Evidence map›Paper›PMID 34123679›Full record

ArticleCureus2021

Pembrolizumab-Induced Hypophysitis With Isolated Adrenocorticotropic Hormone (ACTH) Deficiency: A Rare Immune-Mediated Adverse Event.

Andrew V Doodnauth, Miriam Klar, Yohannes S Mulatu, Zohra R Malik, Krunal H Patel, Samy I McFarlane

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

11 citing papers in PubMed, 11 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 3 institutions in 2 countries.

Andrew V DoodnauthInternal Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, USA.
Miriam KlarInternal Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, USA.
Yohannes S MulatuNeurology, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, USA.
Zohra R MalikInternal Medicine, St. John's Episcopal Hospital, Far Rockaway, USA.
Krunal H PatelInternal Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, USA.
Samy I McFarlaneMedicine and Endocrinology, State University of New York (SUNY) Downstate Medical Center, Brooklyn, USA.
SUNY Korea · KRState University of New York · USSUNY Downstate Health Sciences University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pembrolizumab is an immune checkpoint inhibitor that targets the programmed cell death protein 1 antigen to stimulate an immune response against tumor cells. It has successfully induced remission in patients with severe metastatic disease, including those refractory to other chemotherapeutic regimens. Immune checkpoint inhibitors may result in immune-related adverse events affecting multiple organs, including endocrine organs, leading to thyroiditis and hypophysitis, among others. Isolated adrenocorticotropic hormone deficiency and hypophysitis have been reported in patients treated with nivolumab, another programmed cell death protein 1 inhibitor. However, clinical characteristics of these side effects associated with pembrolizumab have yet to be described in detail. We describe a case of an 85-year-old Caucasian male undergoing treatment of metastatic urothelial carcinoma with pembrolizumab, who abruptly developed hypophysitis requiring emergent intervention.

Indexed as

hypophysitisimmune checkpoint inhibitors (icis)immune-related adverse event (irae)pembrolizumabprogrammed cell death protein 1

Identifiers

PMID34123679
PMCPMC8186842
OpenAlexW3170242869

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.