Evidence map›Paper›PMID 35265526›Full record

ReviewFrontiers in oncology2022

Immunotherapy Associated Neurotoxicity in Pediatric Oncology.

Haneen Shalabi, Anandani Nellan, Nirali N Shah, Juliane Gust

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
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  5. Pediatric CNS tumors: Overview and treatment paradigms.Seminars in pediatric neurology · 2025
    Review
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  7. Article
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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

4 authors at 2 institutions in 1 country.

Haneen ShalabiNational Cancer Institute, Pediatric Oncology Branch, National Institutes of Health, Bethesda, MD, United States.
Anandani NellanNational Cancer Institute, Pediatric Oncology Branch, National Institutes of Health, Bethesda, MD, United States.
Nirali N ShahNational Cancer Institute, Pediatric Oncology Branch, National Institutes of Health, Bethesda, MD, United States.
Juliane GustSeattle Children's Research Institute, Seattle, WA, United States.
National Cancer Institute · USUniversity of Washington · US

Funding

Immunotherapeutic approaches to treat pediatric hematologic malignanciesZIABC011823 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI SHAH, NIRALI · 2019 to 2025
$6.1M
Study of CAR T cells and mechanisms of resistance in pediatric brain tumorsZIABC012059 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI NELLAN, ANANDANI · 2021 to 2024
$3.3M
Blood Brain Barrier Disruption during Chimeric Antigen Receptor (CAR) T cell therapyK08NS118138 · NINDS · SEATTLE CHILDREN'S HOSPITAL · PI GUST, JULIANE · 2020 to 2024
$879k
NINDS NIH HHS K08 NS118138
6 · The paper itself

Abstract

Novel immunotherapies are increasingly being employed in pediatric oncology, both in the upfront and relapsed/refractory settings. Through various mechanisms of action, engagement and activation of the immune system can cause both generalized and disease site-specific inflammation, leading to immune-related adverse events (irAEs). One of the most worrisome irAEs is that of neurotoxicity. This can present as a large spectrum of neurological toxicities, including confusion, aphasia, neuropathies, seizures, and/or death, with variable onset and severity. Earlier identification and treatment, generally with corticosteroids, remains the mainstay of neurotoxicity management to optimize patient outcomes. The pathophysiology of neurotoxicity varies across the different therapeutic strategies and remains to be elucidated in most cases. Furthermore, little is known about long-term neurologic sequelae. This review will focus on neurotoxicity seen with the most common immunotherapies used in pediatric oncology, including CAR T cell therapy, alternative forms of adoptive cell therapy, antibody therapies, immune checkpoint inhibitors, and tumor vaccines. Herein we will discuss the incidence, pathophysiology, symptomatology, diagnosis, and management strategies currently being utilized for immunotherapy-associated neurotoxicity with a focus on pediatric specific considerations.

Indexed as

adoptive cell therapyantibody therapyimmunotherapyneurotoxicitypediatric cancervaccine therapy

Identifiers

PMID35265526
PMCPMC8899040
OpenAlexW4212846153

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.