Evidence map›Paper›PMID 32786022›Full record

ArticleCancer2020

Clinical outcomes of solid organ transplant recipients with metastatic cancers who are treated with immune checkpoint inhibitors: A single-center analysis.

Itunu Owoyemi, Lisa E Vaughan, Collin M Costello, Charat Thongprayoon, Svetomir N Markovic, Joerg Herrmann, Clark C Otley, Timucin Taner, Aaron R Mangold, Nelson Leung and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Immune checkpoint inhibitors in malignancies after liver transplantation: A systematic review and pooled analysis.Liver international : official journal of the International Association for the Study of the Liver · 2023
    Pooled it
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  10. Systemic therapies in hepatocellular carcinoma: A revolution?United European gastroenterology journal · 2024
    Review
  11. Immune Checkpoint Inhibitor Therapy for Kidney Transplant Recipients - A Review of Potential Complications and Management Strategies.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
  12. Review
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  14. Article
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  17. Chemotherapy, targeted therapy and immunotherapy: Which drugs can be safely used in the solid organ transplant recipients?Transplant international : official journal of the European Society for Organ Transplantation · 2021
    Review
  18. Review
  19. Immunotherapy use outside clinical trial populations: never say never?Annals of oncology : official journal of the European Society for Medical Oncology · 2021
    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

12 authors at 2 institutions in 1 country.

Itunu OwoyemiDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-3018-3384
Lisa E VaughanDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota.
Collin M CostelloDepartment of Dermatology, Mayo Clinic, Scottsdale, Arizona.ORCID 0000-0001-7946-274X
Charat ThongprayoonDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-8313-3604
Svetomir N MarkovicDivision of Medical Oncology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-9238-4325
Joerg HerrmannDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
Clark C OtleyDepartment of Dermatology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0001-9712-8956
Timucin TanerDepartment of Surgery, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0003-0641-2930
Aaron R MangoldDepartment of Dermatology, Mayo Clinic, Scottsdale, Arizona.ORCID 0000-0001-6873-1705
Nelson LeungDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-5651-1411
Sandra M HerrmannDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-3700-4537
Aleksandra KuklaDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0001-9576-5687
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

TrAstuzumab Cardiomyopathy Therapeutic Intervention with Carvedilol (TACTIC) TrialR01CA233610 · NCI · MAYO CLINIC ROCHESTER · PI HERRMANN, JOERG, RUDDY, KATHRYN JEAN · 2019 to 2024
$4.3M
Hypoxic preconditioning for the improvement of the regenerative capacity of adipose-derived mesenchymal stem cells and its application in chronic kidney disease due to hypertensive nephropathyK08DK118120 · NIDDK · MAYO CLINIC ROCHESTER · PI HERRMANN, SANDRA M · 2018 to 2022
$800k
Foundation for the National Institutes of Health kK08 DK 118120NCI NIH HHS R01 CA233610NIDDK NIH HHS K08 DK118120
6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICIs) have revolutionized cancer therapy, but to the authors' knowledge, limited data exist regarding the safety and efficacy of these agents in transplant recipients. Herein, the authors have reported their experience with 17 patients who were treated with ICIs for metastatic malignancies after undergoing solid organ transplantation.

methodsData were abstracted for solid organ transplant recipients who received ICIs for the treatment of malignancy between January 1, 2016, and September 30, 2019. The authors identified 7 kidney, 8 liver, and 2 heart transplant recipients. Outcomes of interest were adverse drug reactions, cancer progression, and patient survival.

resultsThe most common malignancies treated with ICIs were metastatic squamous cell carcinoma (5 patients; 29%) and hepatocellular carcinoma (5 patients; 29%), which were noted exclusively among liver transplant recipients. The median duration on ICIs was 1.7 months (interquartile range, 0.4-7.6 months). Five patients (29%) developed adverse reactions, including 4 patients (24%) with immune-related adverse events(irAEs), 3 patients (18%) with acute allograft rejections, 1 patient (6%) with autoimmune colitis, and 1 patient (6%) with ICI-induced cardiotoxicity (the patient was a heart transplant recipient). The cumulative incidence of cancer progression was 50% and 69%, respectively, at 6 months and 12 months. Eleven patients (65%) died over the median follow-up period of 4.6 months (interquartile range, 1.5-13.2 months) from the time of ICI initiation, with cancer progression being the most common cause of death.

conclusionsICIs can be used as individualized therapy in selected patients who have undergone solid organ transplantation but more studies are needed to determine how best to use these agents to improve outcomes further.

Indexed as

AgedHumansImmune Checkpoint InhibitorsMiddle AgedNeoplasm MetastasisNeoplasmsOrgan TransplantationImmune Checkpoint Inhibitorsadvanced metastatic cancersallograft rejectioncytotoxic T-lymphocyte antigen 4 (CTLA-4) inhibitorsimmune checkpoint inhibitorsprogrammed cell death protein 1 (PD-1) inhibitorsprogrammed death-ligand 1 (PD-L1) inhibitorssolid organ transplant recipients

Identifiers

PMID32786022
PMCPMC8772343
OpenAlexW3048413712

What OpenQuestion holds

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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.