Evidence map›Paper›PMID 32767641›Full record

ArticleThoracic cancer2020

Pembrolizumab-induced pancytopenia in a patient with squamous cell lung cancer.

Yuriko Ueki, Manabu Suzuki, Yuriko Horikawa, Hiromu Watanabe, Yoh Yamaguchi, Chie Morita, Akinari Tsukada, Hiroshi Takumida, Yusaku Kusaba, Takashi Katsuno and 12 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Thoracic cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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  5. 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

22 authors at 1 institution in 1 country.

Yuriko UekiDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.ORCID 0000-0003-2241-7379
Manabu SuzukiDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.ORCID 0000-0001-8515-6466
Yuriko HorikawaDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Hiromu WatanabeDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Yoh YamaguchiDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Chie MoritaDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Akinari TsukadaDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Hiroshi TakumidaDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Yusaku KusabaDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Takashi KatsunoDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Yoshie TsujimotoDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Keita SakamotoDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Masao HashimotoDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Junko TeradaDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Satoru IshiiDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Jin TakasakiDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Go NakaDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Motoyasu IikuraDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Shinyu IzumiDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Yuichiro TakedaDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Masayuki HojoDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
Haruhito SugiyamaDepartment of Respiratory Medicine, National Centre for Global Health and Medicine, Shinjuku-ku, Japan.
National Center for Global Health and Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) are reportedly effective against many kinds of neoplasm, but may be responsible for several kinds of immune-related adverse events (irAEs). Among these irAEs, the incidence of myelosuppression due to ICIs is relatively low. Corticosteroids are needed to control most cases of myelosuppression. Here, we report an 88-year-old woman with squamous cell lung cancer who was administered pembrolizumab. After five cycles of pembrolizumab, she developed severe pancytopenia. The pancytopenia improved under observation without steroid administration after cessation of pembrolizumab. During recovery from this irAE, the patient also maintained long-term antitumor efficacy. KEY POINTS: SIGNIFICANT FINDINGS OF THE STUDY: There are several kinds of immune-related adverse events. We encountered a case of pembrolizumab-induced pancytopenia with squamous cell lung cancer. WHAT THIS STUDY ADDS: Corticosteroids are needed to control most cases of myelosuppression induced by ICIs, but pancytopenia induced by pembrolizumab in our case improved without steroids.

Indexed as

Aged, 80 and overAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalCarcinoma, Squamous CellFemaleHumansLung NeoplasmsPancytopeniaAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalpembrolizumabImmune checkpoint inhibitorimmune-related adverse event (irAE)pancytopeniaPD-L1squamous cell lung cancer

Identifiers

PMID32767641
PMCPMC7471020
OpenAlexW3047695343

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.