Evidence map›Paper›PMID 38030233›Full record

Observational studyRMD open2023

Immune checkpoint inhibitor rechallenge in patients who previously experienced immune-related inflammatory arthritis: a multicentre observational study.

Alexandra Ladouceur, Thomas Barnetche, Gael Mouterde, Alice Tison, Samuel Bitoun, Sorilla Prey, Caroline Dutriaux, Emilie Gerard, Anne Pham-Ledard, Marie Beylot-Barry and 12 more

Open access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in RMD open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. 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

22 authors at 5 institutions in 3 countries.

Alexandra LadouceurRheumatology, Centre Hospitalier Universitaire de Bordeaux Groupe hospitalier Pellegrin, Bordeaux, France alexandra.ladouceur@mail.mcgill.ca.ORCID 0009-0009-3755-4860
Thomas BarnetcheRheumatology, Centre Hospitalier Universitaire de Bordeaux Groupe hospitalier Pellegrin, Bordeaux, France.
Gael MouterdeRheumatology, Hôpital Lapeyronie, Montpellier, France.
Alice TisonRheumatology, CHRU de Brest, Brest, France.
Samuel BitounRheumatology, Université Paris Saclay, Hôpital Bicetre, Assistance Publique-Hôpitaux de Paris, FHU CARE, Le Kremlin-Bicetre, France.ORCID 0000-0003-0891-2269
Sorilla PreyDermatology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Caroline DutriauxDermatology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Emilie GerardDermatology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Anne Pham-LedardDermatology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Marie Beylot-BarryDermatology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Maeva ZysmanPulmonology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Rémi VeillonPulmonology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Charlotte DomblidesOncology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Amaury DasteOncology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Marine Gross-GoupilOncology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Baptiste SionneauOncology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Felix LefortOncology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Mathieu LarroquetteOncology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Christophe RichezRheumatology, Centre Hospitalier Universitaire de Bordeaux Groupe hospitalier Pellegrin, Bordeaux, France.ORCID 0000-0002-3029-8739
Marie-Elise TruchetetRheumatology, Centre Hospitalier Universitaire de Bordeaux Groupe hospitalier Pellegrin, Bordeaux, France.ORCID 0000-0001-8045-0180
Thierry SchaeverbekeRheumatology, Centre Hospitalier Universitaire de Bordeaux Groupe hospitalier Pellegrin, Bordeaux, France.
Marie KostineRheumatology, Centre Hospitalier Universitaire de Bordeaux Groupe hospitalier Pellegrin, Bordeaux, France.ORCID 0000-0002-6729-6200
Centre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Régional Universitaire de Brest · FRCentre National de la Recherche Scientifique · FRHôpital Lapeyronie · FRUniversité Paris-Saclay · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAnother course of immune checkpoint inhibitors (ICIs) is often considered in patients with cancer progression and previous immune-related adverse events, including inflammatory arthritis (ICI-IA), but there are limited data regarding safety of ICI rechallenge in this setting. We aimed to assess the rate and clinical features associated with ICI-IA flare/recurrence on ICI rechallenge.

methodsWe conducted a multicentre observational study including cancer patients with ICI-IA who started a second course of ICI more than 3 months after ICI discontinuation in four French university hospitals. Primary outcome was the frequency of ICI flare/recurrence after ICI rechallenge.

resultsTwenty-three patients were included. At the time of ICI rechallenge, 18 patients reported no symptoms of ICI-IA (78%) and 5 had grade 1 (22%), 11 patients (48%) were not receiving any ICI-IA treatment, 11 (48%) were still on prednisone, 2 (9%) were on conventional synthetic disease-modifying antirheumatic drugs and 1 (4%) on anti-IL-6. ICI-IA flare/recurrence occurred in 12 patients (52%) with a median time of 1 month after ICI rechallenge. ICI-IA phenotype, disease activity and ICI-IA treatment at the time of ICI rechallenge did not differ according to ICI-IA flare/recurrence status.

conclusionIn this first observational study of ICI-IA patients rechallenged with ICI, about half of the patients experienced ICI-IA flare/recurrence with a similar phenotype but occurring earlier than the initial ICI-IA, warranting close monitoring during the first month of retreatment. Risk of flare did not differ according to baseline immunosuppressive treatment at the time of rechallenge.

Indexed as

ArthritisNeoplasmsHumansImmune Checkpoint InhibitorsImmunosuppressive AgentsRetrospective StudiesImmune Checkpoint InhibitorsImmunosuppressive AgentsAntirheumatic AgentsArthritisGlucocorticoidsOutcome Assessment, Health CareRisk Factors

Identifiers

PMID38030233
PMCPMC10689372
OpenAlexW4389132867

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.