7, 6.8)
0.0204
Overall survival (mo)
288
11.5
(2.9, 19.4)
89
17.1
(8.4, 23.5)
199
7.2
(2.1, 15.3)
< 0.0001
Table 4 Progression free survival and overall survival calculated using Wilcoxon rank sum test for comparison
Overall, n (%)
irAE, n (%)
irAE, Median PFS (mo)
P value
irAE, Median OS (mo)
P value
Endo irAE, n (%)
Endo irAE, Median PFS (mo)
P value
Endo irAE, Median OS (mo)
P value
Gender
Female
129 (44)
41 (45.1)
6.3
0.8977
16.3
0.4756
18 (48.7)
7.7
0.8542
17.0
0.9495
Male
164 (56)
50 (54.9)
5.7
18.5
19 (51.4)
5.7
17.0
Race
White
140 (47.8)
55 (60.4)
7.7
0.4601
20.6
0.0237
23 (62.2)
10.4
0.2243
21.8
0.0356
Black
122 (41.6)
28 (30.8)
5.8
12.9
13 (35.1)
5.2
15.8
Others
31 (10.6)
8(8.8)
2.2
16.0
1 (2.7)
6.2
PDL1 Expression
< 50%
69 (23.5)
16 (17.6)
5.2
0.6985
14.2
0.6468
3 (25.0)
5.2
1.000
16.5
1.0000
> 50%
32 (10.9)
14 (15.4)
6.3
16.6
9 (75.0)
6.3
15.8
Citation: Peravali M, Gomes-Lima C, Tefera E, Baker M, Sherchan M, Farid S, Burman K, Constantinescu F, Veytsman I. Racial disparities in immune-related adverse events of immune checkpoint inhibitors and association with survival based on clinical and biochemical responses. World J Clin Oncol 2021; 12(2): 103-114