Evidence map›Paper›PMID 26846115›Full record

ArticleDigestive diseases and sciences2016

Ipilimumab-Induced Gastrointestinal Toxicities: A Management Algorithm.

Jagpal S Klair, Mohit Girotra, Laura F Hutchins, Kari D Caradine, Farshad Aduli, Mauricio Garcia-Saenz-de-Sicilia

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Gastrointestinal injury induced by immunomodulators: A review article.Therapeutic advances in gastroenterology · 2023
    Review
  4. Review
  5. Article
  6. Ipilimumab and Nivolumab induced steroid-refractory colitis treated with infliximab: A case report.World journal of gastrointestinal pharmacology and therapeutics · 2019
    Article
  7. Review
  8. Review
  9. Article
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

6 authors at 1 institution in 1 country.

Jagpal S KlairDepartment of Internal Medicine, University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA. klairjagpal@yahoo.com.
Mohit GirotraDepartment of Internal Medicine, University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA.
Laura F HutchinsDepartment of Internal Medicine, University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA.
Kari D CaradineDepartment of Pathology, University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA.
Farshad AduliDepartment of Internal Medicine, University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA.
Mauricio Garcia-Saenz-de-SiciliaDepartment of Internal Medicine, University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA.
University of Arkansas for Medical Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ipilimumab is a cytotoxic T-lymphocyte-associated antigen-4-blocking monoclonal antibody, which has shown a significant survival benefit in metastatic melanoma patients. Despite being a promising therapy for a disease with an otherwise rather dismal prognosis, it is associated with several immune-related adverse effects (IRAE) mainly targeted toward the digestive tract, skin, liver, and hypothalamic-pituitary axis. Ipilimumab-induced gastrointestinal toxicity (IGT) include diarrhea (~44 %), colitis (~18 %), bowel perforation (<1 %), and pancreatitis (<1.5 %). Early recognition of IRAE and treatment initiation are critical to decrease the risk of further complications. Management included steroids as initial therapy, followed by infliximab (anti-tumor necrosis factor alpha antibody) and/or surgical option for complications like bowel perforation. We present a series of three patients with metastatic melanoma, who received treatment with ipilimumab, and presented with varying gastrointestinal clinical manifestations and complications. Through this case series, our attempt is to make practicing gastroenterologists cognizant about the wide spectrum of gastrointestinal toxicity of this rather new clinical entity, as well as to discuss management algorithm for IGT.

Indexed as

Aged, 80 and overAntibodies, MonoclonalAnti-Inflammatory AgentsColitisFemaleGastrointestinal AgentsGastrointestinal DiseasesHumansInfliximabIpilimumabMaleMelanomaMiddle AgedPrednisoneAntibodies, MonoclonalAnti-Inflammatory AgentsGastrointestinal AgentsInfliximabIpilimumabPrednisoneColitisIpilimumabMetastatic melanomaPerforation

Identifiers

PMID26846115
OpenAlexW2270068936

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.