Evidence map›Paper›PMID 34680365›Full record

ReviewCancers2021

Cardiac Toxicity Associated with Immune Checkpoint Inhibitors: A Systematic Review.

Walid Shalata, Amjad Abu-Salman, Rachel Steckbeck, Binil Mathew Jacob, Ismaell Massalha, Alexander Yakobson

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07430501 (AcceleRating the Translation of Virtual Twins Towards a pErsonalised Management of Steatotic Liver Patients), which is not on this map. Cited by 78 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 4 pooled it
7.0field-weighted citation impact, top 2% 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.

NCT07430501 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

AcceleRating the Translation of Virtual Twins Towards a pErsonalised Management of Steatotic Liver Patients

TypeobservationalSponsorHospital Universitari Vall d'Hebron Research InstituteRan2026 to 2027Enrolled7,720ConditionsMetabolic Dysfunction-Associated Steatotic Liver DiseaseArmsData recollection
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 4 syntheses or guidelines pooled it, 100 citations in OpenAlex.

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  11. Triple checkpoint blockade of PD-1, Tim-3, and Lag-3 enhances adoptive T cell immunotherapy in a mouse model of ovarian cancer.Proceedings of the National Academy of Sciences of the United States of America · 2025
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18 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

6 authors at 2 institutions in 1 country.

Walid ShalataThe Legacy Heritage Center & Dr. Larry Norton Institute, Soroka Medical Center, Beer Sheva 84105, Israel.
Amjad Abu-SalmanCardiology Division, Soroka Medical Center, Beer Sheva 84105, Israel.
Rachel SteckbeckMedical School for International Health, Ben Gurion University of the Negev, Beer Sheva 84105, Israel.ORCID 0000-0003-2319-4445
Binil Mathew JacobMedical School for International Health, Ben Gurion University of the Negev, Beer Sheva 84105, Israel.ORCID 0000-0003-3127-4293
Ismaell MassalhaThe Legacy Heritage Center & Dr. Larry Norton Institute, Soroka Medical Center, Beer Sheva 84105, Israel.ORCID 0000-0001-7715-1825
Alexander YakobsonThe Legacy Heritage Center & Dr. Larry Norton Institute, Soroka Medical Center, Beer Sheva 84105, Israel.
Soroka Medical Center · ILBen-Gurion University of the Negev · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors are immune stimulatory drugs used to treat many types of cancer. These drugs are antibodies against inhibitory proteins, such as CTLA-4 and PD-1/PD-L1, that are expressed on immune cells. When bound, they allow for increased stimulation of T cells to fight tumor cells. However, immune checkpoint inhibitors have several immune-related adverse effects. Many cases have come to light recently of cardiotoxicity as a result of treatment with these drugs. Cardiotoxicity from immune checkpoint inhibitors is unique due to its rarity and high mortality rate. Patients with this toxicity may present with myocarditis, pericarditis, Takotsubo cardiomyopathy, conduction disorders, and others within just a few weeks of starting immune checkpoint inhibitors. We present here a review of the current research on immune checkpoint inhibitors, their associated cardiotoxicities, the timing of presentation of these conditions, lab tests and histology for each condition, and finally the treatment of patients with cardiotoxicity. We observe a positive skew in the onset of presentation, which is significant for the treating physician.

Indexed as

cardiac toxicitycardiotoxicitycytotoxic T-lymphocyte-associated protein 4 (CTLA-4) inhibitorsimmune checkpoint inhibitors (ICIs)immune-related adverse events (IRAE)programmed cell death protein 1 (PD-1)programmed death-ligand 1 (PD-L1)

Identifiers

PMID34680365
PMCPMC8534225
OpenAlexW3206017423

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.