Evidence map›Paper›PMID 26701266›Full record

ArticleCancer immunology research2016

Melanoma Brain Metastasis Pseudoprogression after Pembrolizumab Treatment.

Justine V Cohen, Ahmed K Alomari, Alexander O Vortmeyer, Lucia B Jilaveanu, Sarah B Goldberg, Amit Mahajan, Veronica L Chiang, Harriet M Kluger

Abstract readCase Reports
In one paragraph

Article in Cancer immunology research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed
–field-weighted citation impact
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

80 citing papers in PubMed.

  1. Long-Term Survival of Patients With Melanoma With Active Brain Metastases Treated With Pembrolizumab on a Phase II Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2019
    Trial
  2. Trial
  3. Article
  4. Article
  5. [Pseudoprogression after start of immunotherapy].Radiologie (Heidelberg, Germany) · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

20 more citing papers are in PubMed but not listed here.

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

8 authors.

Justine V CohenDepartment of Medicine, Section of Medical Oncology, Yale University School of Medicine, New Haven, Connecticut.
Ahmed K AlomariDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut.
Alexander O VortmeyerDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut.
Lucia B JilaveanuDepartment of Medicine, Section of Medical Oncology, Yale University School of Medicine, New Haven, Connecticut.
Sarah B GoldbergDepartment of Medicine, Section of Medical Oncology, Yale University School of Medicine, New Haven, Connecticut.
Amit MahajanDepartment of Diagnostic Radiology, Yale University School of Medicine, New Haven, Connecticut.
Veronica L ChiangDepartment of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut.
Harriet M KlugerDepartment of Medicine, Section of Medical Oncology, Yale University School of Medicine, New Haven, Connecticut. Harriet.Kluger@Yale.edu.

Funding

A research and training program for junior clinicians in treating metastatic melaK24CA172123 · NCI · YALE UNIVERSITY · PI KLUGER, HARRIET M. · 2013 to 2017
$780k
NCI NIH HHS K24 CA172123
6 · The paper itself

Abstract

The role of immunotherapy in treatment of brain metastases is unknown because most trials exclude patients with active brain lesions. As new immunomodulating agents gain approval for many malignancies, it is important to know if they have unique effects in the central nervous system (CNS). Here, we present a case of a patient with progressing brain metastases treated with a single cycle of pembrolizumab, who presented with mental status changes 11 days thereafter. MRI of the brain showed enlargement of CNS lesions with intense central enhancement and diffuse perilesional edema. Histologic evaluation of a resected lesion revealed isolated clusters of tumor cells surrounded by reactive astrocytosis, scattered inflammatory cells, and an abundance of microglial cells. Given the increasing use of immune checkpoint inhibitors in patients with brain metastases from melanoma and other diseases, recognition of pseudoprogression and management with immune suppression are essential.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic AgentsBrain NeoplasmsDisease ProgressionFemaleHumansMelanomaMiddle AgedSkin NeoplasmsAntibodies, Monoclonal, HumanizedAntineoplastic Agentspembrolizumab

Identifiers

PMID26701266
PMCPMC4881844

What OpenQuestion holds

Textmetadata
LicenceTDM
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.