Evidence map›Paper›PMID 30841554›Full record

ReviewCancers2019

Immunotherapy Associated Pulmonary Toxicity: Biology Behind Clinical and Radiological Features.

Michele Porcu, Pushpamali De Silva, Cinzia Solinas, Angelo Battaglia, Marina Schena, Mario Scartozzi, Dominique Bron, Jasjit S Suri, Karen Willard-Gallo, Dario Sangiolo and 1 more

Registry-linked trialOpen 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. It is linked to trial NCT07430501 (AcceleRating the Translation of Virtual Twins Towards a pErsonalised Management of Steatotic Liver Patients), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 4% 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.

NCT07430501 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

AcceleRating the Translation of Virtual Twins Towards a pErsonalised Management of Steatotic Liver Patients

TypeobservationalSponsorHospital Universitari Vall d'Hebron Research InstituteRan2026 to 2027Enrolled7,720ConditionsMetabolic Dysfunction-Associated Steatotic Liver DiseaseArmsData recollection
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Optimizing inpatient care for lung cancer patients with immune checkpoint inhibitor-related pneumonitis using a clinical care pathway algorithm.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    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

11 authors at 3 institutions in 2 countries.

Michele PorcuDepartment of Radiology, University Hospital of Cagliari, 09042 Monserrato (Cagliari), Italy. micheleporcu87@gmail.com.ORCID 0000-0002-3090-8541
Pushpamali De SilvaMolecular Immunology Unit, Institut Jules Bordet, Universitè Libre de Bruxelles (ULB), 1000 Brussels, Belgium. pushpamali.de.silva@gmail.com.ORCID 0000-0002-0747-5637
Cinzia SolinasMolecular Immunology Unit, Institut Jules Bordet, Universitè Libre de Bruxelles (ULB), 1000 Brussels, Belgium. czsolinas@gmail.com.
Angelo BattagliaDepartment of Medical Oncology and Hematology, Regional Hospital of Aosta, 11100 Aosta, Italy. ABattaglia@ausl.vda.it.
Marina SchenaDepartment of Medical Oncology and Hematology, Regional Hospital of Aosta, 11100 Aosta, Italy. MSchena@ausl.vda.it.
Mario ScartozziDepartment of Medical Oncology, University Hospital of Cagliari, 09042 Monserrato (Cagliari), Italy. marioscartozzi@gmail.com.
Dominique BronClinical and Experimental Hematology, Institute Jules Bordet, Universitè Libre de Bruxelles (ULB), 1000 Brussels, Belgium. Dominique.Bron@ulb.ac.be.
Jasjit S SuriLung Diagnostic Division, Global Biomedical Technologies, Inc., Roseville, CA 95661, USA. jsuri@comcast.net.
Karen Willard-GalloMolecular Immunology Unit, Institut Jules Bordet, Universitè Libre de Bruxelles (ULB), 1000 Brussels, Belgium. karen.willard-gallo@bordet.be.
Dario SangioloDepartment of Oncology, University of Torino, 10043 Orbassano (Torino), Italy. dario.sangiolo@ircc.it.
Luca SabaDepartment of Radiology, University Hospital of Cagliari, 09042 Monserrato (Cagliari), Italy. lucasabamd@gmail.com.
Université Libre de Bruxelles · BEUniversity of Cagliari · ITCandiolo Cancer Institute · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The broader use of immune checkpoint blockade in clinical routine challenges clinicians in the diagnosis and management of side effects which are caused by inflammation generated by the activation of the immune response. Nearly all organs can be affected by immune-related toxicities. However, the most frequently reported are: fatigue, rash, pruritus, diarrhea, nausea/vomiting, arthralgia, decreased appetite and abdominal pain. Although these adverse events are usually mild, reversible and not frequent, an early diagnosis is crucial. Immune-related pulmonary toxicity was most frequently observed in trials of lung cancer and of melanoma patients treated with the combination of the anti-cytotoxic T lymphocyte antigen (CTLA)-4 and the anti-programmed cell death-1 (PD-1) antibodies. The most frequent immune-related adverse event in the lung is represented by pneumonitis due to the development of infiltrates in the interstitium and in the alveoli. Clinical symptoms and radiological patterns are the key elements to be considered for an early diagnosis, rendering the differential diagnosis crucial. Diagnosis of immune-related pneumonitis may imply the temporary or definitive suspension of immunotherapy, along with the start of immuno-suppressive treatments. The aim of this work is to summarize the biological bases, clinical and radiological findings of lung toxicity under immune checkpoint blockade, underlining the importance of multidisciplinary teams for an optimal early diagnosis of this side effect, with the aim to reach an improved patient care.

Indexed as

CT scanearly diagnosisimmune related pneumonitisimmunotherapyPD-1/PD-L1

Identifiers

PMID30841554
PMCPMC6468855
OpenAlexW2919374569

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.