Evidence map›Paper›PMID 30832285›Full record

ReviewCancers2019

PD-1 Inhibitors-Related Neurological Toxicities in Patients with Non-Small-Cell Lung Cancer: A Literature Review.

Aurora Mirabile, Elena Brioschi, Monika Ducceschi, Sheila Piva, Chiara Lazzari, Alessandra Bulotta, Maria Grazia Viganò, Giovanna Petrella, Luca Gianni, Vanesa Gregorc

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Immune Checkpoint Inhibitors in Clear Cell Renal Cell Carcinoma (ccRCC).International journal of molecular sciences · 2025
    Review
  5. Review
  6. The Role of Antibody-Based Therapies in Neuro-Oncology.Antibodies (Basel, Switzerland) · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Advancing to the era of cancer immunotherapy.Cancer communications (London, England) · 2021
    Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
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

10 authors at 4 institutions in 1 country.

Aurora MirabileDepartment of Oncology, Division of Experimental Medicine, IRCCS San Raffaele, Via Olgettina 60, 20132 Milan, Italy. mirabile.aurora@hsr.it.
Elena BrioschiDepartment of Oncology, Division of Experimental Medicine, IRCCS San Raffaele, Via Olgettina 60, 20132 Milan, Italy. brioschi.elena@hsr.it.
Monika DucceschiDepartment of Oncology, Division of Experimental Medicine, IRCCS San Raffaele, Via Olgettina 60, 20132 Milan, Italy. Ducceschi.monika@hsr.it.
Sheila PivaDepartment of Oncology, ASST Fatebenefratelli Sacco, 20121 Milan, Italy. sheila.piva@asst-fbf-sacco.it.
Chiara LazzariDepartment of Oncology, Division of Experimental Medicine, IRCCS San Raffaele, Via Olgettina 60, 20132 Milan, Italy. chiara.lazzari@hsr.it.
Alessandra BulottaDepartment of Oncology, Division of Experimental Medicine, IRCCS San Raffaele, Via Olgettina 60, 20132 Milan, Italy. bulotta.alessandra@hsr.it.
Maria Grazia ViganòDepartment of Oncology, Division of Experimental Medicine, IRCCS San Raffaele, Via Olgettina 60, 20132 Milan, Italy. vigano.mariagrazia@hsr.it.
Giovanna PetrellaDepartment of Oncology, Division of Experimental Medicine, IRCCS San Raffaele, Via Olgettina 60, 20132 Milan, Italy. petrella.giovanna@hsr.it.
Luca GianniDepartment of Oncology, Division of Experimental Medicine, IRCCS San Raffaele, Via Olgettina 60, 20132 Milan, Italy. gianni.luca@hsr.it.
Vanesa GregorcDepartment of Oncology, Division of Experimental Medicine, IRCCS San Raffaele, Via Olgettina 60, 20132 Milan, Italy. gregorc.vanesa@hsr.it.
Istituto di Ricovero e Cura a Carattere Scientifico San RaffaeleVita-Salute San Raffaele University · ITASST Fatebenefratelli Sacco · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The advent of immune checkpoint inhibitors gave rise to a new era in oncology and general medicine. The increasing use of programmed death-1 (PD-1) inhibitors in non-small cell lung cancer and in other malignancies means clinicians have to face up to new challenges in managing immune-related adverse events (irAEs), which often resemble autoimmune diseases. Neurological irAEs represent an emerging toxicity related to immunotherapy, and it is mandatory to know how to monitor, recognize, and manage them, since they can rapidly lead to patient death if untreated. Guidelines for the diagnosis and treatment of these irAEs have been recently published but sharing some of the most unusual clinical cases is crucial, in our opinion, to improve awareness and to optimize the approach for these patients. A literature review on the diagnosis and treatment of immune-related neurotoxicity's has been conducted starting from the report of four cases of neurological irAEs regarding cases of polyneuropathy, myasthenia gravis, Bell's palsy, and encephalopathy, all of which occurred in oncological patients receiving PD-1 inhibitors (pembrolizumab and nivolumab) for the treatment of non-oncogene addicted advanced non-small cell lung cancer. The exclusion of other differential diagnoses and the correlation between the suspension of immunotherapy and improvement of symptoms suggest that immunotherapy could be the cause of the neurological disorders reported.

Indexed as

Bell’s palsyencephalopathyimmunotherapymyasthenia gravisneurotoxicitynivolumabpembrolizumabpolyneuropathy

Identifiers

PMID30832285
PMCPMC6468526
OpenAlexW2918294521

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.