Evidence map›Paper›PMID 34641331›Full record

ArticleMolecules (Basel, Switzerland)2021

Association of Systemic Steroid Treatment and Outcome in Patients Treated with Immune Checkpoint Inhibitors: A Real-World Analysis.

Agnese Paderi, Elisabetta Gambale, Cristina Botteri, Roberta Giorgione, Daniele Lavacchi, Marco Brugia, Francesca Mazzoni, Elisa Giommoni, Susanna Bormioli, Amedeo Amedei and 3 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Molecules (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Clinical Outcomes of Immunosuppressant Drugs in Patients Treated with Immune Checkpoint Inhibitors: A Systematic Review and Meta-Analysis.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
    Pooled it
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  14. Molecules (Basel, Switzerland) · 2023
    Article
  15. Review
  16. Pancreatic adverse events in patients treated with immune checkpoint inhibitors.JGH open : an open access journal of gastroenterology and hepatology · 2023
    Article
  17. Article
  18. Neurotoxicity and safety of the rechallenge of immune checkpoint inhibitors: a growing issue in neuro-oncology practice.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Review
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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.

Agnese PaderiMedical Oncology Unit, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy.ORCID 0000-0001-7527-1225
Elisabetta GambaleMedical Oncology Unit, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy.
Cristina BotteriMedical Oncology Unit, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy.
Roberta GiorgioneMedical Oncology Unit, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy.
Daniele LavacchiMedical Oncology Unit, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy.
Marco BrugiaMedical Oncology Unit, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy.
Francesca MazzoniMedical Oncology Unit, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy.
Elisa GiommoniMedical Oncology Unit, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy.
Susanna BormioliDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, 50134 Florence, Italy.
Amedeo AmedeiDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, 50134 Florence, Italy.ORCID 0000-0002-6797-9343
Serena PillozziMedical Oncology Unit, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy.ORCID 0000-0001-8861-8718
Marco Matucci CerinicDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, 50134 Florence, Italy.
Lorenzo AntonuzzoMedical Oncology Unit, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune-related adverse events (irAEs) are inflammatory side effects, which can occur during immune-checkpoint(s) inhibitors (ICIs) therapy. Steroids are the first-line agents to manage irAEs because of their immunosuppressive properties. However, it is still debated whether or when steroids can be administered without abrogating the therapeutic efforts of immunotherapy.

methodsWe retrospectively evaluated 146 patients with metastatic non-small cell lung cancer (NSCLC), melanoma and renal cell carcinoma (RCC) treated with ICIs. We assessed the progression-free survival (PFS) of patients treated with steroids due to an irAE compared to a no-steroid group.

resultsThe early treatment with steroid (within the first 30 days from the beginning of immunotherapy) was not related to a shorter PFS (

conclusionsThis retrospective study points out that early systemic steroids administration to manage irAEs might not have a detrimental effect on patient clinical outcome in NSCLC, melanoma and RCC patients.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Non-Small-Cell LungCarcinoma, Renal CellDisease ProgressionFemaleHumansImmune Checkpoint InhibitorsKidney NeoplasmsLung NeoplasmsMaleMelanomaMiddle AgedRetrospective StudiesSteroidsImmune Checkpoint InhibitorsSteroidsbiomarkersimmune checkpoint inhibitorsimmunotherapyirAEsmelanomanon-small cell cancerrenal cell cancersteroid

Identifiers

PMID34641331
PMCPMC8510096
OpenAlexW3204061317

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.