Across rheumatic diseases

Effect of Age on Rheumatic Immune-Related Adverse Events: Experience From the Canadian Research Group of Rheumatology in Immuno-Oncology (CanRIO)

J RheumatolPublished Prospective cohort study

Authors' conclusion

Similar numbers of overall irAEs and severity of Rh-irAEs were observed between older vs younger patients who developed Rh-irAEs after treatment with ICI therapy, suggesting that inflammaging does not play a significant role in Rh-irAEs.

Study context

Population
Adults with new rheumatic irAEs (Rh-irAEs) after ICI exposure, CanRIO prospective cohort, 10 Canadian sites, January 2020–March 2023
Participants
139 adults
Exposure
Patients aged ≥ 65 years vs < 65 years with Rh-irAEs after ICI
  • Youngern = 58reference
  • Oldern = 81
Outcome
Severity of Rh-irAEs and number of irAEs
Methodological detailsmulticentre (10 Canadian sites)
  • Multicentre (10 Canadian sites)

Main finding

As reported in the abstract

  • No significant difference in severity of Rh-irAEs (P = 0.84)
  • No significant difference in number of immune-related adverse events (irAEs) (P = 0.21)

Observational data: associations, not effects.

Further findings

≥ 3 irAEs · nonsignificant trend

Treatment types for Rh-irAEs and ICI continuation

Types of treatment for Rh-irAEs similar between groups; ICI continuation did not differ

Incidence of severe Rh-irAEs, ICI-related inflammatory arthritis (subgroup)

No significant difference (P = 0.51)

Original publication

Effect of Age on Rheumatic Immune-Related Adverse Events: Experience From the Canadian Research Group of Rheumatology in Immuno-Oncology (CanRIO). J Rheumatol. Published 15 December 2024. doi:10.3899/jrheum.2024-0603

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