Evidence map›Paper›PMID 34599025›Full record

ArticleJournal for immunotherapy of cancer2021

Nivolumab-associated DRESS in a genetic susceptible individual.

Luoyan Ai, Jie Gao, Shihai Zhao, Qian Li, Yue-Hong Cui, Qing Liu, Duojiao Wu, Yimei Wang, Xiaoshi Jin, Yuan Ji and 3 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal for immunotherapy of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 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

13 authors at 2 institutions in 1 country.

Luoyan Ai *Department of Medical Oncology, Zhongshan Hospital Fudan University, Shanghai, China.ORCID 0000-0002-1093-2018
Jie Gao *Department of Medical Oncology, Zhongshan Hospital Fudan University, Shanghai, China.
Shihai Zhao *Department of Radiology, Zhongshan Hospital Fudan University, Shanghai, China.
Qian LiDepartment of Medical Oncology, Zhongshan Hospital Fudan University, Shanghai, China.
Yue-Hong CuiDepartment of Medical Oncology, Zhongshan Hospital Fudan University, Shanghai, China.
Qing LiuDepartment of Medical Oncology, Zhongshan Hospital Fudan University, Shanghai, China.
Duojiao WuDepartment of Medical Oncology, Zhongshan Hospital Fudan University, Shanghai, China.ORCID 0000-0003-2562-8825
Yimei WangDepartment of Nephrology, Zhongshan Hospital Fudan University, Shanghai, China.
Xiaoshi JinDepartment of Nephrology, Zhongshan Hospital Fudan University, Shanghai, China.
Yuan JiDepartment of Pathology, Zhongshan Hospital Fudan University, Shanghai, China.
Jingjie LiGenecast Biotechnology Co Ltd, Wuxi City, China.
Yiyi YuDepartment of Medical Oncology, Zhongshan Hospital Fudan University, Shanghai, China liu.tianshu@zs-hospital.sh.cn Yu.yiyi@zs-hospitsl.sh.cn.
Tianshu LiuDepartment of Medical Oncology, Zhongshan Hospital Fudan University, Shanghai, China liu.tianshu@zs-hospital.sh.cn Yu.yiyi@zs-hospitsl.sh.cn.
Sun Yat-sen University · CNGenecast (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of immune checkpoint inhibitors (ICIs) is rising exponentially in numerous cancers, but immune-related adverse events can occur. We report a rare case of high-grade drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome developed stepwise in a patient with gastric cancer after nivolumab treatment. Subclinical myocarditis was sensitively detected by cardiovascular magnetic resonance 3 weeks after initiating nivolumab. Eruption, eosinophilia, and interstitial pneumonitis occurred 1 week later. Corticosteroids were started and his condition improved. Four months later, when he was still on steroids tapering off, acute kidney injury and sequential herpes zoster virus activation developed. Severe acute tubulointerstitial nephritis (ATN) with an intense infiltration of lymphocytes was observed on renal biopsy. In blood, a substantial shift to Th2 response, an increase of Th17 cells, and strikingly enriched granzyme B

Indexed as

AgedDrug Hypersensitivity SyndromeEosinophiliaGenetic Predisposition to DiseaseHumansImmune Checkpoint InhibitorsMaleNivolumabSyndromeImmune Checkpoint InhibitorsNivolumabDRESSHLANivolumabtype IV hypersensitivity

Identifiers

PMID34599025
PMCPMC8488716
OpenAlexW3204206370

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.