Evidence map›Paper›PMID 32880733›Full record

GuidelineSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

Multinational Association of Supportive Care in Cancer (MASCC) 2020 clinical practice recommendations for the management of immune-related adverse events: pulmonary toxicity.

Vickie R Shannon, Ronald Anderson, Ada Blidner, Jennifer Choi, Tim Cooksley, Michael Dougan, Ilya Glezerman, Pamela Ginex, Monica Girotra, Dipti Gupta and 3 more

Open access · bronzeAbstract readHistorical ArticlePractice GuidelineReview
In one paragraph

Guideline in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.5field-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

21 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Article
  3. Pulmonary toxicity of immune checkpoint inhibitors.Breathe (Sheffield, England) · 2026
    Review
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  10. Optimizing inpatient care for lung cancer patients with immune checkpoint inhibitor-related pneumonitis using a clinical care pathway algorithm.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  11. Article
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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

13 authors at 10 institutions in 4 countries.

Vickie R ShannonDepartment of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Ronald AndersonDepartment of Immunology, Faculty of Health Sciences, University or Pretoria, Corner Doctor Savage Road and Bophelo Road, Pretoria, 0002, South Africa.
Ada BlidnerLaboratory of Immunopathology, Institute of Biology and Experimental Medicine-CONICET, Buenos Aires, Argentina.
Jennifer ChoiDivision of Oncodermatology, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Tim CooksleyManchester University Foundation Trust, Manchester, UK.
Michael DouganMassachusetts General Hospital, Boston, MA, USA.
Ilya GlezermanRenal Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Pamela GinexOncology Nursing Society, Pittsburgh, PA, USA.
Monica GirotraEndocrine Division, Department of Medicine, Weill Cornell Medical College (MG, AF), New York, NY, USA.
Dipti GuptaDepartment of Medicine (DJB), Memorial Sloan-Kettering Cancer Center (MC), New York, NY, USA.
Douglas B JohnsonDepartment of Medicine, Vanderbilt University Medical Center and Vanderbilt Ingram Cancer Center, Nashville, TN, USA.
Maria E Suarez-AlmazorSection of Rheumatology and Clinical Immunology, University of Texas MD Anderson Cancer Center, Houston, USA.
Bernardo L RapoportDepartment of Immunology, Faculty of Health Sciences, University or Pretoria, Corner Doctor Savage Road and Bophelo Road, Pretoria, 0002, South Africa. bernardo.rapoport@up.ac.za.ORCID http://orcid.org/0000-0001-7610-3653
Memorial Sloan Kettering Cancer Center · USThe University of Texas MD Anderson Cancer Center · USConsejo Nacional de Investigaciones Científicas y Técnicas · ARHarvard University · USNorthwestern University · USOncology Nursing Society · USThe Medical Oncology Centre of Rosebank · ZAUniversity of Manchester · GBUniversity of Pretoria · ZAVanderbilt University Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

The immune checkpoints associated with the CTLA-4 and PD-1 pathways are critical modulators of immune activation. These pathways dampen the immune response by providing brakes on activated T cells, thereby ensuring more uniform and controlled immune reactions and avoiding immune hyper-responsiveness and autoimmunity. Cancer cells often exploit these regulatory controls through a variety of immune subversion mechanisms, which facilitate immune escape and tumor survival. Immune checkpoint inhibitors (ICI) effectively block negative regulatory signals, thereby augmenting immune attack and tumor killing. This process is a double-edged sword in which release of regulatory controls is felt to be responsible for both the therapeutic efficacy of ICI therapy and the driver of immune-related adverse events (IrAEs). These adverse immune reactions are common, typically low-grade and may affect virtually every organ system. In the early clinical trials, lung IrAEs were rarely described. However, with ever-expanding clinical applications and more complex ICI-containing regimens, lung events, in particular, pneumonitis, have become increasingly recognized. ICI-related lung injury is clinically distinct from other types of lung toxicity and may lead to death in advanced stage disease. Thus, knowledge regarding the key characteristics and optimal treatment of lung-IrAEs is critical to good outcomes. This review provides an overview of lung-IrAEs, including risk factors and epidemiology, as well as clinical, radiologic, and histopathologic features of ICI-related lung injury. Management principles for ICI-related lung injury, including current consensus on steroid refractory pneumonitis and the use of other immune modulating agents in this setting are also highlighted.

Indexed as

CTLA-4 AntigenHistory, 21st CenturyHumansImmune Checkpoint InhibitorsImmunologic FactorsImmunotherapyInternational AgenciesLung DiseasesNeoplasmsPalliative CarePalliative MedicineProgrammed Cell Death 1 ReceptorSeverity of Illness IndexSocieties, MedicalCTLA-4 AntigenCTLA4 protein, humanImmune Checkpoint InhibitorsImmunologic FactorsProgrammed Cell Death 1 ReceptorCancerDrug-induced pneumonitisDrug toxicityImmune checkpoint inhibitorsImmune-related adverse events (IrAEs)Immunotherapy

Identifiers

PMID32880733
PMCPMC7471521
OpenAlexW3082731323

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.