Evidence map›Paper›PMID 30449777›Full record

ArticleInternal medicine (Tokyo, Japan)2019

Bicytopenia in Primary Lung Melanoma Treated with Nivolumab.

Ayumu Takahashi, Akihito Kubo, Shohei Mizuno, Kenji Kasai, Nobuhiro Asai, Toshiyuki Yonezawa, Kenshi Kosaka, Masaki Nishimura, Hiroyuki Tanaka, Norihito Yokoe and 3 more

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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

13 authors.

Ayumu TakahashiDivision of Respiratory Medicine and Allergology, Department of Medicine, Aichi Medical University School of Medicine, Japan.
Akihito KuboDivision of Respiratory Medicine and Allergology, Department of Medicine, Aichi Medical University School of Medicine, Japan.
Shohei MizunoDivision of Hematology, Department of Medicine, Aichi Medical University School of Medicine, Japan.
Kenji KasaiDepartment of Pathology, Aichi Medical University School of Medicine, Japan.
Nobuhiro AsaiDivision of Respiratory Medicine and Allergology, Department of Medicine, Aichi Medical University School of Medicine, Japan.
Toshiyuki YonezawaDivision of Respiratory Medicine and Allergology, Department of Medicine, Aichi Medical University School of Medicine, Japan.
Kenshi KosakaDivision of Respiratory Medicine and Allergology, Department of Medicine, Aichi Medical University School of Medicine, Japan.
Masaki NishimuraDivision of Respiratory Medicine and Allergology, Department of Medicine, Aichi Medical University School of Medicine, Japan.
Hiroyuki TanakaDivision of Respiratory Medicine and Allergology, Department of Medicine, Aichi Medical University School of Medicine, Japan.
Norihito YokoeDivision of Respiratory Medicine and Allergology, Department of Medicine, Aichi Medical University School of Medicine, Japan.
Toyonori TsuzukiDepartment of Surgical Pathology, Aichi Medical University School of Medicine, Japan.
Akiyoshi TakamiDivision of Hematology, Department of Medicine, Aichi Medical University School of Medicine, Japan.
Etsuro YamaguchiDivision of Respiratory Medicine and Allergology, Department of Medicine, Aichi Medical University School of Medicine, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 73-year-old man who was a current smoker complained of weakness in his limbs and slow movement and was diagnosed with primary lung melanoma with brain metastases. Following stereotactic brain radiotherapy, nivolumab was administrated. After the first cycle of nivolumab, his blood neutrophil count and hemoglobin levels started to decline. Excluding other possible causes, nivolumab was considered the most probable cause of bicytopenia. Nivolumab was not restarted, and the bicytopenia gradually recovered with no corticosteroid administration for this event. While serious hematological adverse events regarding immune checkpoint inhibitors have been assumed to be rare, severe neutropenia and anemia should be considered in patients receiving immune checkpoint therapy.

Indexed as

AgedAnemiaAntineoplastic Agents, ImmunologicalHumansLung NeoplasmsMaleMelanomaNeutropeniaNivolumabAntineoplastic Agents, ImmunologicalNivolumabanemiahematological adverse eventimmune checkpoint inhibitorneutropenianivolumab

Identifiers

PMID30449777
PMCPMC6465013

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Registered trials

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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.