Evidence map›Paper›PMID 37715029›Full record

ArticleJournal of cancer research and clinical oncology2023

Thyroid dysfunction induced by anti-PD-1 therapy is associated with a better progression-free survival in patients with advanced carcinoma.

Yiran Lu, Qingchen Li, Lusi Xu, Yanqing Zheng, Yanchao Wang, Ying Liu, Rui Zhang, Lin Liao, Jianjun Dong

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05593744 (Study on the Correlation Between Thyroid Dysfunction Induced by Anti PD-1 Therapy and Prognosis in Patients With Advanced Carcinoma), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 18% 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.

NCT05593744 completednot on this map

Study on the Correlation Between Thyroid Dysfunction Induced by Anti PD-1 Therapy and Prognosis in Patients With Advanced Carcinoma

TypeobservationalSponsorQilu Hospital of Shandong UniversityRan2020 to 2022Enrolled100ConditionsCarcinomaArmsno intervention
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Observational
  6. 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

9 authors at 3 institutions in 1 country.

Yiran LuDepartment of Endocrinology, Qilu Hospital, Shandong University, Ji-Nan, China.
Qingchen LiDepartment of Medical Oncology, Qilu Hospital, Shandong University, Ji-Nan, China.
Lusi XuDepartment of Endocrinology and Metabology, Shandong Provincial Qianfoshan Hospital, Shandong University, Ji-Nan, China.
Yanqing ZhengDepartment of Medical Oncology, Qilu Hospital, Shandong University, Ji-Nan, China.
Yanchao WangDepartment of Medical Oncology, Qilu Hospital, Shandong University, Ji-Nan, China.
Ying LiuDepartment of Endocrinology, Qilu Hospital, Shandong University, Ji-Nan, China.
Rui ZhangDepartment of Endocrinology, Qilu Hospital, Shandong University, Ji-Nan, China.
Lin LiaoDepartment of Endocrinology and Metabology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Ji-Nan, China. liaolin@sdu.edu.cn.
Jianjun DongDepartment of Endocrinology, Qilu Hospital, Shandong University, Ji-Nan, China. dongjianjun@sdu.edu.cn.
Qilu Hospital of Shandong University · CNShandong First Medical University · CNShandong University · CN

Funding

National Natural Science Foundation of China No.82100891National Natural Science Foundation of China No.82170824National Natural Science Foundation of China No.82170847
6 · The paper itself

Abstract

purposeThyroid dysfunction is the most common immune-related adverse event during anti-programmed cell death 1 (anti-PD-1) therapy. In this study, we monitored patients with advanced malignant tumors who received anti-PD-1 therapy to observe the characteristic of anti-PD-1 therapy-induced thyroid dysfunction and its correlation with prognosis.

methodsPatients with advanced carcinoma treated with anti-PD-1 therapy were evaluated for thyroid function at baseline and after treatment initiation from August 2020 to March 2022. Seventy-three patients were finally included in the study.

resultsAmong these patients, 19 (26.03%) developed thyroid dysfunction after receiving anti-PD-1 therapy. Primary hypothyroidism and thyrotoxicosis were the most common clinical manifestation. Anti-PD-1-induced thyroid dysfunction occurred 63 (26-131) days after administration; thyrotoxicosis appeared earlier than primary hypothyroidism. In Kaplan-Meier survival analysis, the progression-free survival (PFS) of the thyroid dysfunction group was better than that of the no thyroid dysfunction group (227 (95% confidence interval (CI) 50.85-403.15) days vs 164 (95% CI 77.76-250.24) days, p = 0.026). Male patients had better PFS than female patients (213 (95% CI 157.74-268.26) days vs 74 (95% CI 41.23-106.77) days, p = 0.031). In cox proportional hazards regression model, anti-PD-1-induced thyroid dysfunction remained an independent predictor of better PFS (hazard ratio (HR) = 0.339(0.136-0.848), p = 0.021).

conclusionThyroid dysfunction is a common immune-related adverse events in advanced cancer patients treated with anti-PD-1 therapy and predicts a better prognosis.

trial registrationThis study was retrospectively registered with Trial ClinicalTrials.gov (NCT05593744) on October 25, 2022.

Indexed as

CarcinomaHypothyroidismLung NeoplasmsThyroid DiseasesThyrotoxicosisFemaleHumansMaleProgression-Free SurvivalRetrospective StudiesAnti-programmed cell death 1(PD-1) therapyImmune-related adverse eventsPatients with advanced carcinomaProgression-free survivalThyroid dysfunction

Identifiers

PMID37715029
PMCPMC10645623
OpenAlexW4386767509

What OpenQuestion holds

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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.