Evidence map›Paper›PMID 37138674›Full record

ArticleJHEP reports : innovation in hepatology2023

Clinical pattern of checkpoint inhibitor-induced liver injury in a multicentre cohort.

Lina Hountondji, Christophe Ferreira De Matos, Fanny Lebossé, Xavier Quantin, Candice Lesage, Pascale Palassin, Valérian Rivet, Stéphanie Faure, Georges-Philippe Pageaux, Éric Assenat and 10 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06470997 (Specific Biomarkers of Immune-mediated Hepatitis Secondary to Immune Checkpoint), which is not on this map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
17.5field-weighted citation impact, top 1% 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.

NCT06470997 recruitingnot on this mapstarted 2024, after this paper: background citation

Specific Biomarkers of Immune-mediated Hepatitis Secondary to Immune Checkpoint

TypeobservationalSponsorUniversity Hospital, MontpellierRan2024 to 2027Enrolled60ConditionsImmune-mediated HepatitisArmsBlood sample collection, Liver biopsy
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
    Review
  6. Article
  7. Macrophage-CD8medRxiv : the preprint server for health sciences · 2026
    Article
  8. Review
  9. Review
  10. Article
  11. Common Causes of Drug-Induced Liver Injury in 2025.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    Review
  12. Autoantibodies in the follow-up of autoimmune hepatitis.Journal of translational autoimmunity · 2026
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

20 authors at 4 institutions in 1 country.

Lina HountondjiDepartment of Liver Transplantation, Saint Eloi Hospital, Montpellier University Hospital, Montpellier, France.
Christophe Ferreira De MatosDepartment of Internal Medicine, IUCT-Oncopole, Toulouse University Hospital, Toulouse, France.
Fanny LebosséDepartment of Hepatology, Croix Rousse Hospital, Lyon Liver Institute, Hospices Civils of Lyon, Lyon, France.
Xavier QuantinDepartment of Medical Oncology, Montpellier Cancer Institute, Montpellier University Hospital, Montpellier, France.
Candice LesageDepartment of Dermatology, Saint Eloi Hospital, Montpellier University Hospital, Montpellier, France.
Pascale PalassinDepartment of Medical Pharmacology and Toxicology, Lapeyronie Hospital, Montpellier University Hospital, Montpellier, France.
Valérian RivetDepartment of Internal Medicine, IUCT-Oncopole, Toulouse University Hospital, Toulouse, France.
Stéphanie FaureDepartment of Liver Transplantation, Saint Eloi Hospital, Montpellier University Hospital, Montpellier, France.
Georges-Philippe PageauxDepartment of Liver Transplantation, Saint Eloi Hospital, Montpellier University Hospital, Montpellier, France.
Éric AssenatDepartment of Oncology, Saint Eloi Hospital, Montpellier University Hospital, Montpellier, France.
Laurent AlricDepartment of Internal Medicine and Digestive Diseases, Purpan Hospital, Toulouse University Hospital, Toulouse, France.
Amel ZahhafDepartment of Liver Transplantation, Saint Eloi Hospital, Montpellier University Hospital, REFHEPS, Montpellier, France.
Dominique LarreyDepartment of Liver Transplantation, Saint Eloi Hospital, Montpellier University Hospital, REFHEPS, Montpellier, France.
Philine Witkowski Durand VielInternal Medicine, Beziers Hospital, France.
Benjamin RiviereDepartment of Pathology, Montpellier University Hospital, University of Montpellier, Montpellier, France.
Selves JanickDepartment of Pathology, Oncopole, Toulouse, France.
Stéphane DalleDepartment of Dermatology, Lyon Sud Hospital, Lyon Cancer Institute, Hospices Civils of Lyon, Lyon, France.
Alexandre Thibault Jacques MariaInternal Medicine & Immuno-Oncology (MedI2O), Institute for Regenerative Medicine and Biotherapy (IRMB), Saint Eloi Hospital, Montpellier University Hospital, Montpellier, France.
Thibaut ComontDepartment of Internal Medicine, IUCT-Oncopole, Toulouse University Hospital, Toulouse, France.
Lucy MeunierDepartment of Liver Transplantation, Saint Eloi Hospital, Montpellier University Hospital, REFHEPS, Montpellier, France.
Université de Montpellier · FRInstitut universitaire du cancer de Toulouse Oncopole · FRHospices Civils de Lyon · FRHôpital Purpan · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & Aims: Immune checkpoint inhibitors (ICIs) have changed the landscape of cancer therapy. Liver toxicity occurs in up to 25% of patients treated with ICIs. The aim of our study was to describe the different clinical patterns of ICI-induced hepatitis and to assess their outcome. Methods: We conducted a retrospective observational study of patients with checkpoint inhibitor-induced liver injury (CHILI) discussed in multidisciplinary meetings between December 2018 and March 2022 in three French centres specialised in ICI toxicity management (Montpellier, Toulouse, Lyon). The hepatitis clinical pattern was analysed by the ratio of serum alanine aminotransferase (ALT) and alkaline phosphatase (ALP) (R value = (ALT/ULN)/(ALP/ULN)) for characterisation as cholestatic (R ≤2), hepatocellular (R ≥5), or mixed (2 <R <5). Results: We included 117 patients with CHILI. The clinical pattern was hepatocellular in 38.5%, cholestatic in 36.8%, and mixed in 24.8% of patients. High-grade hepatitis severity (grade ≥3 according to the Common Terminology Criteria for Adverse Events system) was significantly associated with the hepatocellular hepatitis ( Conclusions: This large cohort indicates the different clinical patterns of ICI-induced liver injury and highlights that the cholestatic and hepatocellular patterns are the most frequent with different outcomes. Impact and Implications: ICIs can induce hepatitis. In this retrospective series, we report 117 cases of ICI-induced hepatitis, mostly grades 3 and 4. We find a similar distribution of the different patterns of hepatitis. ICI could be resumed without systematic recurrence of hepatitis.

Indexed as

CancerCholangitisDrug-induced liver injuryHepatitisImmune checkpoint inhibitorsImmune-related adverse events

Identifiers

PMID37138674
PMCPMC10149360
OpenAlexW4323308954

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.