Evidence map›Paper›PMID 27019533›Full record

ArticleNagoya journal of medical science2016

Nivolumab for the treatment of malignant melanoma in a patient with pre-existing myasthenia gravis.

Osamu Maeda, Kenji Yokota, Naoki Atsuta, Masahisa Katsuno, Masashi Akiyama, Yuichi Ando

Open access · greenAbstract readCase Reports
In one paragraph

Article in Nagoya journal of medical science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Neurologic Complications of Cancer Immunotherapy.Current oncology (Toronto, Ont.) · 2023
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Immunotherapy use outside clinical trial populations: never say never?Annals of oncology : official journal of the European Society for Medical Oncology · 2021
    Review
  11. Review
  12. Neurologic Toxicities of Immunotherapy.Advances in experimental medicine and biology · 2021
    Article
  13. Neurologic Toxicities of Cancer Immunotherapies: a Review.Current neurology and neuroscience reports · 2020
    Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Immune checkpoint inhibitors in the onset of myasthenia gravis with hyperCKemia.Annals of clinical and translational neurology · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Osamu MaedaDepartment of Clinical Oncology and Chemotherapy, Nagoya University Hospital, Nagoya, Japan.
Kenji YokotaDepartment of Dermatology, Nagoya University Graduate School of Medicine Nagoya, Japan.
Naoki AtsutaDepartment of Neurology, Nagoya University Graduate School of Medicine Nagoya, Japan.
Masahisa KatsunoDepartment of Neurology, Nagoya University Graduate School of Medicine Nagoya, Japan.
Masashi AkiyamaDepartment of Dermatology, Nagoya University Graduate School of Medicine Nagoya, Japan.
Yuichi AndoDepartment of Clinical Oncology and Chemotherapy, Nagoya University Hospital, Nagoya, Japan.
Nagoya University · JPNagoya University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 79-year-old man with lymph node recurrence of malignant melanoma received nivolumab, an anti-programmed death 1 (PD-1) monoclonal antibody. He had pre-existing ocular myasthenia gravis (MG) and a continued small amount of corticosteroid. Grade 3 creatine phosphokinase elevation appeared after two doses of nivolumab, and the treatment was postponed until it improved to grade 1. After three doses of nivolumab, he experienced diplopia and facial muscle weakness which were consistent with an acute exacerbation of MG, and the symptoms relieved without additional treatment for MG. He achieved shrinkage of metastasis after ten doses of nivolumab. Although a case who died due to MG after administration of nivolumab was reported recently, pre-existing MG is considered not to be always a contraindication of nivolumab.

Indexed as

MelanomaAgedAntibodies, MonoclonalAntineoplastic AgentsHumansMaleMyasthenia GravisNivolumabSkin NeoplasmsAntibodies, MonoclonalAntineoplastic AgentsNivolumabanti-programmed death 1 (PD-1) monoclonal antibodycreatine phosphokinasemalignant melanomamyasthenia gravisnivolumab

Identifiers

PMID27019533
PMCPMC4767520
OpenAlexW2346969436

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.