Evidence map›Paper›PMID 37285524›Full record

ArticleThe oncologist2023

Immune-Related Adverse Events and Clinical Outcomes in Advanced Urothelial Cancer Patients Treated With Immune Checkpoint Inhibitors.

Gregory E Sanda, Julie M Shabto, Subir Goyal, Yuan Liu, Dylan J Martini, Bassel Nazha, Jacqueline T Brown, Lauren B Yantorni, Greta Anne Russler, Sarah Caulfield and 8 more

Open access · goldAbstract read
In one paragraph

Article in The oncologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
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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 2 institutions in 1 country.

Gregory E SandaDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Julie M ShabtoDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Subir GoyalDepartments of Biostatistics and Bioinformatics, Emory University, Atlanta, GA, USA.
Yuan LiuDepartments of Biostatistics and Bioinformatics, Emory University, Atlanta, GA, USA.
Dylan J MartiniDepartment of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Bassel NazhaDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Jacqueline T BrownDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Lauren B YantorniDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Greta Anne RusslerDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Sarah CaulfieldDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Shreyas S JoshiDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Vikram M NarayanDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Haydn KissickWinship Cancer Institute of Emory University, Atlanta, GA, USA.
Kenneth OganWinship Cancer Institute of Emory University, Atlanta, GA, USA.
Viraj A MasterDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Bradley C CarthonDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Omer KucukDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Mehmet Asim BilenDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Emory University · USMassachusetts General Hospital · US

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
NCI NIH HHS P30 CA138292NCI NIH HHS P30CA138292NIH HHS
6 · The paper itself

Abstract

backgroundIn advanced urothelial cancers (UC), immune checkpoint inhibitors (ICI) show promise as a durable therapy. Immune-related adverse events (irAEs), a side effect of ICIs, may serve as an indicator of beneficial response. We investigated the relationship between irAEs and clinical outcomes in patients with advanced UC who received ICI. MATERIALS AND

methodsIn this retrospective study, we investigated 70 patients with advanced UC treated with ICIs at Winship Cancer Institute from 2015 to 2020. Data on patients were collected through chart review. Cox's proportional hazard model and logistic regression were applied to estimate the association with overall survival (OS), progression-free survival (PFS), and clinical benefit (CB). The possible lead-time bias was handled in extended Cox regression models.

resultsThe median age of the cohort was 68. Over one-third (35%) of patients experienced an irAE, with skin being the most frequent organ involved (12.9%). Patients that experienced at least one irAE had significantly enhanced OS (HR: 0.38, 95% CI, 0.18-0.79, P = .009), PFS (HR: 0.27, 95% CI, 0.14-0.53, P < .001), and CB (OR: 4.20, 95% CI, 1.35-13.06, P = .013). Patients who experienced dermatologic irAEs also had significantly greater OS, PFS, and CB.

conclusionOf patients with advanced UC that had undergone ICI therapy, those who had irAEs, especially dermatologic irAEs, had significantly greater OS, PFS, and CB. These results may suggest that irAE's may serve as an important marker of durable response to ICI therapy in urothelial cancer. The findings of this study need to be validated with larger cohort studies in the future.

Indexed as

Carcinoma, Transitional CellUrinary Bladder NeoplasmsHumansImmune Checkpoint InhibitorsPatientsRetrospective StudiesImmune Checkpoint Inhibitorsbladder cancercheckpoint inhibitorimmune-related adverse eventsoutcomesurothelial cancer

Identifiers

PMID37285524
PMCPMC10712712
OpenAlexW4379746137

What OpenQuestion holds

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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.