Evidence map›Paper›PMID 37719633›Full record

ArticleCureus2023

An Uncommon Case of Myocarditis Secondary to Durvalumab Plus Tremelimumab.

Porfirio E Diaz-Rodriguez, Claudia M Muns-Aponte, Sharolyn I Velazquez-Acevedo, Cristina M Ortiz-Malave, Jose Acevedo, Francisco G Merced-Ortiz

Abstract readCase Reports
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

6 authors.

Porfirio E Diaz-RodriguezCardiology, Veterans Affairs Medical Center, San Juan, PRI.
Claudia M Muns-AponteInternal Medicine, Veterans Affairs Medical Center, San Juan, PRI.
Sharolyn I Velazquez-AcevedoInternal Medicine, Veterans Affairs Medical Center, San Juan, PRI.
Cristina M Ortiz-MalaveInternal Medicine, Veterans Affairs Medical Center, San Juan, PRI.
Jose AcevedoInternal Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PRI.
Francisco G Merced-OrtizCardiology, Veterans Affairs Caribbean Healthcare System, San Juan, PRI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor immunotherapy is an important clinical strategy for the treatment of various solid and hematological malignancies, and its use is on the rise. Immune checkpoint inhibitors (ICIs) are immunotherapies that boost anticancer immune responses by targeting receptors on the surface of T-lymphocytes. Two important ICIs are anti-programmed death ligand-1 (anti-PD-L1) monoclonal antibodies and anti-cytotoxic T-lymphocyte-associated antigen-4 (anti-CTLA-4) monoclonal antibodies. Tremelimumab (anti-CTLA-4) and durvalumab (anti-PD-L1) have been shown to be effective monotherapies. However, their combination has demonstrated effective and encouraging antitumor activity with manageable safety in patients with unresectable hepatocellular carcinoma. We present the case of an 80-year-old male with hepatocellular carcinoma who had undergone drug-eluting bead transarterial chemoembolization (DEB-TACE) on three occasions and had been started on a combination of ICIs, durvalumab, and tremelimumab. He subsequently developed various immune-related adverse effects in different organ systems, including hepatic and cardiovascular complications. Appropriate treatment was administered, but ultimately, he passed away. We aim to discuss the initial evaluation for suspected immune-related adverse events, specifically those related to myocarditis and its various manifestations, prognosis, and treatment.

Indexed as

complete av blockdurvalumabekgfulminant myocarditisimmune check-point inhibitormyocarditistremelimumabventricular tachycardia

Identifiers

PMID37719633
PMCPMC10504866

What OpenQuestion holds

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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.