Evidence map›Paper›PMID 27826593›Full record

ArticleJournal of investigative medicine high impact case reports

Pembrolizumab Therapy Triggering an Exacerbation of Preexisting Autoimmune Disease: A Report of 2 Patient Cases.

Sneha D Phadke, Ramez Ghabour, Brian L Swick, Andrea Swenson, Mohammed Milhem, Yousef Zakharia

Abstract read
In one paragraph

Article in Journal of investigative medicine high impact case reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Review
  2. An overview of the efficacy of phototherapy in oncodermatology.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Immunotherapy use outside clinical trial populations: never say never?Annals of oncology : official journal of the European Society for Medical Oncology · 2021
    Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Melanoma and Vitiligo: In Good Company.International journal of molecular sciences · 2019
    Review
  16. Article
  17. Neuromuscular Complications of Programmed Cell Death-1 (PD-1) Inhibitors.Current neurology and neuroscience reports · 2018
    Review
  18. [Initially undetected de novo psoriasis triggered by nivolumab for metastatic base of the tongue carcinoma].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2018
    Article
  19. Cutaneous CD56JAAD case reports · 2018
    Article
  20. 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.

Sneha D PhadkeDepartment of Internal Medicine, Divison of Hematology/Oncology, University of Iowa Hospitals & Clinics, Iowa City, IA, USA.
Ramez GhabourDepartment of Internal Medicine, University of Iowa Hospitals & Clinics, Iowa City, IA, USA.
Brian L SwickDepartment of Dermatology, University of Iowa Hospitals & Clinics, Iowa City, IA, USA.
Andrea SwensonDepartment of Neurology, University of Iowa Hospitals & Clinics, Iowa City, IA, USA.
Mohammed MilhemDepartment of Internal Medicine, Divison of Hematology/Oncology, University of Iowa Hospitals & Clinics, Iowa City, IA, USA.
Yousef ZakhariaDepartment of Internal Medicine, Divison of Hematology/Oncology, University of Iowa Hospitals & Clinics, Iowa City, IA, USA.

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
6 · The paper itself

Abstract

Historically, metastatic melanoma was uniformly and rapidly lethal, and treatment options were limited. In recent years, however, checkpoint inhibitors have emerged as an accepted standard treatment for patients with advanced melanoma. In clinical trials, these agents have been largely well tolerated and have the potential to result in durable responses. Importantly though, one must recognize the unique side effect profile of these therapies, which can trigger or exacerbate underlying autoimmune disease. Whether this autoimmune activation is associated with a clinical response to therapy has been debated, and while not definitive, there is evidence in the literature of a possible association. The 2 cases presented describe this autoimmune phenomenon, along with a review of the existing literature on the relationship between response to immunotherapy and autoimmune side effects.

Indexed as

autoimmuneimmunotherapymelanomamyasthenia gravispsoriasis

Identifiers

PMID27826593
PMCPMC5084516

What OpenQuestion holds

Textmetadata
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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.