Evidence map›Paper›PMID 36419114›Full record

ArticleBMC endocrine disorders2022

Durvalumab-induced thyroiditis in a patient with non-small cell lung carcinoma: a case report and review of pathogenic mechanisms.

Jeroen M K de Filette, Stéphanie André, Lynn De Mey, Sandrine Aspeslagh, Rafik Karmali, Bart J Van der Auwera, Bert Bravenboer

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC endocrine disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
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  4. Review
  5. 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

7 authors at 3 institutions in 1 country.

Jeroen M K de FiletteDepartment of Endocrinology, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium. jeroen.defilette@chu-brugmann.be.ORCID http://orcid.org/0000-0003-3906-264X
Stéphanie AndréDepartment of Pulmonary Medicine, Saint-Pierre University Hospital, Rue Haute 322, 1000, Brussels, Belgium.
Lynn De MeyDepartment of Nuclear Medicine, UZ Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium.
Sandrine AspeslaghDepartment of Medical Oncology, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Laarbeeklaan 101, 1090, Brussels, Belgium.
Rafik KarmaliDepartment of Endocrinology, UZ Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium.
Bart J Van der AuweraDiabetes Research Center, Vrije Universiteit Brussel, Brussels, Belgium.
Bert BravenboerDepartment of Endocrinology, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Université Libre de Bruxelles · BEUniversitair Ziekenhuis Brussel · BEVrije Universiteit Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICI) targeting cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), programmed cell death protein 1 and its ligand (PD-1/PD-L1) have become the current standard-of-care for advanced cancers. This novel therapeutic approach comes with its costs in the form of immune-related adverse events (irAE), including endocrinopathy. CASE PRESENTATION: A 63-year-old woman was diagnosed with a non-small cell lung carcinoma of the right superior lobe, cT3N2M0. She developed thyrotoxicosis followed by hypothyroidism induced by consolidation immunotherapy with durvalumab (anti-PD-L1). Analysis of the human leukocyte antigen (HLA) region showed HLA-DR4 (susceptible) and DR13 (protective). The possible mechanisms are subsequently discussed in detail.

conclusionsThe case of a patient with thyroiditis associated with the PD-L1 inhibitor durvalumab is described, highlighting the need for proactive monitoring of thyroid hormone levels. Identifying biomarkers associated with an increased risk of ICI-induced side effects (such as HLA) is of interest for better patient selection, optimal management and improved understanding of the mechanisms involved.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsThyroiditisAntibodies, MonoclonalFemaleHumansImmune Checkpoint InhibitorsMiddle AgedAntibodies, MonoclonaldurvalumabImmune Checkpoint InhibitorsCase ReportDurvalumabHLAImmune Checkpoint InhibitorsThyroiditis

Identifiers

PMID36419114
PMCPMC9682778
OpenAlexW4309699819

What OpenQuestion holds

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LicenceCC BY
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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.