Evidence map›Paper›PMID 39016056›Full record

ArticleImmunotherapy2024

Tocilizumab and CytoSorb for delayed severe cytokine release syndrome after ipilimumab plus nivolumab immunotherapy.

Marko Kurnik, Fazarinc Peter, Podbregar Matej

Abstract readCase Reports
In one paragraph

Article in Immunotherapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  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

3 authors.

Marko KurnikGeneral Hospital Celje, Department of Internal Intensive Medicine, Celje, Slovenia.ORCID 0000-0002-9433-2035
Fazarinc PeterGeneral Hospital Celje, Department of Hematology & Oncology, Celje, Slovenia.
Podbregar MatejGeneral Hospital Celje, Department of Internal Intensive Medicine, Celje, Slovenia.ORCID 0000-0001-7750-415X

Funding

Javna Agencija za Raziskovalno Dejavnost RS J3-50116
6 · The paper itself

Abstract

Cytokine release syndrome (CRS) is immune dysregulation phenomenon that is associated with immune checkpoint inhibitors. It is still difficult to distinguish CRS from other dangerous, acute and life-threatening medical disorders.We present a case of delayed grade 4 CRS following treatment of lung adenocarcinoma with ipilimumab plus nivolumab that warranted intensive care level treatment with abundant fluid resuscitation, two-tire vasopressor support, high-flow nasal oxygenation, corticosteroids in high dosages, as well as sustained low-efficiency daily diafiltration with CytoSorb hemadsorption and tocilizumab. Initial treatment of presumed septic shock of unknown origin did not yield results.After initiation of corticosteroids and particularly CytoSorb hemadsorption and tocilizumab, prompt clinical and laboratory improvement was observed.

Indexed as

Antibodies, Monoclonal, HumanizedCytokine Release SyndromeIpilimumabLung NeoplasmsNivolumabAdenocarcinoma of LungAntineoplastic Combined Chemotherapy ProtocolsHumansImmunotherapyAntibodies, Monoclonal, HumanizedIpilimumabNivolumabtocilizumabcritically illcytokine release syndromeCytoSorbimmune checkpoint inhibitorsintensive care unitinterleukin-6tocilizumab

Identifiers

PMID39016056
PMCPMC11457641

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.