Evidence map›Paper›PMID 29113194›Full record

ArticleOncology letters2017

Immune-related adverse events during anticancer immunotherapy: Pathogenesis and management.

Stefania Stucci, Raffaele Palmirotta, Anna Passarelli, Erica Silvestris, Antonella Argentiero, Laura Lanotte, Silvana Acquafredda, Annalisa Todisco, Franco Silvestris

Open access · diamondAbstract read
In one paragraph

Article in Oncology letters, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 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 1 institution in 1 country.

Stefania StucciDepartment of Internal Medicine and Clinical Oncology, University of Bari Aldo Moro, I-70124 Bari, Italy.
Raffaele PalmirottaDepartment of Internal Medicine and Clinical Oncology, University of Bari Aldo Moro, I-70124 Bari, Italy.
Anna PassarelliDepartment of Internal Medicine and Clinical Oncology, University of Bari Aldo Moro, I-70124 Bari, Italy.
Erica SilvestrisDepartment of Internal Medicine and Clinical Oncology, University of Bari Aldo Moro, I-70124 Bari, Italy.
Antonella ArgentieroDepartment of Internal Medicine and Clinical Oncology, University of Bari Aldo Moro, I-70124 Bari, Italy.
Laura LanotteDepartment of Internal Medicine and Clinical Oncology, University of Bari Aldo Moro, I-70124 Bari, Italy.
Silvana AcquafreddaDepartment of Internal Medicine and Clinical Oncology, University of Bari Aldo Moro, I-70124 Bari, Italy.
Annalisa TodiscoDepartment of Internal Medicine and Clinical Oncology, University of Bari Aldo Moro, I-70124 Bari, Italy.
Franco SilvestrisDepartment of Internal Medicine and Clinical Oncology, University of Bari Aldo Moro, I-70124 Bari, Italy.
University of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunotherapy is one of the most recent systemic treatments to emerge for use in oncology, and is based on the blocking of inhibitory immune checkpoints to potentiate the immune response to cancer. The anti-cytotoxic T lymphocyte-associated antigen-4 antibody ipilimumab and anti-programmed cell death protein 1 antibodies, including nivolumab and pembrolizumab, are currently available and widely used, and other immune-inhibiting antibodies are now under intensive investigation. These antibodies have shown efficacy in a growing number of tumor types, following initial observations of their notable effects in melanoma treatment. Despite the efficacy of these antibodies, their novel mechanisms of action are also associated with a new class of side effects called immune-related adverse events (IRAEs). These side effects do not share a common pathophysiology with other anticancer treatments and, therefore, they often require specific therapies. When detected early and correctly treated, IRAEs are reversible; however, they can become severe and life-threatening if underestimated or inappropriately treated. This review aims to revisit the pathogenesis of IRAEs, with attention to gastrointestinal manifestations, since these are common and potentially dangerous complications of immunotherapy and represent a major cause of treatment discontinuation. Recommendations and guidelines for the management of IRAEs are also presented, in order to provide a clear and applicable algorithm for use by clinicians.

Indexed as

cytotoxic T lymphocyte-associated antigen-4immune-related adverse-eventsimmunotherapymanagementprogrammed cell death protein 1programmed cell death protein ligand 1

Identifiers

PMID29113194
PMCPMC5661371
OpenAlexW2753001486

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.