Evidence map›Paper›PMID 32912886›Full record

ArticleBMJ case reports2020

Immune-related myositis resulting from combination therapy of ipilimumab and nivolumab in patient with metastatic renal cell carcinoma.

Naoya Okubo, Toshiki Kijima, Akinori Nukui, Takao Kamai

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
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 1 institution in 1 country.

Naoya OkuboDepartment of Urology, Dokkyo Medical University, Shimotsuga, Tochigi, Japan.
Toshiki KijimaDepartment of Urology, Dokkyo Medical University, Shimotsuga, Tochigi, Japan tkijima@dokkyomed.ac.jp.ORCID http://orcid.org/0000-0002-4380-9294
Akinori NukuiDepartment of Urology, Dokkyo Medical University, Shimotsuga, Tochigi, Japan.
Takao KamaiDepartment of Urology, Dokkyo Medical University, Shimotsuga, Tochigi, Japan.
Dokkyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune-related myositis is one of the rare immune-related adverse events whose underlying precise mechanisms are not fully understood. Here, we describe a case of immune-related myositis that developed after four cycles of combination therapy with nivolumab plus ipilimumab for the treatment of metastatic renal cell carcinoma. Negative results of autoimmune antibodies, including anti-acetylcholine receptor and anti-muscle-specific kinase antibodies suggested a T-cell-mediated mechanism. After recovery with steroid therapy, the patient resumed nivolumab monotherapy and survived without any evidence of disease progression or refractory of myositis. Differential diagnosis between T-cell-mediated and B-cell-mediated immune-related myositis and its impact on optimal management are discussed.

Indexed as

Bone NeoplasmsCarcinoma, Renal CellIpilimumabLung NeoplasmsMyositisNivolumabAntineoplastic Agents, ImmunologicalDiagnosis, DifferentialHumansImmune Checkpoint InhibitorsImmunologic TestsMaleMiddle AgedNeoplasm StagingNephrectomyPatient Care ManagementAntineoplastic Agents, ImmunologicalImmune Checkpoint InhibitorsIpilimumabNivolumaburinary and genital tract disordersurological cancerurological surgery

Identifiers

PMID32912886
PMCPMC7482462
OpenAlexW3086853676

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.