Evidence map›Paper›PMID 29761126›Full record

ArticleAnnals of clinical and translational neurology2018

Seronegative antibody-mediated neurology after immune checkpoint inhibitors.

Robert Wilson, David A Menassa, Alexander J Davies, Sophia Michael, Joanna Hester, Wilhelm Kuker, Graham P Collins, Judith Cossins, David Beeson, Neil Steven and 4 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 4 pooled it
6.3field-weighted citation impact, top 3% 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

35 citing papers in PubMed, 4 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Clinical characteristics, management and outcomes in immune checkpoint inhibitor-induced central nervous system demyelinating disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
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  5. Review
  6. Article
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  9. Neurologic Complications of Cancer Immunotherapy.Current oncology (Toronto, Ont.) · 2023
    Review
  10. Paraneoplastic Neurologic Disorders.Current neurology and neuroscience reports · 2023
    Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Drug-related immune-mediated myelopathies.Frontiers in neurology · 2022
    Review
  17. Article
  18. Article
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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

14 authors at 6 institutions in 1 country.

Robert WilsonOxford Autoimmune Neurology Group Nuffield Department of Clinical Neurosciences University of Oxford John Radcliffe Hospital Oxford United Kingdom.
David A MenassaOxford Autoimmune Neurology Group Nuffield Department of Clinical Neurosciences University of Oxford John Radcliffe Hospital Oxford United Kingdom.
Alexander J DaviesOxford Autoimmune Neurology Group Nuffield Department of Clinical Neurosciences University of Oxford John Radcliffe Hospital Oxford United Kingdom.
Sophia MichaelOxford Autoimmune Neurology Group Nuffield Department of Clinical Neurosciences University of Oxford John Radcliffe Hospital Oxford United Kingdom.
Joanna HesterNuffield Department of Surgical Sciences University of Oxford John Radcliffe Hospital Oxford United Kingdom.
Wilhelm KukerNeuroradiology Department Oxford University Hospitals Oxford United Kingdom.
Graham P CollinsDepartment of Clinical Haematology Churchill Hospital Oxford United Kingdom.
Judith CossinsOxford Autoimmune Neurology Group Nuffield Department of Clinical Neurosciences University of Oxford John Radcliffe Hospital Oxford United Kingdom.
David BeesonOxford Autoimmune Neurology Group Nuffield Department of Clinical Neurosciences University of Oxford John Radcliffe Hospital Oxford United Kingdom.
Neil StevenDepartment of Clinical Oncology University Hospitals Birmingham Birmingham United Kingdom.
Paul MaddisonDepartment of Neurology Queen's Medical Centre Nottingham United Kingdom.
Simon RinaldiOxford Autoimmune Neurology Group Nuffield Department of Clinical Neurosciences University of Oxford John Radcliffe Hospital Oxford United Kingdom.
Saiju JacobCentre for Rare Diseases and Queen Elizabeth Neuroscience Centre University Hospitals Birmingham Birmingham United Kingdom.
Sarosh R IraniOxford Autoimmune Neurology Group Nuffield Department of Clinical Neurosciences University of Oxford John Radcliffe Hospital Oxford United Kingdom.ORCID 0000-0002-7667-9748
John Radcliffe Hospital · GBChurchill Hospital · GBNIHR Surgical Reconstruction and Microbiology Research Centre · GBOxford University Hospitals NHS Trust · GBQueen Elizabeth Hospital Birmingham · GBQueen's Medical Centre · GB

Funding

Medical Research Council MR/M006824/1Medical Research Council MR/P008399/1Wellcome Trust
6 · The paper itself

Abstract

Checkpoint inhibitor medications have revolutionized oncology practice, but frequently induce immune-related adverse events. During autoimmune neurology practice over 20 months, we prospectively identified four patients with likely antibody-mediated neurological diseases after checkpoint inhibitors: longitudinally extensive transverse myelitis, Guillain-Barré syndrome, and myasthenia gravis. All patients shared three characteristics: symptoms commenced 4 weeks after drug administration, responses to conventional immunotherapies were excellent, and autoantibodies traditionally associated with their syndrome were absent. However, serum immunoglobulins from the myelitis and Guillain-Barré syndrome patients showed novel patterns of tissue reactivity. Vigilance is required for antibody-mediated neurology after checkpoint inhibitor administration. This phenomenon may inform the immunobiology of antibody-mediated diseases.

Identifiers

PMID29761126
PMCPMC5945956
OpenAlexW2794109313

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.