Evidence map›Paper›PMID 36251515›Full record

ArticleJournal of diabetes investigation2023

Recovery from insulin dependence in immune checkpoint inhibitor-associated diabetes mellitus: A case report.

Marie Okubo, Yuji Hataya, Kanta Fujimoto, Toshio Iwakura, Naoki Matsuoka

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of diabetes investigation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

7 citing papers in PubMed, 6 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

5 authors at 1 institution in 1 country.

Marie OkuboDepartment of Diabetes and Endocrinology, Kobe City Medical Center General Hospital, Kobe, Japan.ORCID https://orcid.org/0000-0002-1564-0524
Yuji HatayaDepartment of Diabetes and Endocrinology, Kobe City Medical Center General Hospital, Kobe, Japan.ORCID https://orcid.org/0000-0002-4710-6393
Kanta FujimotoDepartment of Diabetes and Endocrinology, Kobe City Medical Center General Hospital, Kobe, Japan.ORCID https://orcid.org/0000-0002-2932-4055
Toshio IwakuraDepartment of Diabetes and Endocrinology, Kobe City Medical Center General Hospital, Kobe, Japan.
Naoki MatsuokaDepartment of Diabetes and Endocrinology, Kobe City Medical Center General Hospital, Kobe, Japan.
Kobe City Medical Center General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitor-associated diabetes mellitus (ICI-DM) is a rare immune-related adverse event and is usually considered permanent. Here, we report the first case of a 54-year-old man with ICI-DM who recovered from insulin dependence. He was diagnosed with lung cancer and started pembrolizumab therapy. After seven cycles, he developed ICI-associated secondary adrenal insufficiency and started hydrocortisone supplementation. Subsequently, he complained of fatigue, and blood examinations showed hyperglycemia with ketosis. A glucagon challenge test indicated insulin dependence. He was diagnosed with ICI-DM and insulin therapy was initiated. Pembrolizumab therapy was discontinued due to concomitant ICI-associated hepatitis. Six months later, a glucagon challenge test result showed an improvement in insulin secretion, and insulin therapy was discontinued. The lung cancer lesions continued to shrink. Even if ICI-DM develops, it might be possible to control the underlying cancer while avoiding lifelong insulin therapy through early discontinuation of ICI.

Indexed as

Antineoplastic Agents, ImmunologicalDiabetes MellitusLung NeoplasmsGlucagonHumansImmune Checkpoint InhibitorsInsulinMaleMiddle AgedAntineoplastic Agents, ImmunologicalGlucagonImmune Checkpoint InhibitorsInsulinImmune checkpoint inhibitor-associated diabetes mellitusImmune-related adverse event

Identifiers

PMID36251515
PMCPMC9807149
OpenAlexW4306411688

What OpenQuestion holds

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LicenceCC BY-NC
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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.