Evidence map›Paper›PMID 37632658›Full record

ArticleClinical journal of gastroenterology2023

Efficacy of immune checkpoint inhibitors in patients with anorectal melanoma in association with immune-related adverse events: a case series.

Reiko Yokoyama, Yasushi Sato, Fumika Nakamura, Kaizo Kagemoto, Yasuhiro Mitsui, Koichi Okamoto, Yutaka Kawano, Masahiro Sogabe, Hiroshi Miyamoto, Tetsuji Takayama

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical journal of gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 26% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

10 authors at 1 institution in 1 country.

Reiko Yokoyama *Department of Gastroenterology and Oncology, School of Medical Science, Tokushima University Graduate School of Medical Science, 3-18-15, Kuramoto-Cho, Tokushima, 770-8503, Japan.
Yasushi Sato *Department of Community Medicine for Gastroenterology and Oncology, Tokushima University Graduate School of Medical Science, 3-18-15, Kuramoto-Cho, Tokushima, 770-8503, Japan. sato.yasushi@tokushima-u.ac.jp.ORCID http://orcid.org/0000-0002-6776-4609
Fumika NakamuraDepartment of Gastroenterology and Oncology, School of Medical Science, Tokushima University Graduate School of Medical Science, 3-18-15, Kuramoto-Cho, Tokushima, 770-8503, Japan.
Kaizo KagemotoDepartment of Gastroenterology and Oncology, School of Medical Science, Tokushima University Graduate School of Medical Science, 3-18-15, Kuramoto-Cho, Tokushima, 770-8503, Japan.
Yasuhiro MitsuiDepartment of Gastroenterology and Oncology, School of Medical Science, Tokushima University Graduate School of Medical Science, 3-18-15, Kuramoto-Cho, Tokushima, 770-8503, Japan.
Koichi OkamotoDepartment of Gastroenterology and Oncology, School of Medical Science, Tokushima University Graduate School of Medical Science, 3-18-15, Kuramoto-Cho, Tokushima, 770-8503, Japan.
Yutaka KawanoDepartment of Gastroenterology and Oncology, School of Medical Science, Tokushima University Graduate School of Medical Science, 3-18-15, Kuramoto-Cho, Tokushima, 770-8503, Japan.
Masahiro SogabeDepartment of Gastroenterology and Oncology, School of Medical Science, Tokushima University Graduate School of Medical Science, 3-18-15, Kuramoto-Cho, Tokushima, 770-8503, Japan.
Hiroshi MiyamotoDepartment of Gastroenterology and Oncology, School of Medical Science, Tokushima University Graduate School of Medical Science, 3-18-15, Kuramoto-Cho, Tokushima, 770-8503, Japan.
Tetsuji TakayamaDepartment of Gastroenterology and Oncology, School of Medical Science, Tokushima University Graduate School of Medical Science, 3-18-15, Kuramoto-Cho, Tokushima, 770-8503, Japan.
Tokushima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anorectal melanoma (AM) is a rare subtype of mucosal melanoma with a poor prognosis. Given its rarity compared to its cutaneous counterpart, the benefits and side effects of immune checkpoint inhibitor (ICI) therapy and the relationship between side effects and prognosis remain unclear. Herein, we describe the clinical presentation of five patients with AM treated with ICI as well as their relationship to the treatment course and the development of immune-related adverse events (irAEs). Three patients received sequential or concurrent administrations of nivolumab and ipilimumab, one received nivolumab alone, and one received ipilimumab alone. The response rate (RR) and disease control rate (DCR) were 40% and 80%, respectively. Pituitary and hepatic dysfunctions were the most common irAEs observed (40% each), followed by thyroid, diarrhea, and renal dysfunctions (20% each). The RR was 67% in patients with irAEs while no response was observed in patients without irAEs. DCR was 100% and 50% in patients with and without irAEs, respectively. Overall survival was 34 months in irAE and 8.75 months in non-irAE cases, with a longer survival trend in irAE cases. ICI therapy was effective and well-tolerated by AM patients, with potentially better outcomes for those who experienced irAEs compared to those who did not.

Indexed as

MelanomaNivolumabHumansImmune Checkpoint InhibitorsIpilimumabPrognosisRetrospective StudiesImmune Checkpoint InhibitorsIpilimumabNivolumabAnorectal melanomaImmune checkpoint inhibitorsImmune-related adverse eventsIpilimumabNivolumab

Identifiers

PMID37632658
OpenAlexW4386192088

What OpenQuestion holds

Textmetadata
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.