Evidence map›Paper›PMID 29618376›Full record

ArticleJournal for immunotherapy of cancer2018

Pseudoprogression manifesting as recurrent ascites with anti-PD-1 immunotherapy in urothelial bladder cancer.

Randy F Sweis, Yuanyuan Zha, Lomax Pass, Brian Heiss, Tara Chongsuwat, Jason J Luke, Thomas F Gajewski, Russell Szmulewitz

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal for immunotherapy of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 13 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

8 authors at 2 institutions in 1 country.

Randy F SweisDepartment of Medicine, Section of Hematology/Oncology, Comprehensive Cancer Center, University of Chicago Medicine, 5841 S. South Maryland Avenue, MC 2115, Chicago, IL, 60637, USA. rsweis@uchicago.edu.
Yuanyuan ZhaDepartment of Pathology, University of Chicago, 5841 S. Maryland Avenue, MC 2115, Chicago, IL, 60637, USA.
Lomax PassUniversity of Chicago, 5841 S. Maryland Avenue, MC 2115, Chicago, IL, 60637, USA.
Brian HeissDepartment of Medicine, Section of Hematology/Oncology, Comprehensive Cancer Center, University of Chicago Medicine, 5841 S. South Maryland Avenue, MC 2115, Chicago, IL, 60637, USA.
Tara ChongsuwatDepartment of Medicine, Section of Hematology/Oncology, Comprehensive Cancer Center, University of Chicago Medicine, 5841 S. South Maryland Avenue, MC 2115, Chicago, IL, 60637, USA.
Jason J LukeDepartment of Medicine, Section of Hematology/Oncology, Comprehensive Cancer Center, University of Chicago Medicine, 5841 S. South Maryland Avenue, MC 2115, Chicago, IL, 60637, USA.
Thomas F GajewskiDepartment of Medicine, Section of Hematology/Oncology, Comprehensive Cancer Center, University of Chicago Medicine, 5841 S. South Maryland Avenue, MC 2115, Chicago, IL, 60637, USA.
Russell SzmulewitzDepartment of Medicine, Section of Hematology/Oncology, Comprehensive Cancer Center, University of Chicago Medicine, 5841 S. South Maryland Avenue, MC 2115, Chicago, IL, 60637, USA.
University of Chicago · USU-M Rogel Cancer Center

Funding

VIRAL ONCOLOGY CORE FACILITYP30CA014599 · NCI · UNIVERSITY OF CHICAGO · PI MARK W. LINGEN · 1985 to 2026
$122.1M
Developing an Oncology Workforce for the 21st Century - Renewal 01K12CA139160 · NCI · UNIVERSITY OF CHICAGO · PI OLOPADE, OLUFUNMILAYO F., SMITH, SONALI · 2010 to 2024
$10.6M
BASIC RESEARCH TRAINING IN MEDICAL ONCOLOGYT32CA009566 · NCI · UNIVERSITY OF CHICAGO · PI OLUFUNMILAYO F. OLOPADE · 1987 to 2026
$10.5M
CLINICAL THERAPEUTICST32GM007019 · NIGMS · UNIVERSITY OF CHICAGO · PI Peter Hugh O'Donnell, MARK J RATAIN · 1985 to 2026
$8.7M
NCI NIH HHS K12 CA139160NCI NIH HHS P30 CA014599NCI NIH HHS T32 CA009566NIGMS NIH HHS T32 GM007019
6 · The paper itself

Abstract

backgroundImmunotherapies targeting the PD-1 checkpoint pathway have recently gained regulatory approval in numerous cancer types. With the widespread use of immune checkpoint therapies, varying patterns of responses and immune-related adverse events are being observed. CASE PRESENTATION: In this case, we highlight a patient who developed recurrent, large-volume ascites, while simultaneously having a 49% reduction in peritoneal tumor lesion size by RECIST criteria. Sampling of the fluid revealed high levels of IL-6 and IL-15. Cytology revealed no malignant cells on 4 separate paracenteses over a period of 6 weeks. Cell counts revealed that 45% of cells were lymphocytes, and further analysis was performed by fluorescence-activated cell sorting (FACS). The majority of lymphocytes were CD8

conclusionsIn summary, treatment with anti-PD-1 therapy may result in pseudoprogression manifested by ascitic fluid accumulation due to the influx of activated T cells. Since worsening of ascites is typically associated with disease progression, it is important to consider the possibility of pesudoprogression in such patients undergoing therapy with immune checkpoint inhibitors.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalAscitesCD8-Positive T-LymphocytesDisease ProgressionFemaleHumansImmunotherapyMiddle AgedPositron Emission Tomography Computed TomographyProgrammed Cell Death 1 ReceptorRecurrenceUrinary Bladder NeoplasmsAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalPDCD1 protein, humanpembrolizumabProgrammed Cell Death 1 ReceptorBladder urothelial cancerImmune checkpointImmunotherapyPD-1PembrolizumabPseudoprogression

Identifiers

PMID29618376
PMCPMC5883337
OpenAlexW2799759587

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.