Evidence map›Paper›PMID 37084178›Full record

Observational studyCancer medicine2023

Pre-treatment comorbidities, C-reactive protein and eosinophil count, and immune-related adverse events as predictors of survival with checkpoint inhibition for multiple tumour entities.

Tarun Mehra, Kanchan Dongre, Maria Boesing, Patricia Frei, Claudia Suenderhauf, Alfred Zippelius, Joerg D Leuppi, Andreas Wicki, Anne B Leuppi-Taegtmeyer

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Eosinophils in solid cancers: sentinels, predictors, and therapeutic allies.Journal of experimental & clinical cancer research : CR · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Impact of comorbidity on survival in cancer patients receiving immune checkpoint inhibitors.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Observational
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

9 authors at 3 institutions in 1 country.

Tarun MehraDepartment of Oncology, Medical University Clinic, Kantonsspital Baselland, Liestal, Switzerland.
Kanchan DongreDepartment of Clinical Pharmacology & Toxicology, University Hospital Basel, University of Basel, Basel, Switzerland.ORCID 0000-0003-3170-8645
Maria BoesingMedical University Clinic, Kantonsspital Baselland, Liestal, Switzerland.
Patricia FreiDepartment of Clinical Pharmacology & Toxicology, University Hospital Basel, University of Basel, Basel, Switzerland.
Claudia SuenderhaufDepartment of Clinical Pharmacology & Toxicology, University Hospital Basel, University of Basel, Basel, Switzerland.
Alfred ZippeliusDepartment of Oncology, University Hospital Basel, University of Basel, Basel, Switzerland.
Joerg D LeuppiMedical University Clinic, Kantonsspital Baselland, Liestal, Switzerland.
Andreas WickiDepartment of Oncology, Medical University Clinic, Kantonsspital Baselland, Liestal, Switzerland.
Anne B Leuppi-TaegtmeyerDepartment of Clinical Pharmacology & Toxicology, University Hospital Basel, University of Basel, Basel, Switzerland.ORCID 0000-0002-4561-7499
University of Basel · CHKantonsspital Baselland · CHUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe development of immune-related adverse events (irAEs) may be associated with clinical efficacy of checkpoint inhibitors (CPIs) in patients with cancer. We therefore investigated the effect of irAEs and pre-treatment parameters on outcome in a large, real-life patient cohort.

methodsWe performed a single-centre, retrospective, observational study including patients who received CPIs from 2011 to 2018 and followed until 2021. The primary outcome was overall survival, and the secondary outcome was the development of irAEs.

resultsIn total, 229 patients with different tumour entities (41% non-small cell lung cancer [NSCLC], 29% melanoma) received a total of 282 CPI treatment courses (ipilimumab, nivolumab, pembrolizumab or atezolizumab). Thirty-four percent of patients developed irAEs (of these 17% had CTCAE Grade ≥3). Factors independently associated with mortality were pre-treatment CRP ≥10 mg/L (hazard ratio [HR] 2.064, p = 0.0003), comorbidity measured by Charlson comorbidity index (HR 1.149, p = 0.014) and irAEs (HR 0.644, p = 0.036) (age-adjusted, n = 216). Baseline eosinophil count ≤0.2 × 10

conclusionsWe found an independent association between irAE occurrence and improved overall survival in a real-life cohort spanning multiple tumour entities and treatment regimens. Pre-treatment comorbidities, CRP and eosinophil count represent potential markers for predicting treatment response.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsComorbidityC-Reactive ProteinEosinophilsHumansRetrospective StudiesC-Reactive Proteincheckpoint inhibitorcomorbidityCRPimmunotherapymelanomanon-small cell lung cancer

Identifiers

PMID37084178
PMCPMC10278511
OpenAlexW4366603077

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.