Evidence map›Paper›PMID 35247869›Full record

ArticleESMO open2022

The clinical utility of comprehensive measurement of autoimmune disease-related antibodies in patients with advanced solid tumors receiving immune checkpoint inhibitors: a retrospective study.

N Izawa, H Shiokawa, R Onuki, K Hamaji, K Morikawa, H Saji, H Ohashi, S Kasugai, N Hayakawa, T Ohara and 1 more

Open access · goldAbstract read
In one paragraph

Article in ESMO open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Observational
  6. Article
  7. Management Aspects of Medical Therapy in Graves Disease.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
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

11 authors at 1 institution in 1 country.

N IzawaDepartment of Clinical Oncology, St. Marianna University School of Medicine, Kawasaki, Japan.
H ShiokawaDepartment of Pharmacy, St. Marianna University Hospital, Kawasaki, Japan.
R OnukiDepartment of Pharmacy, St. Marianna University Hospital, Kawasaki, Japan.
K HamajiDepartment of Pharmacy, St. Marianna University Hospital, Kawasaki, Japan.
K MorikawaDepartment of Internal Medicine, Division of Respiratory Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.
H SajiDepartment of Chest Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
H OhashiDepartment of Dermatology, St. Marianna University School of Medicine, Kawasaki, Japan.
S KasugaiDepartment of Otorhinolaryngology, St. Marianna University School of Medicine, Kawasaki, Japan.
N HayakawaDepartment of Urology, St. Marianna University School of Medicine, Kawasaki, Japan.
T OharaDepartment of Obstetrics and Gynecology, St. Marianna University School of Medicine, Kawasaki, Japan.
Y SunakawaDepartment of Clinical Oncology, St. Marianna University School of Medicine, Kawasaki, Japan. Electronic address: y.sunakawa@marianna-u.ac.jp.
St. Marianna University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe comprehensive measurement of autoimmune disease-related antibodies (Abs) before immune checkpoint inhibitor (ICI) treatment may be useful for predicting the development of immune-related adverse events (irAEs); however, the clinical utility is not well known. MATERIALS AND

methodsWe retrospectively analyzed patients with advanced solid tumors treated with ICI monotherapy or doublet combination therapy between July 2014 and December 2020 at single institute. Anti-nuclear antibody (ANA), anti-thyroglobulin (Tg) Ab, anti-thyroid peroxidase (TPO) Ab, anti-glutamic acid decarboxylase (GAD) Ab, anti-acetylcholine esterase receptor (AchR) Ab, and platelet-associated immunoglobulin G (PA-IgG) Ab were comprehensively measured for the screening before ICI therapy.

resultsOf 275 registered patients (median age, 70 years; male, 64.4%; Eastern Cooperative Oncology Group performance status of 0 or 1, 88.7%; and prior regimen of 0-1/≥2, 88.7%/11.3%), 128 non-small-cell lung cancer, 35 gastric cancer, 33 head and neck cancer, 24 melanoma, 19 renal cell carcinoma, 13 urothelial carcinoma, 12 esophageal cancer, 5 malignant mesothelioma of pleura, 2 endometrial cancer, and 4 other cancer were included. The number of patients with positive ANA, Tg, TPO, PA-IgG, GAD, and AchR Abs was 52 (24.9%), 38 (14.5%), 11 (10.1%), 6 (3.5%), 5 (2.0%), and 1 (0.5%), respectively. There was no association between the development of any irAEs and Abs positivity, while thyroid dysfunction developed more frequently among patients with than without Tg Ab or TPO Ab (39.5% versus 12.5%, P < 0.01; 45.5% versus 14.3%, P = 0.02).

conclusionsThe clinical utility of comprehensive measurement of autoimmune disease-related Abs before introduction of ICI therapy was limited for predicting irAE. However, Tg and TPO Abs were risk factors as regards the development of ICI-induced thyroid dysfunction.

Indexed as

Autoimmune DiseasesCarcinoma, Non-Small-Cell LungCarcinoma, Transitional CellLung NeoplasmsUrinary Bladder NeoplasmsAgedFemaleHumansImmune Checkpoint InhibitorsImmunoglobulin GMaleRetrospective StudiesImmune Checkpoint InhibitorsImmunoglobulin Gautoimmune disease-related antibodiesimmune checkpoint inhibitorsimmune-related adverse events

Identifiers

PMID35247869
PMCPMC9058890
OpenAlexW4214834834

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.