Evidence map›Paper›PMID 33916353›Full record

ArticleHealthcare (Basel, Switzerland)2021

Refractory Immune Checkpoint Inhibitor-Induced Colitis Improved by Tacrolimus: A Case Report.

Yasuhito Kunogi, Keiichi Tominaga, Keiichiro Abe, Mimari Kanazawa, Takanao Tanaka, Shoko Watanabe, Masayuki Kondo, Akira Kanamori, Makoto Iijima, Kenichi Goda and 3 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Immune checkpoint inhibitor-induced diarrhea and colitis: an overview.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Review
  6. Review
  7. Review
  8. 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

13 authors at 1 institution in 1 country.

Yasuhito KunogiDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.
Keiichi TominagaDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.ORCID 0000-0002-3716-3386
Keiichiro AbeDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.
Mimari KanazawaDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.ORCID 0000-0003-2243-4267
Takanao TanakaDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.
Shoko WatanabeDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.
Masayuki KondoDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.
Akira KanamoriDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.
Makoto IijimaDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.
Kenichi GodaDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.
Yumi NozawaDepartment of Diagnostics Pathology, Dokkyo Medical University, Tochigi 321-0293, Japan.
Kazuyuki IshidaDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.
Atsushi IrisawaDepartment of Gastroenterology, Dokkyo Medical University, Tochigi 321-0293, Japan.ORCID 0000-0002-2271-2717
Dokkyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) increase T-cell activity and antitumor immune response. However, they also have immune-related adverse effects that can affect the gastrointestinal (GI) tract. A 62-year-old male patient who had undergone right lung upper lobectomy for adenocarcinoma of the lung received chemotherapy with pemetrexed sodium hydrate, carboplatin, and pembrolizumab to prevent postoperative recurrence of liver metastasis. However, the patient experienced severe diarrhea four months after the start of chemotherapy. Although a corticosteroid and two biological preparations were administered to alleviate the diarrhea, no improvement was observed. Eventually, remission was achieved when tacrolimus was administered. Treatment with corticosteroids is recommended for patients with GI adverse effects of ICIs. Rapid introduction of infliximab is necessary for refractory patients. Nevertheless, for refractory cases such as that of our patient, for whom even this regimen is inefficacious, tacrolimus might be recommended to induce remission as with cases of ulcerative colitis.

Indexed as

immune checkpoint inhibitor-induced enterocolitislung cancerpembrolizumabtacrolimus

Identifiers

PMID33916353
PMCPMC8066945
OpenAlexW3146388344

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.