Advanced BCC

Immune-Mediated
Adverse Reactions

Immune-mediated adverse reactions on therapy with LIBTAYO1*

The safety of LIBTAYO was evaluated in 1281 patients with advanced solid malignancies as a single agent1

Adverse reactions, % (N=1281)*
Pneumonitis
2.6
1.6
0.6
0.3
NR
1.3
1.4
100
61
Colitis
2.0
0.9
0.8
NR
NR
0.4
1.2
100
56
Hepatitis
2.4
0.2
1.6
0.3
<0.1
1.4
0.7
100
39
Endocrinopathies
Adrenal insufficiency
0.5
NR
0.5
NR
NR
<0.1
<0.1
83
17
Hypophysitis
0.5
0.3
0.2
NR
NR
<0.1
0.2
86
14
Thyroiditis§
0.6
0.3
NR
NR
NR
0
<0.1
0
13
Hyperthyroidism
3.0
0.9
<0.1
NR
NR
0
0.5
8
56
Hypothyroidism||
7
6
<0.1
NR
NR
0.2
0.7
1.1
6
Type 1 diabetes mellitus
<0.1
NR
NR
<0.1
NR
0
0.1
NR
NR
Nephritis with renal dysfunction
0.7
0.5
<0.1
NR
<0.1
0.2
0.4
100
78
Dermatologic#
1.9
0.8
0.9
NR
NR
0.2
1.3
100
71
Other imARs**
<1%
for each
NR
NR
NR
NR
NR
NR
NR
NR
  • *Important immune-mediated adverse reactions listed here may not include all possible severe and fatal immune-mediated reactions.1
  • Four patients required additional immunosuppression with mycophenolate.1
  • Can cause hypopituitarism.1
  • §Blood thyroid–stimulating hormone increased and blood thyroid–stimulating hormone decreased have also been reported.1
  • ||Majority of patients required long-term thyroid hormone replacement.1
  • Can present with diabetic ketoacidosis.1
  • #Exfoliative dermatitis, including SJS, TEN, and DRESS, has occurred with PD-1/PD-L1–blocking antibodies.1
  • NR=Not reported in the USPI. Does not necessarily mean the value is 0 and may have occurred in a small percentage of patients.
  • BCC=basal cell carcinoma; DRESS=drug rash with eosinophilia and systemic symptoms; PD-1=programmed cell death protein-1; PD-L1=programmed death ligand 1; SJS=Stevens-Johnson syndrome; TEN=toxic epidermal necrolysis.
Other immune-mediated
adverse reactions1
Adverse reactions, % (N=1281)**
All Grades, %
Cardiac/vascular†† <1
Nervous system‡‡ <1
Ocular§§ <1
Gastrointestinal|||| <1
Musculoskeletal and
connective tissue¶¶
<1
Endocrine## <1
Hematological/
immune***
<1
  • **These immune-mediated adverse reactions occurred in patients who received LIBTAYO or were reported with the use of other PD-1/PD-L1–blocking antibodies. Severe or fatal cases have been reported for some of these adverse reactions.1
  • ††Includes myocarditis, pericarditis, and vasculitis.1
  • ‡‡Includes meningitis, encephalitis, myelitis and demyelination, myasthenic syndrome/myasthenia gravis (including exacerbation), Guillain-Barré syndrome, nerve paresis, and autoimmune neuropathy.1
  • §§Includes uveitis, iritis, and other ocular inflammatory toxicities. Some cases can be associated with retinal detachment. Various grades of visual impairment to include blindness can occur. If uveitis occurs in combination with other immune-mediated adverse reactions, consider a Vogt-Koyanagi-Harada–like syndrome, as this may require treatment with systemic steroids to reduce the risk of permanent vision loss.1
  • ||||Includes pancreatitis to include increases in serum amylase and lipase levels, gastritis, duodenitis, and stomatitis.1
  • ¶¶Includes myositis/polymyositis/dermatomyositis, rhabdomyolysis, and associated sequelae including renal failure, arthritis, and polymyalgia rheumatica.1
  • ##Includes hypoparathyroidism.1
  • ***Includes hemolytic anemia, aplastic anemia, hemophagocytic lymphohistiocytosis, systemic inflammatory response syndrome, histiocytic necrotizing lymphadenitis (Kikuchi lymphadenitis), sarcoidosis, immune thrombocytopenia, and solid organ transplant rejection.1