Evidence map›Paper›PMID 22477725›Full record

ReviewThe oncologist2012

Hypophysitis induced by monoclonal antibodies to cytotoxic T lymphocyte antigen 4: challenges from a new cause of a rare disease.

Francesco Torino, Agnese Barnabei, Liana De Vecchis, Roberto Salvatori, Salvatore M Corsello

Open access · greenAbstract readReview
In one paragraph

Review in The oncologist, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 80 citations in OpenAlex.

  1. Article
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  13. Immune checkpoint inhibitor therapy for pediatric cancers: A mini review of endocrine adverse events.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2019
    Article
  14. Immunotherapy-induced endocrinopathies: assessment, management and monitoring.Therapeutic advances in endocrinology and metabolism · 2019
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Ipilimumab-induced hypophysitis: review of the literature.Journal of endocrinological investigation · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Francesco TorinoDepartment of Internal Medicine, University of Rome Tor Vergata, Rome, Italy.
Agnese Barnabei
Liana De Vecchis
Roberto Salvatori
Salvatore M Corsello
University of Rome Tor Vergata · ITJohns Hopkins University · USUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Specific human monoclonal antibodies antagonize cytotoxic T-lymphocyte antigen 4 (anti-CTLA-4 mAbs), a negative regulator of the immune system, inducing unrestrained T-cell activation. In patients with advanced or metastatic melanoma, one of these agents, ipilimumab, produced considerable disease control rates and, for the first time, a clear improvement in overall survival outcomes. However, accumulating clinical experience with anti-CTLA-4 mAbs identified a novel syndrome of autoimmune and autoinflammatory side effects, designated as "immune-related adverse events," including mainly rash, colitis, and hepatitis. Autoimmune hypophysitis has emerged as a distinctive side effect induced by anti-CTLA-4 mAbs. This condition may be life threatening because of adrenal insufficiency if not promptly recognized, but it may easily be diagnosed and treated if clinically suspected. Hypopituitarism caused by these agents is rarely reversible and prolonged or life-long substitutive hormonal treatment is often required. The precise mechanism of injury to the pituitary triggered by anti-CTLA-4 mAbs is yet to be fully elucidated.

Indexed as

Adrenal Cortex HormonesAntibodies, MonoclonalAutoimmune DiseasesClinical Trials, Phase III as TopicCTLA-4 AntigenHumansInflammationIpilimumabMelanomaPituitary DiseasesRandomized Controlled Trials as TopicRare DiseasesSkin NeoplasmsAdrenal Cortex HormonesAntibodies, MonoclonalCTLA-4 AntigenCTLA4 protein, humanIpilimumab

Identifiers

PMID22477725
PMCPMC3336822
OpenAlexW2097560051

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.