Evidence map›Paper›PMID 34397143›Full record

Trial reportThe oncologist2021

Outcomes of Pregnancy During Immunotherapy Treatment for Cancer: Analysis of Clinical Trials Sponsored by the National Cancer Institute.

Arjun Mittra, Abdul Rafeh Naqash, James H Murray, Shanda Finnigan, Joanne Kwak-Kim, S Percy Ivy, Alice P Chen, Elad Sharon

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in The oncologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Guideline
  2. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
    Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Immune checkpoint for pregnancy.Seminars in immunopathology · 2025
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Immunotherapy for Gestational Trophoblastic Neoplasia: A New Paradigm.Gynecologic and obstetric investigation · 2024
    Review
  14. Review
  15. Article
  16. Review
  17. Cancer in pregnancy: treatment effects.Abdominal radiology (New York) · 2023
    Review
  18. Article
  19. Article
  20. 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

8 authors at 4 institutions in 1 country.

Arjun MittraThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio, USA.ORCID 0000-0001-9572-3495
Abdul Rafeh NaqashDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland, USA.ORCID 0000-0001-7622-720X
James H MurrayTechnical Resources International, Inc., Bethesda, Maryland, USA.
Shanda FinniganDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland, USA.ORCID 0000-0002-0555-8965
Joanne Kwak-KimReproductive Medicine and Immunology, Clinical Sciences Department, Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA.ORCID 0000-0002-8409-1645
S Percy IvyDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland, USA.ORCID 0000-0001-7747-072X
Alice P ChenDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland, USA.ORCID 0000-0002-1426-853X
Elad SharonDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland, USA.ORCID 0000-0002-0044-9719
National Cancer Institute · USOklahoma State University Oklahoma City · USRosalind Franklin University of Medicine and Science · USTechnical Resources International (United States) · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
NCI NIH HHS P30 CA016058
6 · The paper itself

Abstract

Despite expanding indications for immunotherapeutic agents, there is limited understanding about their clinical effects on pregnancy outcomes. Generally, pregnant patients with cancer are excluded from clinical trials, and inadvertent pregnancies on trial result in patients being taken off because of concerns for fetal toxicity. To answer this question of pregnancy outcomes on immunotherapy-based trials, we performed a retrospective analysis of the National Cancer Institute (NCI) Cancer Therapy Evaluation Program (CTEP)-Adverse Event Reporting System for unexpected pregnancies during NCI-CTEP-sponsored immunotherapy clinical trials between 2011 and 2020. We identified nine female patients who had unexpected pregnancies, of whom seven chose to take their pregnancies to term. All seven pregnancies resulted in vaginal births of apparently normal infants. This is the first report of pregnancy outcomes in multiple female patients exposed to immunotherapy. Our data suggest the need for further research to better evaluate and define contraception recommendations during immunotherapy treatment for cancer.

Indexed as

NeoplasmsFemaleHumansImmunotherapyNational Cancer Institute (U.S.)PregnancyPregnancy OutcomeRetrospective StudiesUnited States

Identifiers

PMID34397143
PMCPMC8488763
OpenAlexW3195013050

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.