Evidence map›Paper›PMID 30799364›Full record

ArticleInternal medicine (Tokyo, Japan)2019

Successful Treatment of Nivolumab-related Cholangitis with Prednisolone: A Case Report and Review of the Literature.

Koji Sawada, Tatsuya Shonaka, Yuji Nishikawa, Kimiharu Hasegawa, Hidemi Hayashi, Takumu Hasebe, Shunsuke Nakajima, Katsuya Ikuta, Mikihiro Fujiya, Hiroyuki Furukawa and 1 more

Open access · diamondAbstract 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 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Hepatobiliary complications of immune checkpoint inhibitors in cancer.Exploration of targeted anti-tumor therapy · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. A rare case of immunotherapy-induced cholangitis and gastritis.Clinical journal of gastroenterology · 2020
    Article
  14. 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

11 authors at 1 institution in 1 country.

Koji SawadaDivision of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Japan.
Tatsuya ShonakaDivision of Gastroenterological and General Surgery, Department of Surgery, Asahikawa Medical University, Japan.
Yuji NishikawaDivision of Tumor Pathology, Department of Pathology, Asahikawa Medical University, Japan.
Kimiharu HasegawaDivision of Gastroenterological and General Surgery, Department of Surgery, Asahikawa Medical University, Japan.
Hidemi HayashiDivision of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Japan.
Takumu HasebeDivision of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Japan.
Shunsuke NakajimaDivision of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Japan.
Katsuya IkutaDivision of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Japan.
Mikihiro FujiyaDivision of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Japan.
Hiroyuki FurukawaDivision of Gastroenterological and General Surgery, Department of Surgery, Asahikawa Medical University, Japan.
Toshikatsu OkumuraDivision of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Japan.
Asahikawa Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The patient was a 76-year-old man who was treated with nivolumab due to recurrent gastric cancer. A blood examination revealed grade 3 alkaline phosphatase (ALP) elevation. A histopathological examination revealed marked portal infiltration, including eosinophils and CD4+ and CD8+ T lymphocytes, suggesting nivolumab-related cholangitis accompanied by the features of both an immune-related adverse event (irAE) and drug-induced liver injury (DILI) with allergic reaction. The patient's ALP level immediately decreased after the administration of prednisolone. Although nivolumab-related cholangitis, a rare irAE, has been reported to be refractory to steroid therapy, patients with features of irAE and allergic DILI might immediately respond to prednisolone.

Indexed as

AgedCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCholangitisEosinophilsHumansLiverMaleNivolumabPrednisoloneStomach NeoplasmsNivolumabPrednisolonedrug-induced liver injuryeosinophilsimmune-related adverse eventnivolumab-related cholangitisprednisolone

Identifiers

PMID30799364
PMCPMC6630117
OpenAlexW2915665014

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.