Evidence map›Paper›PMID 36736626›Full record

ArticleJournal of the American Academy of Dermatology2023

Cutaneous immune-related adverse events are associated with longer overall survival in advanced cancer patients on immune checkpoint inhibitors: A multi-institutional cohort study.

Shijia Zhang, Kimberly Tang, Guihong Wan, Nga Nguyen, Chenyue Lu, Pearl Ugwu-Dike, Neel Raval, Jayhyun Seo, Nora A Alexander, Ruple Jairath and 15 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Academy of Dermatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 3 pooled it
16.8field-weighted citation impact, top 1% 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

60 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Systemic treatment of immune checkpoint inhibitor-induced psoriasis: Inference-based guidance.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Pooled it
  3. Pooled it
  4. Sex-Biased Immunity: The Hidden Variable in Immuno-oncology.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  5. Article
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  12. A pharmacovigilance data-driven approach to reveal high fatal adverse events following checkpoint immunotherapy.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  13. Review
  14. The management of rheumatic immune related adverse events.Best practice & research. Clinical rheumatology · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 5 institutions in 1 country.

Shijia ZhangDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts.
Kimberly TangDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Guihong WanDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts.
Nga NguyenDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Chenyue LuDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts.
Pearl Ugwu-DikeDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Neel RavalDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Jayhyun SeoDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Nora A AlexanderDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Ruple JairathDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Jordan PhillippsDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Bonnie W LeungDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Kathleen RosterDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Wenxin ChenDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts.
Leyre ZubiriDivision of Oncology and Hematology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Genevieve BolandDepartment of Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Steven T ChenDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Hensin TsaoDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Shadmehr DemehriDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Dermatology, Center for Cancer Immunology and Cutaneous Biology Research Center, Center for Cancer Research, Massachusetts General Hospital Cancer Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Nicole R LeBoeufDepartment of Dermatology, Center for Cutaneous Oncology, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Kerry L ReynoldsDivision of Oncology and Hematology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Kun-Hsing YuDepartment of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts.
Alexander GusevDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Shawn G KwatraDepartment of Dermatology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Yevgeniy R SemenovDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address: ysemenov@mgh.harvard.edu.
Harvard University · USBrigham and Women's Hospital · USDana-Farber Cancer Institute · USJohns Hopkins University · USMassachusetts General Hospital · US

Funding

Systems Pharmacology of Therapeutic and Adverse Responses to ImmuneCheckpoint and Small Molecule DrugsU54CA225088 · NCI · HARVARD MEDICAL SCHOOL · PI HAIGIS, MARCIA · 2018 to 2022
$10.8M
Robust, Generalizable, and Fair Machine Learning Models for BiomedicineR35GM142879 · NIGMS · HARVARD MEDICAL SCHOOL · PI YU, KUN-HSING · 2021 to 2025
$2.4M
Mitigating Hematologic Adverse Events in Patients with Myeloid Malignancies: A Novel Causal Artificial Intelligence ApproachR01HL174679 · NHLBI · HARVARD MEDICAL SCHOOL · PI Kun-Hsing Yu · 2024 to 2026
$2.3M
Racial Differences in Biomarkers and Therapeutic Targets for Chronic ItchK23AR077073 · NIAMS · UNIVERSITY OF MARYLAND BALTIMORE · PI KWATRA, SHAWN GAURAV · 2021 to 2025
$873k
Predictive modeling of cutaneous immune checkpoint inhibitor toxicitiesK23AR080791 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI Yevgeniy R Semenov · 2023 to 2026
$704k
NCI NIH HHS L30 CA264747NCI NIH HHS U54 CA225088NHLBI NIH HHS R01 HL174679NIAMS NIH HHS K23 AR077073NIAMS NIH HHS K23 AR080791NIGMS NIH HHS R35 GM142879
6 · The paper itself

Abstract

backgroundCutaneous immune-related adverse events (cirAEs) occur in up to 40% of immune checkpoint inhibitor (ICI) recipients. However, the association of cirAEs with survival remains unclear.

objectiveTo investigate the association of cirAEs with survival among ICI recipients.

methodsICI recipients were identified from the Mass General Brigham healthcare system and Dana-Farber Cancer Institute. Patient charts were reviewed for cirAE development within 2 years after ICI initiation. Multivariate time-varying Cox proportional hazards models, adjusted for age, sex, race/ethnicity, Charlson Comorbidity Index, ICI type, cancer type, and year of ICI initiation were utilized to investigate the impact of cirAE development on overall survival.

resultsOf the 3731 ICI recipients, 18.1% developed a cirAE. Six-month landmark analysis and time-varying Cox proportional hazards models demonstrated that patients who developed cirAEs were associated with decreased mortality (hazardratio [HR] = 0.87, P = .027), particularly in patients with melanoma (HR = 0.67, P = .003). Among individual morphologies, lichenoid eruption (HR = 0.51, P < .001), psoriasiform eruption (HR = 0.52, P = .005), vitiligo (HR = 0.29, P = .007), isolated pruritus without visible manifestation of rash (HR = 0.71, P = .007), acneiform eruption (HR = 0.34, P = .025), and non-specific rash (HR = 0.68, P < .001) were significantly associated with better survival after multiple comparisons adjustment. LIMITATIONS: Retrospective design; single geography.

conclusionCirAE development is associated with improved survival among ICI recipients, especially patients with melanoma.

Indexed as

ExanthemaMelanomaCohort StudiesHumansImmune Checkpoint InhibitorsRetrospective StudiesImmune Checkpoint Inhibitorscutaneous adverse reactionsimmune checkpoint inhibitorimmune-related adverse eventsimmunotherapymelanomamortalityoncologyskin toxicity

Identifiers

PMID36736626
PMCPMC10283025
OpenAlexW4319038311

What OpenQuestion holds

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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.