Evidence map›Paper›PMID 32749630›Full record

SynthesisDrug safety2020

Ipilimumab-Induced Enterocolitis: A Systematic Review and Meta-Analysis.

Kelcie Witges, Leigh Anne Shafer, Ryan Zarychanski, Ahmed M Abou-Setta, Rasheda Rabbani, Orvie Dingwall, Charles N Bernstein

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Drug safety, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
  3. First line Immunotherapy for Non-Small Cell Lung Cancer.Pharmaceuticals (Basel, Switzerland) · 2020
    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

7 authors at 2 institutions in 1 country.

Kelcie WitgesIBD Clinical and Research Centre, University of Manitoba, 804F-715 McDermot Avenue, Winnipeg, MB, R3E3P4, Canada.
Leigh Anne ShaferIBD Clinical and Research Centre, University of Manitoba, 804F-715 McDermot Avenue, Winnipeg, MB, R3E3P4, Canada.
Ryan ZarychanskiDepartment of Internal Medicine, University of Manitoba, Winnipeg, MB, Canada.
Ahmed M Abou-SettaDepartment of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Rasheda RabbaniDepartment of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Orvie DingwallNeil John Mclean Health Sciences Library, University of Manitoba, Winnipeg, MB, Canada.
Charles N BernsteinIBD Clinical and Research Centre, University of Manitoba, 804F-715 McDermot Avenue, Winnipeg, MB, R3E3P4, Canada. charles.bernstein@umanitoba.ca.ORCID http://orcid.org/0000-0001-8041-3574
University of Manitoba · CAWinnipeg Regional Health Authority · CA

Funding

CIHR
6 · The paper itself

Abstract

introductionCheckpoint inhibitor drugs including ipilimumab have been reported to induce intestinal injury.

objectiveWe aimed to evaluate the risk of chronic (> 6 weeks) enterocolitis following ipilimumab administration, and the likelihood that an enteritis vs colitis or enterocolitis is seen. PATIENTS AND

methodsWe searched MEDLINE, EMBASE, CENTRAL, the World Health Organization International Clinical Trials Registry, and conference proceedings. We included: (1) randomized controlled trials comparing ipilimumab administration with placebo/standard care/other active chemotherapy regimens and (2) prospective observational studies. Separate meta-analyses were performed for randomized controlled trials and observational studies.

resultsOf 4760 records, we included ten unique randomized controlled trials (n = 5814 subjects) and 34 unique prospective observational studies (n = 3699 subjects). In randomized controlled trials, the pooled relative risk of ≥ grade 3 enterocolitis or ≥ grade 3 diarrhea associated with ipilimumab was 13.31 (95% confidence interval 6.01-29.48, I

conclusionsInsufficient data exist to quantify or distinguish the risk of acute vs chronic enterocolitis following ipilmumab use. Because of the serious impact of chronic enterocolitis on quality of life and further cancer treatment, future trials evaluating the safety of immunotherapy should report gastrointestinal events in greater detail.

Indexed as

EnterocolitisHumansImmune Checkpoint InhibitorsIpilimumabPharmacovigilanceRandomized Controlled Trials as TopicImmune Checkpoint InhibitorsIpilimumab

Identifiers

PMID32749630
OpenAlexW3047471117

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.