Evidence map›Paper›PMID 34036293›Full record

ArticleMed (New York, N.Y.)2021

Increased Incidence of Venous Thromboembolism with Cancer Immunotherapy.

Joanna Roopkumar, Shadi Swaidani, Ann S Kim, Bicky Thapa, Lorenzo Gervaso, Brian P Hobbs, Wei Wei, Tyler J Alban, Pauline Funchain, Suman Kundu and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Med (New York, N.Y.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 2 pooled it
16.8field-weighted citation impact, top 1% 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

72 citing papers in PubMed, 2 syntheses or guidelines pooled it, 112 citations in OpenAlex.

  1. Pooled it
  2. Associations Between Immune-Related Venous Thromboembolism and Efficacy of Immune Checkpoint Inhibitors: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
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12 more citing papers are in PubMed but not listed here.

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

17 authors at 2 institutions in 1 country.

Joanna RoopkumarDepartment of Hematology & Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.
Shadi SwaidaniDepartment of Cardiovascular & Metabolic Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.
Ann S KimDepartment of Hematology & Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.
Bicky ThapaDepartment of Hematology & Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.
Lorenzo GervasoDepartment of Hematology & Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.
Brian P HobbsDepartment of Hematology & Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.
Wei WeiDepartment of Hematology & Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.
Tyler J AlbanDepartment of Cardiovascular & Metabolic Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.
Pauline FunchainDepartment of Hematology & Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.
Suman KunduDepartment of Cardiovascular & Metabolic Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.
Naseer SangwanDepartment of Cardiovascular & Metabolic Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.
Patricia RaymanDepartment of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.
Paul G PavicicDepartment of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.
C Marcela Diaz-MonteroDepartment of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.
John BarnardDepartment of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.
Keith R McCraeDepartment of Hematology & Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.
Alok A KhoranaDepartment of Hematology & Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.
Cleveland Clinic · USCleveland Clinic Lerner College of Medicine · US

Funding

RESEARCH ONCOLOGY TRAINING GRANTT32CA059366 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI JACKSON, MARK W. · 1993 to 2025
$5.5M
Novel approaches to improve prediction of cancer-associated thrombosisU01HL143402 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI KHORANA, ALOK A, MCCRAE, KEITH R. · 2018 to 2022
$4.7M
Mechanisms of cancer immunotherapy-associated thrombosisR01HL164516 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI Claudia Marcela Diaz-Montero, ALOK A KHORANA · 2023 to 2026
$2.9M
NCI NIH HHS T32 CA059366NHLBI NIH HHS R01 HL164516NHLBI NIH HHS U01 HL143402
6 · The paper itself

Abstract

backgroundCancer immunotherapy is associated with several immune-related adverse events, but the relationship between immunotherapy and venous thromboembolism has not been thoroughly studied.

methodsWe conducted a retrospective cohort study of 1,686 patients who received immunotherapy for a variety of malignancies to determine the incidence of venous thromboembolism and the impact of venous thromboembolism on survival. To examine the potential role of inflammation in venous thromboembolism, we also profiled immune cells and plasma cytokines in blood samples obtained prior to initiation of immunotherapy in a sub-cohort of patients treated on clinical trials who subsequently did (N = 15), or did not (N = 10) develop venous thromboembolism.

findingsVenous thromboembolism occurred while on immunotherapy in 404/1686 patients (24%) and was associated with decreased overall survival [HR=1.22 (95% CI 1.06-1.41), p<0.008]. Patients that developed venous thromboembolism had significantly higher pretreatment levels of myeloid-derived suppressor cells (5.382 ± 0.873 vs. 3.341 ± 0.3402, mean ± SEM; p=0.0045), interleukin 8 (221.2 ± 37.53 vs. 111.6 ± 25.36, mean ± SEM; p=0.016), and soluble vascular cell adhesion protein 1 (1210 ± 120.6 vs. 895.5 ± 53.34, mean ± SEM; p=0.0385).

conclusionsThese findings demonstrate that venous thromboembolism is an underappreciated and important immune-related adverse event associated with cancer immunotherapy, and may implicate an interleukin 8 and myeloid-derived suppressor cell-driven pathway in pathogenesis.

Indexed as

NeoplasmsVenous ThromboembolismHumansImmunotherapyIncidenceInterleukin-8Retrospective StudiesInterleukin-8

Identifiers

PMID34036293
PMCPMC8143033
OpenAlexW3136390979

What OpenQuestion holds

Textmetadata
LicenceTDM
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.