Evidence map›Paper›PMID 36810515›Full record

ArticleAntibodies (Basel, Switzerland)2023

Rapidly Progressive Pauci-Immune Glomerulonephritis with Aberrant Fibrinoid Necrosis Associated with Atezolizumab, an Immune Check Point Inhibitor: A Case Report and Review of Literature.

Petros Nikolopoulos, George Liapis, Panagiotis Giannakopoulos, Ioannis Kotsantis, Konstantinos Drouzas, Sophia Lionaki

Open access · goldAbstract readCase Reports
In one paragraph

Article in Antibodies (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
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

6 authors at 1 institution in 1 country.

Petros Nikolopoulos2nd Department of Propaedeutic Internal Medicine, National and Kapodistrian University of Athens Medical School, Attikon Hospital, Section of Nephrology, 124 62 Athens, Greece.ORCID 0000-0002-8994-5267
George Liapis1st Department of Pathology, National and Kapodistrian University of Athens, Laiko Hospital, 115 27 Athens, Greece.
Panagiotis Giannakopoulos2nd Department of Propaedeutic Internal Medicine, National and Kapodistrian University of Athens Medical School, Attikon Hospital, Section of Nephrology, 124 62 Athens, Greece.
Ioannis Kotsantis2nd Department of Propaedeutic Internal Medicine, National and Kapodistrian University of Athens Medical School, Attikon Hospital, Section of Medical Oncology, 124 62 Athens, Greece.
Konstantinos Drouzas2nd Department of Propaedeutic Internal Medicine, National and Kapodistrian University of Athens Medical School, Attikon Hospital, Section of Nephrology, 124 62 Athens, Greece.
Sophia Lionaki2nd Department of Propaedeutic Internal Medicine, National and Kapodistrian University of Athens Medical School, Attikon Hospital, Section of Nephrology, 124 62 Athens, Greece.ORCID 0000-0003-1643-8923
National and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stimulation of the antitumor activity of the immune system using immune checkpoint inhibitors (ICIs) has proven efficacy in the treatment of multiple types of cancer, inducing the speedily expanding approval of therapeutic indications for ICIs. The literature regarding the immune-related toxicities and nephrotoxicity of ICIs is limited. Herein, we present a patient with lung cancer treated with atezolizumab, an IgG1 monoclonal antibody aimed at the programmed death ligand 1 (PD-L1), who presented with vasculitic skin rash and rapidly deteriorating renal function, new onset of significant glomerular hematuria and proteinuria. The renal biopsy revealed acute necrotizing pauci-immune vasculitis, with fibrinoid necrosis. The patient received a course of high-dose glucocorticoids with recovery of renal function and skin lesions. Further immunosuppressive therapy was withheld, due to active malignancy in the lung, while oncology consultation recommended the continuation of treatment with atezolizumab, as the patient had shown substantial response.

Indexed as

acute kidney injury (AKI)checkpoint inhibitorsimmune related adverse effectimmunotherapyonconephrologyvasculitis

Identifiers

PMID36810515
PMCPMC9944432
OpenAlexW4318053893

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.