Evidence map›Paper›PMID 33140115›Full record

ReviewSouthern medical journal2020

Immune Checkpoint Inhibitor-Related Pulmonary Toxicity: Focus on Nivolumab.

Hazim Bukamur, Heather Katz, Mohamed Alsharedi, Akram Alkrekshi, Yousef R Shweihat, Nancy J Munn

Open access · bronzeAbstract readReview
In one paragraph

Review in Southern medical journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Hazim BukamurFrom the Department of Pulmonary and Critical Care Medicine, Texas Tech University Health Sciences Center, Lubbock, the Departments of Pulmonary and Critical Care Medicine, Hematology, and Oncology Medicine, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia, the Huntington Veterans Administration Medical Center, Huntington, West Virginia, and the MetroHealth System Campus, Case Western Reserve University, Cleveland, Ohio.
Heather KatzFrom the Department of Pulmonary and Critical Care Medicine, Texas Tech University Health Sciences Center, Lubbock, the Departments of Pulmonary and Critical Care Medicine, Hematology, and Oncology Medicine, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia, the Huntington Veterans Administration Medical Center, Huntington, West Virginia, and the MetroHealth System Campus, Case Western Reserve University, Cleveland, Ohio.
Mohamed AlsharediFrom the Department of Pulmonary and Critical Care Medicine, Texas Tech University Health Sciences Center, Lubbock, the Departments of Pulmonary and Critical Care Medicine, Hematology, and Oncology Medicine, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia, the Huntington Veterans Administration Medical Center, Huntington, West Virginia, and the MetroHealth System Campus, Case Western Reserve University, Cleveland, Ohio.
Akram AlkrekshiFrom the Department of Pulmonary and Critical Care Medicine, Texas Tech University Health Sciences Center, Lubbock, the Departments of Pulmonary and Critical Care Medicine, Hematology, and Oncology Medicine, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia, the Huntington Veterans Administration Medical Center, Huntington, West Virginia, and the MetroHealth System Campus, Case Western Reserve University, Cleveland, Ohio.
Yousef R ShweihatFrom the Department of Pulmonary and Critical Care Medicine, Texas Tech University Health Sciences Center, Lubbock, the Departments of Pulmonary and Critical Care Medicine, Hematology, and Oncology Medicine, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia, the Huntington Veterans Administration Medical Center, Huntington, West Virginia, and the MetroHealth System Campus, Case Western Reserve University, Cleveland, Ohio.
Nancy J MunnFrom the Department of Pulmonary and Critical Care Medicine, Texas Tech University Health Sciences Center, Lubbock, the Departments of Pulmonary and Critical Care Medicine, Hematology, and Oncology Medicine, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia, the Huntington Veterans Administration Medical Center, Huntington, West Virginia, and the MetroHealth System Campus, Case Western Reserve University, Cleveland, Ohio.
Texas Tech University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The development of checkpoint inhibitors has changed the treatment paradigm for cancer. Checkpoint inhibitors nivolumab, pembrolizumab, and cemiplimab target programmed death-1 (PD-1), whereas durvalumab, avelumab, and atezolizumab target PD-ligand 1. Ipilimumab targets cytotoxic T lymphocyte-associated antigen 4. Used as monotherapy or in combination, these inhibitors have shown remarkable efficacy in melanoma, lung cancer, urothelial cancer, and many other solid tumors, and indications are continuing to evolve. Checkpoint inhibitors are well tolerated when compared with traditional chemotherapy. The major adverse effect profiles are idiosyncratic immune-mediated toxicities resulting from the abnormal activation of autoreactive T cells, which can lead to inflammation in any organ system. The most commonly affected organs are bowel, lung, skin, and endocrine. Pulmonary toxicity is important to recognize, and it can be more challenging to diagnose in lung cancer patients, given the nature of the disease course and treatment. This review article focuses on all of the pulmonary adverse effects of a single PD-1 inhibitor (nivolumab) that have been described in the literature. These complications include dyspnea, pneumonitis, pleural effusion, pulmonary sarcoidosis, pulmonary tuberculosis, acute fibrinous organizing pneumonia, organizing pneumonia, eosinophilic pneumonia, adult respiratory distress syndrome, and lung cavitation. Clinicians must be aware of these toxicities and mindful when prescribing these medications in patients with known lung dysfunction due to chronic lung diseases or lung cancer.

Indexed as

Antineoplastic Agents, ImmunologicalHumansImmune Checkpoint InhibitorsLungLung DiseasesLung NeoplasmsNivolumabAntineoplastic Agents, ImmunologicalImmune Checkpoint InhibitorsNivolumab

Identifiers

PMID33140115
PMCPMC7587235
OpenAlexW3095713034

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.