Evidence map›Paper›PMID 29512649›Full record

ReviewNature reviews. Gastroenterology & hepatology2018

Gastrointestinal toxicity of immune checkpoint inhibitors: from mechanisms to management.

Mark A Samaan, Polychronis Pavlidis, Sophie Papa, Nick Powell, Peter M Irving

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Gastroenterology & hepatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
–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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Trial
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  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. An Overview of Advances in Rare Cancer Diagnosis and Treatment.International journal of molecular sciences · 2024
    Review
  14. Review
  15. Accelerating the Evolution of Immune-Related Enterocolitis Management.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Article
  16. Article
  17. Review
  18. Gastrointestinal injury induced by immunomodulators: A review article.Therapeutic advances in gastroenterology · 2023
    Review
  19. Review
  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

5 authors.

Mark A SamaanDepartment of Gastroenterology, Guy's and St Thomas' NHS Foundation Trust, First Floor College House, North Wing, St Thomas' Hospital, Westminster Bridge Road, London, UK.
Polychronis PavlidisDepartment of Gastroenterology, King's College Hospital, Denmark Hill, Brixton, London, UK.
Sophie PapaDepartment of Medical Oncology, Guy's and St Thomas' NHS Foundation Trust, Cancer Centre, Guy's Hospital, Great Maze Pond, London, UK.
Nick PowellDepartment of Gastroenterology, Guy's and St Thomas' NHS Foundation Trust, First Floor College House, North Wing, St Thomas' Hospital, Westminster Bridge Road, London, UK.
Peter M IrvingDepartment of Gastroenterology, Guy's and St Thomas' NHS Foundation Trust, First Floor College House, North Wing, St Thomas' Hospital, Westminster Bridge Road, London, UK.

Funding

Medical Research Council MR/L006278/1
6 · The paper itself

Abstract

Immune checkpoint inhibitor therapies are a novel group of monoclonal antibodies with proven effectiveness in a wide range of malignancies, including melanoma, renal cell carcinoma, non-small-cell lung cancer, urothelial carcinoma and Hodgkin lymphoma. Their use in a range of other indications, such as gastrointestinal and head and neck cancer, is currently under investigation. The number of agents included in this drug group is increasing, as is their use. Although they have the potential to improve the treatment of advanced malignancies, they are also associated with a substantial risk of immune-related adverse events. The incidence of gastrointestinal toxicity associated with their use is second only in frequency to dermatological toxicity. Thus, gastroenterologists can expect to be increasingly frequently consulted by oncologists as part of a multidisciplinary approach to managing toxicity. Here, we describe this novel group of agents and their mechanisms of action. We review the manifestations of gastrointestinal toxicity associated with their use so that it can be recognized early and diagnosed accurately. We also discuss the proposed mechanisms underlying this toxicity and describe an algorithmic and, wherever possible, evidence-based approach to its management.

Indexed as

Antibodies, MonoclonalAntineoplastic Agents, ImmunologicalCTLA-4 AntigenGastrointestinal DiseasesHumansNeoplasmsProgrammed Cell Death 1 ReceptorAntibodies, MonoclonalAntineoplastic Agents, ImmunologicalCTLA-4 AntigenCTLA4 protein, humanPDCD1 protein, humanProgrammed Cell Death 1 Receptor

Identifiers

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.