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Table 1 Baseline characteristics

From: Safety and efficacy of immune checkpoint inhibitors in patients with pre-treatment reduced left ventricular function

 

Entire cohort (n = 307)

LVEF ≥ 50%

(n = 277)

LVEF < 50%

(n = 30)

p-value

Demographics

    

Age, years, mean (SD)

67 (12)

67 (12)

71 (10)

0.086

Female Sex, n (%)

123 (40)

116 (42)

7 (23)

0.076

BMI, mean (SD)

26 (5)

29.1 (26)

27.3 (9)

0.351

Cancer Type, n (%)

   

0.685

Hematologic

25 (8)

24 (9)

1 (3)

 

Lung

121 (39)

108 (39)

13 (43)

 

Gastrointestinal

35 (11)

34 (12)

1 (3)

 

Renal cell carcinoma

28 (9)

23 (8)

5 (17)

 

Bone

1 (0.3)

1 (0.4)

0 (0.0)

 

Breast

10 (3)

10 (4)

0 (0.0)

 

Central nervous system and Spine

3 (1)

3 (1)

0 (0.0)

 

Prostate

5 (2)

4 (1)

1 (3)

 

Gynecologic

10 (3)

9 (3)

1 (3)

 

Transitional cell bladder

20 (7)

16 (6)

4 (13)

 

Pancreas and Cholangiocarcinoma

3 (1)

3 (1)

0 (0.0)

 

Sarcoma

4 (1)

4 (1)

0 (0.0)

 

Melanoma

12 (4)

12 (4)

0 (0.0)

 

Other skin

4 (1)

4 (1)

0 (0.0)

 

Liver

8 (3)

6 (2)

2 (7)

 

Head and Neck

10 (3)

9 (3)

1 (3)

 

Endocrinologic

1 (0.3)

1 (0.4)

0 (0.0)

 

Other

6 (2)

5 (2)

1 (3)

 

Unknown primary

1 (0.3)

1 (0.4)

0 (0.0)

 

ICIs, n (%)

   

0.107

Pembrolizumab

165 (54)

152 (55)

13 (43)

 

Nivolumab

88 (29)

79 (29)

9 (30)

 

Avelumab

5 (2)

5 (2)

0 (0.0)

 

Atezolizumab

27 (9)

25 (9)

2 (7)

 

Durvalumab

11 (4)

8 (3)

3 (10)

 

Ipilimumab + Nivolumab

11 (4)

8 (3)

3 (10)

 

Previous chemotherapy, n (%)

158 (52)

143 (52)

15 (50)

1.00

Concurrent chemotherapy, n (%)

65 (21)

59 (21)

6 (20)

1.00

Chest radiation, n (%)

28 (9)

24 (9)

4 (13)

0.610

Cardio-Vascular Risk Factors

    

Hypertension, n (%)

138 (45)

118 (43)

20 (67)

0.020

Hyperlipidemia, n (%).

139 (45)

121 (44)

18 (60)

0.130

Diabetes mellitus, n (%)

78 (25)

68 (25)

10 (33)

0.407

Chronic kidney disease, n (%)

25 (8)

21 (8)

4 (13)

0.458

Ischemic heart disease, n (%)

72 (24)

53 (19)

19 (63)

< 0.001

Heart Failure, n (%)

31 (10)

18 (7)

13 (43)

< 0.001

Atrial Fibrillation, n (%)

32 (10)

25 (9)

7 (23)

0.034

Cardiovascular therapy, n (%)

    

ACEi

83 (27)

65 (24)

18 (60)

< 0.001

ARB

44 (14)

38 (14)

6 (20)

0.510

Beta-blockers

124 (40)

97 (35)

20 (67)

< 0.001

MRA

16 (5)

9 (3)

7 (23)

< 0.001

Sacubitril/valsartan

3 (1)

0 (0)

3 (10)

< 0.001

SGLT2i

10 (3)

8 (3)

2 (7)

0.571

Furosemide

44 (14)

37 (13)

7 (23)

0.227

Metformin

66 (22)

58 (21)

8 (27)

0.623

Statins

169 (55)

144 (52)

25 (83)

0.002

Baseline Laboratory Parameters

    

Hematocrit %, mean (SD)

34.1 (5.6)

34.1 (5.6)

34.8 (5.4)

0.478

WBC K/uL, mean (SD)

8.7 (5.3)

8.7 (5.4)

8.2 (3.7)

0.634

Platelet K/uL, mean (SD)

257 (129)

260 (131)

232 (107)

0.270

Creatinine mg/dL, median [IQR]

0.8 [0.7, 1.1]

0.8 [0.7, 1.1]

1.0 [0.8, 1.2]

0.031

Troponin I ng/L, median [IQR]

7.0 [3.0,20.0]

6.0 [3.0,17.0]

16.0 [5.0, 26.0]

0.092

Echocardiography parameters

    

LVEF, mean (SD)

50 (16)

59 (3)

39 (7)

< 0.001

IVS, mm, mean (SD)

10.5 (2)

10.4 (1.9)

11.0 (2.1)

0.130

e’ lateral, m/s, mean (SD)

8.6 (3.0)

8.7 (3.0)

8.2 (2.7)

0.499

E/e’ lateral, m/s, mean (SD)

8.9 (4.1)

9.0 (4.2)

8.3 (2.9)

0.467

LAVI, ml/m2, mean (SD)

33 (12)

32 (11)

39 (14)

0.006

SPAP, mmHg, mean (SD)

33 (12)

33 (13)

31 (8)

0.481

  1. n = number, SD = standard deviation; BMI = body mass index; ICIs = immune checkpoint inhibitor; ACEi = angiotensin converting enzyme inhibitor; ARB = angiotensin receptor blocker; MRA = mineralocorticoid receptor antagonist; SGLT2i = sodium-glucose linked transporter 2 inhibitor; WBC = white blood cells; LVEF = left ventricular ejection fraction; IVS = interventricular septum; LAVI = left atrial volume index; SPAP = systolic pulmonary artery pressure; IQR = interquartile range