Evidence map›Paper›PMID 32169870›Full record

ArticleJournal for immunotherapy of cancer2020

A case of dual-mechanism immune-related anaemia in a patient with metastatic melanoma treated with nivolumab and ipilimumab.

Daniel J Olson, Padma Rajagopal, Melissa Y Tjota, Girish Venkataraman, Jason J Luke, Thomas F Gajewski

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal for immunotherapy of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 30 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Daniel J Olson *Medicine, The University of Chicago Medicine Comprehensive Cancer Center, Chicago, Illinois, USA dolson2@medicine.bsd.uchicago.edu.ORCID 0000-0001-8902-7661
Padma Rajagopal *Medicine, The University of Chicago Medicine Comprehensive Cancer Center, Chicago, Illinois, USA.
Melissa Y TjotaPathology, University of Chicago Comprehensive Cancer Center, Chicago, Illinois, USA.
Girish VenkataramanPathology, University of Chicago Comprehensive Cancer Center, Chicago, Illinois, USA.
Jason J LukeCancer Immunotherapeutics Center, University of Pittsburgh Medical Center Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.
Thomas F GajewskiMedicine, The University of Chicago Medicine Comprehensive Cancer Center, Chicago, Illinois, USA.
University of Chicago · USUPMC Hillman Cancer Center · US

Funding

Overcoming resistance to anti-PD1 immunotherapyR35CA210098 · NCI · UNIVERSITY OF CHICAGO · PI THOMAS F GAJEWSKI · 2017 to 2026
$10.4M
CLINICAL THERAPEUTICST32GM007019 · NIGMS · UNIVERSITY OF CHICAGO · PI Peter Hugh O'Donnell, MARK J RATAIN · 1985 to 2026
$8.7M
NCI NIH HHS R35 CA210098NIGMS NIH HHS T32 GM007019
6 · The paper itself

Abstract

backgroundThe combination of the immune checkpoint inhibitors (ICIs) ipilimumab and nivolumab is a mainstay of treatment for selected patients with metastatic melanoma. This combination also results in more frequent immune-related adverse events (irAEs) than either ICI alone. These irAEs can be severe and their pathogenesis is poorly understood. CASE PRESENTATION: We report a case of a woman with metastatic melanoma, treated with combined ipilimumab and nivolumab, who developed severe anaemia. While initial workup revealed autoimmune haemolytic anaemia, the anaemia persisted despite corticosteroids and paradoxical reticulocytopenia was observed. Bone marrow biopsy demonstrated a CD8

conclusionsThis report describes a rare case of two concurrent mechanisms of haematological irAE in a patient treated with combined ICI therapy. Successful treatment resulted only after the second underlying mechanism of toxicity was uncovered. Prompt recognition of these unusual presentations of rare irAEs is now key to effective irAE management.

Indexed as

AdultAnemia, Hemolytic, AutoimmuneAntifungal AgentsAntineoplastic Combined Chemotherapy ProtocolsCyclosporineFemaleHumansIpilimumabMelanomaNivolumabPrognosisAntifungal AgentsCyclosporineIpilimumabNivolumabimmunologyoncologypharmacology

Identifiers

PMID32169870
PMCPMC7069276
OpenAlexW3011204104

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.