Thyroid disease

Predictive value of baseline thyroid autoantibody titers for ICI-associated thyroid adverse events in cancer

Eur Thyroid JPublished Retrospective cohort study

Authors' conclusion

Baseline TPOAb and TgAb titers are effective predictors of thyroid irAEs. Higher TPOAb titers are correlated with an increased risk, thereby supporting the utility of quantitative baseline screening for risk stratification.

Study context

Population
Patients with malignancies treated with immune checkpoint inhibitors (ICIs), January 2022–October 2025
Participants
181 patients
Exposure
Elevated vs normal baseline thyroid autoantibody titers
Outcome
Thyroid immune-related adverse events (irAEs)

Main finding

As reported in the abstract

Thyroid irAEs
Thyroid immune-related adverse events (irAEs) occurred
44 (24.3%)
Hypothyroidism among thyroid irAEs
81.8%
Baseline thyroid-stimulating hormone (TSH), thyroid peroxidase antibody (TPOAb) positivity and thyroglobulin antibody (TgAb) positivity were significant risk factors (logistic regression)
P < 0.05

Observational data: associations, not effects.

Further findings

OutcomeP value
Thyroid irAEs by TPOAb titer levelSeverely elevated TPOAb vs Moderately elevated TPOAb · significantly higher risk with severely elevated titersP < 0.05

Thyroid irAEs by TPOAb titer level

Severely vs moderately elevated TgAb titers: difference not significant

Original publication

Predictive value of baseline thyroid autoantibody titers for ICI-associated thyroid adverse events in cancer. Eur Thyroid J. Published 15 April 2026. doi:10.1530/etj-26-0017

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