Evidence map›Paper›PMID 32599218›Full record

ReviewThe journal of allergy and clinical immunology. In practice2020

Balancing Cancer Immunotherapy Efficacy and Toxicity.

Douglas B Johnson, Baruch D Jakubovic, Vincent Sibaud, Meghan E Sise

Open access · bronzeAbstract readReview
In one paragraph

Review in The journal of allergy and clinical immunology. In practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 9% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Clinical Outcomes of Immunosuppressant Drugs in Patients Treated with Immune Checkpoint Inhibitors: A Systematic Review and Meta-Analysis.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Cost-Effectiveness of Enfortumab Vedotin and Pembrolizumab for First-Line Metastatic Urothelial Cancer in the United States.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Cutaneous and Noncutaneous Adverse Effects in Patients with Advanced Melanoma Receiving Immunotherapy.JID innovations : skin science from molecules to population health · 2023
    Article
  14. Current Status in Rechallenge of Immunotherapy.International journal of biological sciences · 2023
    Review
  15. Hypersensitivity and Immune-related Adverse Events in Biologic Therapy.Clinical reviews in allergy & immunology · 2022
    Review
  16. Article
  17. Article
  18. Multi-omics analysis of mScientific reports · 2021
    Article
  19. Review
  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

4 authors at 4 institutions in 3 countries.

Douglas B JohnsonDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tenn. Electronic address: Douglas.b.johnson@vumc.org.
Baruch D JakubovicDepartment of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Vincent SibaudDepartment of Oncodermatology, Institut Universitaire du Cancer Toulouse Oncopole, Toulouse, France.
Meghan E SiseRenal Division, Department of Internal Medicine, Massachusetts General Hospital, Boston, Mass.
Health Sciences Centre · CAInstitut universitaire du cancer de Toulouse Oncopole · FRMassachusetts General Hospital · USVanderbilt University Medical Center · US

Funding

Long-Term Cardiovascular Sequelae of Cancer ImmunotherapiesR01HL155990 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI JOHNSON, DOUGLAS B, MOSLEHI, JAVID J · 2021 to 2025
$3.3M
(PQ8) Patient- and tumor-specific biomarkers and mechanisms that predict irAEs resulting from checkpoint inhibitionR01CA227481 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BALKO, JUSTIN M, JOHNSON, DOUGLAS B · 2019 to 2023
$2.6M
Effect of Hepatitis C Virus Eradication on Chronic Kidney Disease ProgressionK23DK117014 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI SISE, MEGHAN E. · 2018 to 2022
$865k
Predicting and profiling long-term survival after immune checkpoint inhibitionK23CA204726 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI JOHNSON, DOUGLAS B · 2016 to 2020
$756k
NCI NIH HHS K23 CA204726NCI NIH HHS R01 CA227481NHLBI NIH HHS R01 HL155990NIDDK NIH HHS K23 DK117014
6 · The paper itself

Abstract

Anti-programmed cell death-1 receptor/programmed cell death-1 receptor ligand-directed therapies are transforming cancer care, with durable antitumor responses observed in multiple cancer types. Toxicities arising from therapy are autoimmune in nature and may affect essentially any organ system. The immunologic basis of such toxities is complex, with contributions from T-cell activation and autoantibody generation. Although less recognized, hypersensitivity reactions are also possible. Although most toxicities resolve with systemic corticosteroids, some require second-line immunosuppression. Furthermore, the safety of drug rechallenge is not well characterized, with variable rates of toxicity flares arising with re-exposure. Herein, we review toxicities of immune checkpoint inhibitor therapies, particularly focusing on issues that allergists/immunologists may clinically encounter, including interstitial nephritis, skin toxicity, and risks associated with immunotherapy rechallenge.

Indexed as

B7-H1 AntigenNeoplasmsHumansImmunologic FactorsImmunotherapyProgrammed Cell Death 1 ReceptorB7-H1 AntigenImmunologic FactorsProgrammed Cell Death 1 ReceptorAllergyAnti–PD-1Anti–PD-L1DermatitisImmune-related adverse eventNephritisRechallenge

Identifiers

PMID32599218
PMCPMC7318967
OpenAlexW3037386451

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.