Evidence map›Paper›PMID 32400023›Full record

ArticleThe oncologist2020

Statin Intolerance, Anti-HMGCR Antibodies, and Immune Checkpoint Inhibitor-Associated Myositis: A "Two-Hit" Autoimmune Toxicity or Clinical Predisposition?

Mitchell S von Itzstein, Shaheen Khan, Vinita Popat, Rong Lu, Saad A Khan, Farjana J Fattah, Jason Y Park, Bonnie L Bermas, David R Karp, Murtaza Ahmed and 6 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in The oncologist, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Metabolic syndrome and immune-related adverse events.Cancer immunology, immunotherapy : CII · 2026
    Article
  3. Article
  4. Neuromuscular complications associated with cancer immunotherapy.Journal of the National Cancer Center · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. 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

16 authors at 1 institution in 1 country.

Mitchell S von Itzstein *Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0003-0530-3169
Shaheen Khan *Department of Immunology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Vinita Popat *School of Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Rong LuDepartment of Population and Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Saad A KhanDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Farjana J FattahHarold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Jason Y ParkDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Bonnie L BermasDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
David R KarpDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Murtaza AhmedSchool of Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Jessica M SaltarskiHarold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Yvonne Gloria-McCutchenHarold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Yang XieDepartment of Population and Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Quan-Zhen LiDepartment of Immunology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Edward K WakelandDepartment of Immunology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
David E GerberDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
The University of Texas Southwestern Medical Center · US

Funding

UNIVERSITY OF TEXAS--SPORE IN LUNG CANCERP50CA070907 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GIBBONS, DON LYNN · 1996 to 2024
$57.4M
UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Sandi Leigh Pruitt · 2010 to 2026
$53.7M
Development of New Cancer Treatments and InvestigatorsK24CA201543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GERBER, DAVID ERIC · 2016 to 2020
$737k
NCI NIH HHS K24 CA201543NCI NIH HHS P30 CA142543NCI NIH HHS P50 CA070907
6 · The paper itself

Abstract

Immune-related adverse events induced by immune checkpoint inhibitor (ICI) therapy may affect diverse organ systems, including skeletal and cardiac muscle. ICI-associated myositis may result in substantial morbidity and occasional mortality. We present a case of a patient with advanced non-small cell lung cancer who developed grade 4 myositis with concurrent myocarditis early after initiation of anti-programmed death ligand 1 therapy (durvalumab). Autoantibody analysis revealed marked increases in anti-3-hydroxy-3-methylglutaryl-coenzyme A reductase antibody levels that preceded clinical toxicity, and further increased during toxicity. Notably, the patient had a history of intolerable statin myopathy, which had resolved clinically after statin discontinuation and prior to ICI initiation. This case demonstrates a potential association between statin exposure, autoantibodies, and ICI-associated myositis.

Indexed as

Carcinoma, Non-Small-Cell LungHydroxymethylglutaryl-CoA Reductase InhibitorsLung NeoplasmsMyositisHumansImmune Checkpoint InhibitorsHydroxymethylglutaryl-CoA Reductase InhibitorsImmune Checkpoint Inhibitors

Identifiers

PMID32400023
PMCPMC7418340
OpenAlexW3025061497

What OpenQuestion holds

Textmetadata
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.