Evidence map›Paper›PMID 36860908›Full record

ArticleJournal of the Endocrine Society2023

Spectrum of Clinical Presentations, Imaging Findings, and HLA Types in Immune Checkpoint Inhibitor-Induced Hypophysitis.

Zoe Quandt, Stephanie Kim, Javier Villanueva-Meyer, Catherine Coupe, Arabella Young, Jee Hye Kang, Jinoos Yazdany, Gabriela Schmajuk, Stephanie Rush, Elad Ziv and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.2field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 27 citations in OpenAlex.

  1. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
    Review
  2. Article
  3. Article
  4. Multiple or Single Endocrine Abnormalities Associated With Immune Checkpoint Inhibitors.The Journal of clinical endocrinology and metabolism · 2025
    Article
  5. Review
  6. Article
  7. Mimickers of pituitary tumors.Neuro-oncology advances · 2025
    Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. The molecular basis of hypoprolactinaemia.Reviews in endocrine & metabolic disorders · 2024
    Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Clonally expanded, thyrotoxic effector CD8Science translational medicine · 2023
    Article
  18. Article
  19. Article
  20. 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

18 authors at 4 institutions in 1 country.

Zoe QuandtDivision of Endocrinology and Metabolism, Department of Medicine, University of California, San Francisco, San Francisco, CA 94122, USA.ORCID https://orcid.org/0000-0002-4568-4368
Stephanie KimDivision of Endocrinology and Metabolism, Department of Medicine, University of California, San Francisco, San Francisco, CA 94122, USA.
Javier Villanueva-MeyerDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA 94122, USA.
Catherine CoupeDiabetes Center, University of California, San Francisco, San Francisco, CA 94122, USA.
Arabella YoungDiabetes Center, University of California, San Francisco, San Francisco, CA 94122, USA.
Jee Hye KangDiabetes Center, University of California, San Francisco, San Francisco, CA 94122, USA.
Jinoos YazdanyDivision of Rheumatology, Department of Medicine, University of California, San Francisco, San Francisco, CA 94122, USA.ORCID https://orcid.org/0000-0002-3508-4094
Gabriela SchmajukDivision of Rheumatology, Department of Medicine, University of California, San Francisco, San Francisco, CA 94122, USA.
Stephanie RushDivision of Rheumatology, Department of Medicine, University of California, San Francisco, San Francisco, CA 94122, USA.
Elad ZivDepartment of Medicine, University of California, San Francisco, San Francisco, CA 94122, USA.ORCID https://orcid.org/0000-0002-2324-2884
Ana Luisa PerdigotoDepartment of Immunobiology, Yale University, New Haven, CT 06520, USA.
Kevan HeroldDepartment of Immunobiology, Yale University, New Haven, CT 06520, USA.
Melissa G LechnerDivision of Endocrinology, Diabetes, and Metabolism, Department of Medicine, UCLA David Geffen School of Medicine, CA 90095, USA.
Maureen A SuDepartment of Microbiology, Immunology, and Medical Genetics, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.
J Blake TyrrellDivision of Endocrinology and Metabolism, Department of Medicine, University of California, San Francisco, San Francisco, CA 94122, USA.
Jeffrey BluestoneDiabetes Center, University of California, San Francisco, San Francisco, CA 94122, USA.
Mark AndersonDivision of Endocrinology and Metabolism, Department of Medicine, University of California, San Francisco, San Francisco, CA 94122, USA.
Umesh MasharaniDivision of Endocrinology and Metabolism, Department of Medicine, University of California, San Francisco, San Francisco, CA 94122, USA.ORCID https://orcid.org/0000-0002-3269-804X
University of California, San Francisco · USSan Francisco General Hospital · USUniversity of California, Los Angeles · USYale University · US

Funding

Women's CancersP30CA016042 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Samuel Wheeler French · 1985 to 2026
$134.5M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NRSA Training CoreTL1TR001871 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SOMSOUK, MA · 2016 to 2025
$10.1M
DIABETES MELLITUS &DISORDERS OF METABOLISMT32DK007058 · NIDDK · YALE UNIVERSITY · PI SONIA CAPRIO, Kevan C Herold · 1986 to 2026
$9.6M
RESOURCE-BASED CENTER FOR THE ADVANCEMENT OF PRECISION MEDICINE IN RHEUMATOLOGYP30AR070155 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Mary C Nakamura · 2016 to 2026
$8.2M
YALE CANCER CENTER CALABRESI IMMUNO-ONCOLOGY TRAINING PROGRAMK12CA215110 · NCI · YALE UNIVERSITY · PI Harriet M. Kluger · 2018 to 2026
$6.1M
(8) Mechanisms of autoimmune endocrine diseases in patients receiving checkpoint inhibitorsR01CA227473 · NCI · YALE UNIVERSITY · PI HEROLD, KEVAN C, KLUGER, HARRIET M. · 2018 to 2022
$3.2M
Autoimmune Mechanisms in Peripheral NeuropathyR01NS107851 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SCHERER, STEVEN SIMON, SU, MAUREEN A · 2018 to 2021
$2.0M
Advancing Quality and Outcomes Measurement in RheumatologyK24AR074534 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jinoos Yazdany · 2019 to 2026
$1.5M
Epigenetic Mechanisms in Type 1 DiabetesR01DK119445 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SU, MAUREEN A · 2020 to 2023
$1.5M
Mechanisms of Thyroid Autoimmunity in Checkpoint ImmunotherapyK08DK129829 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LECHNER, MELISSA G · 2021 to 2025
$878k
Developing strategies to inhibit cancer immunotherapy-induced immune-related adverse events without impeding anti-tumor immunityK99CA246061 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI YOUNG, ARABELLA · 2020 to 2021
$251k
NCATS NIH HHS TL1 TR001871NCATS NIH HHS UL1 TR001863NCI NIH HHS K12 CA215110NCI NIH HHS K99 CA246061NCI NIH HHS P30 CA016042NCI NIH HHS R01 CA227473NIAMS NIH HHS K24 AR074534NIAMS NIH HHS P30 AR070155NIDDK NIH HHS K08 DK129829NIDDK NIH HHS R01 DK119445NIDDK NIH HHS T32 DK007058NINDS NIH HHS R01 NS107851
6 · The paper itself

Abstract

Context: Hypophysitis is a known immune-related adverse event (irAE) of immune checkpoint inhibitors (CPIs), commonly associated with CTLA-4 inhibitors and less often with PD-1/PD-L1 inhibitors. Objective: We aimed to determine clinical, imaging, and HLA characteristics of CPI-induced hypophysitis (CPI-hypophysitis). Methods: We examined the clinical and biochemical characteristics, magnetic resonance imaging (MRI) of the pituitary, and association with HLA type in patients with CPI-hypophysitis. Results: Forty-nine patients were identified. Mean age was 61.3 years, 61.2% were men, 81.6% were Caucasian, 38.8% had melanoma, and 44.5% received PD-1/PD-L1 inhibitor monotherapy while the remainder received CTLA-4 inhibitor monotherapy or CTLA-4/PD-1 inhibitor combination therapy. A comparison of CTLA-4 inhibitor exposure vs PD-1/PD-L1 inhibitor monotherapy revealed faster time to CPI-hypophysitis (median 84 vs 185 days, Conclusion: The association of CPI-hypophysitis with HLA DQ0602 suggests a genetic risk for its development. The clinical phenotype of hypophysitis appears heterogenous, with differences in timing of onset, changes in thyroid function tests, MRI changes, and possibly sex related to CPI type. These factors may play an important role in our mechanistic understanding of CPI-hypophysitis.

Indexed as

adrenal insufficiencyhypophysitisimmune checkpoint inhibitorsimmune-related adverse eventsimmunotherapypan-hypopituitarism

Identifiers

PMID36860908
PMCPMC9969737
OpenAlexW4319790125

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.