Evidence map›Paper›PMID 36926262›Full record

ArticleOncoimmunology2023

Rare immune-related adverse events in patients with melanoma: incidence, spectrum, and clinical presentations.

Benjamin C Park, Sathya Narayanan, Alexander Gavraldis, Fei Ye, Run Fan, Ryan J Sullivan, Genevieve Boland, Kerry L Reynolds, Justin M Balko, Matteo S Carlino and 4 more

Open access · goldAbstract read
In one paragraph

Article in Oncoimmunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  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

14 authors at 6 institutions in 2 countries.

Benjamin C ParkSchool of Medicine, Vanderbilt University, Nashville, TN, USA.
Sathya NarayananMelanoma Institute Australia, The University of Sydney, Sydney, Australia.
Alexander GavraldisMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Fei YeDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.
Run FanDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.
Ryan J SullivanMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Genevieve BolandMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Kerry L ReynoldsMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Justin M BalkoDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Matteo S CarlinoMelanoma Institute Australia, The University of Sydney, Sydney, Australia.
Georgina V LongMelanoma Institute Australia, The University of Sydney, Sydney, Australia.
Leyre ZubiriMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Alexander M MenziesMelanoma Institute Australia, The University of Sydney, Sydney, Australia.
Douglas B JohnsonDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt University Medical Center · USHarvard University · USMassachusetts General Hospital · USRoyal North Shore Hospital · AUThe University of Sydney · AUVanderbilt University · US

Funding

Long-Term Cardiovascular Sequelae of Cancer ImmunotherapiesR01HL155990 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI JOHNSON, DOUGLAS B, MOSLEHI, JAVID J · 2021 to 2025
$3.3M
(PQ8) Patient- and tumor-specific biomarkers and mechanisms that predict irAEs resulting from checkpoint inhibitionR01CA227481 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BALKO, JUSTIN M, JOHNSON, DOUGLAS B · 2019 to 2023
$2.6M
NCI NIH HHS R01 CA227481NHLBI NIH HHS R01 HL155990
6 · The paper itself

Abstract

Immune-related adverse events (irAEs) are side effects of immune checkpoint inhibitor therapy (ICI). While common irAEs have been well characterized, there are more limited data on rare immune related adverse events (RirAEs) due to low incidence. Lack of characterization of these entities has led to difficulties in accurate diagnosis and management. Here, we conducted a multi-institution analysis of all patients with stage III/IV melanoma who developed RirAEs after being treated with ICIs (anti-PD-1/L1, anti-CTLA-4, and combination PD-1/CTLA-4 blockade) at three institutions (Vanderbilt University Medical Center, Massachusetts General Hospital, and Melanoma Institute of Australia). RirAEs were defined as those occurring in approximately <1% of patients treated with anti-PD-1 or <2% with combination. Of 2834 patients who received ICIs, 82 developed RirAEs and were more common with combination PD-1/CTLA-4 blockade (4.6%) vs. anti-PD-1/L1 agents (2.8%). Overall median time from ICI start to RirAE was 86 days (interquartile range 42-235 days) with significantly earlier onset in combination therapy (

Indexed as

Drug-Related Side Effects and Adverse ReactionsMelanomaSkin NeoplasmsCutaneous Malignant MelanomaHumansIncidenceimmune checkpoint inhibitorsImmune checkpoint inhibitor toxicityimmune related adverse eventsmelanomarare immune related adverse eventsuncommon immune related adverse events

Identifiers

PMID36926262
PMCPMC10012911
OpenAlexW4323539650

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.