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medRxiv PreprintsInternational8 October 2026

Dynamic near-term risk prediction of clinically significant immune-related adverse events using longitudinal electronic health records

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Objective: To develop and evaluate a dynamic model that repeatedly estimates the 30-day risk of a first grade [≥]2 immune-related adverse event (irAE) during immune checkpoint inhibitor (ICI) therapy. Materials and Methods: Adults initiating ICI therapy during 2015-2022 comprised the development cohort; 2023 initiators formed a nonoverlapping internal temporal evaluation cohort. Every 21 days during the first treatment year, models used available EHR information to predict a first structured phenotype-defined above Grade 2 irAE during the next 30 days. Evaluation included pooled and within-
— medRxiv Preprints
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