Evidence map›Paper›PMID 38235413›Full record

ArticleClinical case reports2024

Upper gastrointestinal tract immune-related adverse events: Two cases of obstructive complications occurred in immune consolidation therapy after sequential chimeric antigen receptor T cell therapy with autologous hematopoietic stem cell transplantation for refractory/relapsed diffuse large B cell lymphoma.

Qi Zhang, Chunrui Li, Yang Cao, Na Wang, Liang Huang, Zhen Shang, Jue Wang, Lifang Huang, Jinhuan Xu, Min Xiao and 4 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Clinical case reports, 2024. 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
0.2field-weighted citation impact, top 48% 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, 1 citations in OpenAlex.

  1. 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

14 authors at 1 institution in 1 country.

Qi ZhangDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.ORCID https://orcid.org/0000-0002-2440-4451
Chunrui LiDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.
Yang CaoDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.
Na WangDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.
Liang HuangDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.
Zhen ShangDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.
Jue WangDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.
Lifang HuangDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.ORCID https://orcid.org/0000-0002-3431-1953
Jinhuan XuDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.
Min XiaoDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.
Liting ChenDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.
Xiaojian ZhuDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.
Yicheng ZhangDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.
Yi XiaoDepartment of Hematology Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan Hubei China.
Tongji Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Key Clinical Message: Immune checkpoint inhibitors are a very popular method of treating malignant tumors. But its side effects cannot be ignored. This study revealed obstructive complications during immune consolidation therapy following sequential chimeric antigen receptor T cell therapy with autologous hematopoietic stem cell transplantation in two patients with diffuse large b cell lymphoma (DLBCL). Both our patients had the same symptoms of vomiting and inability to eat due to pyloric obstruction, it should be highlighted that this is a relatively rare and irreversible complication of upper gastrointestinal caused by immune consolidation therapy. Abstract: Immune checkpoint inhibitors (ICIs) have become the standard therapy for many malignant tumors.However, ICIs are associated with unique immune-related adverse events (irAEs) caused by dysregulated immune activation and associated complications have been observed in patients. Here, we report two cases of patients with pyloric obstruction and duodenal ulcers induced by the use of sintilimab, which provides some guidance for the widely used anti-programmed death-1 therapy. During the entire treatment progression for such patients, the correct differential diagnosis of adverse effects and the use of immunosuppressive agents such as glucocorticoids are essential to facilitate early prevention and intervention of irAEs.

Indexed as

chimeric antigen receptor T cell therapyduodenal ulcersimmune checkpoint inhibitorsintilimabupper gastrointestinal tract irAE

Identifiers

PMID38235413
PMCPMC10792699
OpenAlexW4390947064

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.