Evidence map›Paper›PMID 37746287›Full record

ArticleFrontiers in oncology2023

Case Report: Response to ipilimumab and nivolumab in a patient with adrenocortical carcinoma.

Rebecca Charles, Divine Madhu, Alexander Powles, Adam Boyde, Owen Hughes, Nagappan Kumar, Sing Yu Moorcraft

Abstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 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
–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

1 citing paper in PubMed.

  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

7 authors.

Rebecca CharlesPathology Department, University Hospital of Wales, Cardiff, United Kingdom.
Divine MadhuSchool of Medicine, Cardiff University, Cardiff, United Kingdom.
Alexander PowlesRadiology Department, Swansea Bay University Health Board, Swansea, United Kingdom.
Adam BoydePathology Department, University Hospital of Wales, Cardiff, United Kingdom.
Owen HughesDepartment of Urology, University Hospital of Wales, Cardiff, United Kingdom.
Nagappan KumarCardiff Liver Unit, University Hospital of Wales, Cardiff, United Kingdom.
Sing Yu MoorcraftOncology Department, South West Wales Cancer Centre and Swansea University Medical School, Swansea, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adrenocortical carcinoma (ACC) is a rare malignancy with limited treatment options. The evidence for the use of immunotherapy in ACC has been conflicting, with overall response rates ranging from 6 - 33%. Case presentation: We describe the case of a 32 year old patient who was initially thought to have an inoperable clear cell renal cell carcinoma and was treated with immunotherapy with ipilimumab and nivolumab. The patient had an excellent partial response to treatment. Further work-up prior to consideration of surgery demonstrated that the tumour was an ACC, rather than a renal cancer. She had a right adrenalectomy and right hepatectomy, achieving an R0 resection and remains disease-free one year after surgery. Conclusion: This case illustrates the challenge of diagnosing ACC, and that doublet immunotherapy with ipilimumab and nivolumab can have significant clinical efficacy in ACC.

Indexed as

adrenal canceradrenocortical cancerimmunotherapyipilimumabnivolumab

Identifiers

PMID37746287
PMCPMC10516602

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.