Evidence map›Paper›PMID 27096097›Full record

ArticleJournal for immunotherapy of cancer2016

Disease stabilization with pembrolizumab for metastatic acral melanoma in the setting of autoimmune bullous pemphigoid.

Kristen M Beck, Joanna Dong, Larisa J Geskin, Vincent P Beltrani, Richard G Phelps, Richard D Carvajal, Gary Schwartz, Yvonne M Saenger, Robyn D Gartrell

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 37 citations in OpenAlex.

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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

9 authors at 4 institutions in 3 countries.

Kristen M Beck *Department of Medicine, Columbia University College of Physicians and Surgeons, New York, NY USA.
Joanna Dong *Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY USA.
Larisa J GeskinDepartment of Dermatology, Columbia University College of Physicians and Surgeons, New York, NY USA.
Vincent P BeltraniDepartment of Dermatology, Columbia University College of Physicians and Surgeons, New York, NY USA.
Richard G PhelpsDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY USA.
Richard D CarvajalDepartment of Medicine, Columbia University College of Physicians and Surgeons, New York, NY USA.
Gary SchwartzDepartment of Medicine, Columbia University College of Physicians and Surgeons, New York, NY USA.
Yvonne M SaengerDepartment of Medicine, Columbia University College of Physicians and Surgeons, New York, NY USA.
Robyn D GartrellDepartment of Medicine, Columbia University College of Physicians and Surgeons, New York, NY USA.
Columbia College · CAColumbia University · USIcahn School of Medicine at Mount Sinai · USRoyal College of Physicians · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo date, patients with pre-existing autoimmune conditions have been excluded from immunotherapy trials out of concern for severe autoimmune exacerbations. CASE PRESENTATION: We describe the first case of a patient with metastatic cKIT mutated acral melanoma, brain metastasis, and pre-existing severe autoimmune bullous pemphigoid (BP) with stable and asymptomatic disease 10 months after treatment with pembrolizumab. The patient experienced severe BP exacerbation after therapy with ipilimumab requiring systemic immune suppression, but nonetheless pembrolizumab was administered on further disease progression.

conclusionsThis case suggests that pembrolizumab may confer more benefit than risk even in patients with known severe autoimmune conditions who require intermittent systemic immunosuppression.

Indexed as

Anti-PD1AutoimmunityBullous pemphigoidImmune-related adverse events [irAEs]ImmunotherapyMetastatic MelanomaPembrolizumab

Identifiers

PMID27096097
PMCPMC4835882
OpenAlexW2314244103

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.