Evidence map›Paper›PMID 36852148›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2023

Efficacy and safety of mycophenolate mofetil in treating immune-related hepatitis induced by immune checkpoint inhibitor use: A retrospective study.

Yukio Kadokawa, Satoko Inoue, Akitoshi Tatsumi, Mayako Uchida, Keiko Fujita, Mari Takagi, Takako Inoue, Shuichi Ohe, Yasutomo Nakai, Tomoyuki Otsuka and 6 more

Open access · goldAbstract read
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. [Several issues and considerations in the clinical diagnosis and treatment of immune checkpoint inhibitor-associated liver injury].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Hepatobiliary complications of immune checkpoint inhibitors in cancer.Exploration of targeted anti-tumor therapy · 2024
    Review
  13. Toward the establishment of guidelines for the treatment of steroid-refractory immune-related hepatotoxicity.JGH open : an open access journal of gastroenterology and hepatology · 2023
    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

16 authors at 4 institutions in 1 country.

Yukio KadokawaDepartment of Pharmacy Osaka International Cancer Institute, Osaka Prefectural Hospital Organization Osaka Japan.ORCID https://orcid.org/0000-0001-9525-8802
Satoko InoueDepartment of Pharmacy Osaka International Cancer Institute, Osaka Prefectural Hospital Organization Osaka Japan.
Akitoshi TatsumiFaculty of Pharmaceutical Sciences Kobe Gakuin University Kobe Japan.
Mayako UchidaFaculty of Pharmaceutical Sciences Doshisha Women's College of Liberal Arts Kyoto Japan.
Keiko FujitaDepartment of Pharmacy Osaka General Medical Center, Osaka Prefectural Hospital Organization Osaka Japan.
Mari TakagiDepartment of Pharmacy Osaka International Cancer Institute, Osaka Prefectural Hospital Organization Osaka Japan.
Takako InoueDepartment of Respiratory Medicine Osaka International Cancer Institute, Osaka Prefectural Hospital Organization Osaka Japan.
Shuichi OheDepartment of Dermatologic Oncology Osaka International Cancer Institute, Osaka Prefectural Hospital Organization Osaka Japan.
Yasutomo NakaiDepartment of Urology Osaka International Cancer Institute, Osaka Prefectural Hospital Organization Osaka Japan.
Tomoyuki OtsukaDepartment of Medical Oncology Osaka International Cancer Institute, Osaka Prefectural Hospital Organization Osaka Japan.
Yutaro AbeDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute, Osaka Prefectural Hospital Organization Osaka Japan.
Tasuku NakaboriDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute, Osaka Prefectural Hospital Organization Osaka Japan.ORCID https://orcid.org/0000-0002-9486-850X
Taiki IseiDepartment of Dermatologic Oncology Osaka International Cancer Institute, Osaka Prefectural Hospital Organization Osaka Japan.
Toru KumagaiDepartment of Respiratory Medicine Osaka International Cancer Institute, Osaka Prefectural Hospital Organization Osaka Japan.
Kazuo NishimuraDepartment of Urology Osaka International Cancer Institute, Osaka Prefectural Hospital Organization Osaka Japan.
Kazuyoshi OhkawaDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute, Osaka Prefectural Hospital Organization Osaka Japan.
Osaka International Cancer Institute · JPDoshisha Women's College of Liberal Arts · JPKobe Gakuin University · JPOsaka Prefectural Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aim: To investigate the outcomes in eight Japanese patients with cancer treated with mycophenolate mofetil (MMF) and corticosteroids for immune checkpoint inhibitor treatment-induced severe immune-related hepatitis (ir-hepatitis) and the efficacy and safety of MMF. Methods: We retrospectively examined patient background, treatment course, as well as examination and imaging data using electronic medical records. Results: The ratio of male to female patients was 7:1, and the median age was 60 years (27-72 years). There were five and two cases of kidney cancer and malignant melanoma, respectively, and one case of lung cancer. The median number of days until MMF administration in addition to systemic corticosteroid therapy after the onset of ir-hepatitis was 14.5 (2-42). The patients were categorized as four "good responders" who showed an improvement in the liver function tests following MMF treatment and four "poor responders" who did not. Furthermore, the time from the onset of ir-hepatitis to initial MMF administration was significantly shorter in good responders (median 3 days, range 2-15 days) than in poor responders (median 25.5 days, range 14-42 days) ( Conclusions: According to these findings, early recognition of corticosteroid refractoriness and the use of MMF may be beneficial in patients with ir-hepatitis.

Indexed as

hepatitisimmune checkpoint inhibitorimmune‐related adverse eventmycophenolate mofetil

Identifiers

PMID36852148
PMCPMC9958334
OpenAlexW4320731499

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.