Case Report

Anticytotoxic T-Lymphocyte Antigen-4 Induced Autoimmune Hypophysitis: A Case Report and Literature Review

Table 4

Cases of anti-CTLA4 induced hypophysitis reported in the literature.

Authors, yearType of studyComments

Min et al., 2014 [11]Retrospective cohort25Evaluated time to onset, frequency of resolution, and the effect of high-dose corticosteroids on clinical outcome

Albarel et al., 2015 [12]Retrospective (observational)15Characterized hypophysitis in terms of clinical signs, hormonal profile, and imaging at time of diagnosis and during long-term follow-up

Chodakiewitz et al., 2014 [13]Case series 3Descriptive

Nallapaneni et al., 2014 [14]Case report1Describes a patient who developed uveitis and hypophysitis with anterior and posterior pituitary involvement without MRI findings

Faje et al., 2014 [15]Retrospective review17Descriptive

Ryder et al., 2014 [16]Retrospective 19Descriptive

Marlier et al., 2014 [17]Case series4Descriptive

Anderson and Bhatia, 2013 [18]Case report1Descriptive

Lammert et al., 2013 [7]Case series7Discusses screening and management of hypophysitis in patients with metastatic cancer

Corsello et al., 2013 [3]Literature reviewN/AReview of existing literature on endocrine side effects induced by immune checkpoint inhibitors

Van der Hiel et al., 2013 [9]Case report1Descriptive

Lotem et al., 2012 [19]DescriptiveN/ADescription of CTLA-4 blockade as immunotherapy for malignant melanoma

Andrews and Holden, 2012 [4]DescriptiveN/ADescribes characteristics and management of immune related adverse effects related to ipilimumab

Thomsen 2012 [20]Case series2Descriptive

Weber et al., 2012 [5]DescriptiveN/ADescribes management of immune-related adverse events and kinetics of response with ipilimumab

Juszczak et al., 2012 [21]Case report and review1Descriptive

Torino et al., 2012 [22]DescriptiveN/ADescribes CTLA-4 induced hypophysitis as a new cause of a previously rare disease

Bronstein et al., 2011 [23]Case series2Describes radiologic manifestations of immune-related adverse events in patients with metastatic melanoma receiving anti-CTLA-4 antibody therapy

Barnard et al., 2012 [10]Case report1Hypophysitis presenting with hyponatremia

Kähler and Hauschild, 2011 [1]DescriptiveN/AReviews mechanisms of action with update on clinical trials and recommendations for managing side effects of anti-CTLA-4 antibody therapy

Boasberg et al., 2010 [24]DescriptiveN/ADescribes mechanism of action, immune response criteria, and side effect profile of anti-CTLA-4 agents

Dillard et al., 2010 [6]Case series2Patients with prostate cancer who develop hypopituitarism during treatment with ipilimumab

Kaehler et al., 2009 [25]Case report1Descriptive

Carpenter et al., 2009 [8]Case series3MRI findings in 3 patients with ipilimumab induced hypophysitis

Yang et al., 2007 [26]Case series22 patients with metastatic renal cell cancer and ipilimumab associated hypophysitis