Evidence map›Paper›PMID 39347217›Full record

ReviewCureus2024

Immune Checkpoint Inhibitors in Cancer Treatment and Incidence of Pancreatitis.

Oluchukwu Chimuanya Nwankwo, Francisco Martin Lara-Salazar, Santiago Lara-Salazar, Abdulrashid Onimisi Abdulrahim, Ijeoma Chijioke, Jyoti Singh, Ikhlaq Koradia, Nicole M Gomez, Rohit Prakash, Ragini Gopagoni and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Type 3 Autoimmune Pancreatitis: What Do We Know So Far?Digestive diseases and sciences · 2026
    Review
  3. Review
  4. Article
  5. Review
  6. 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

12 authors.

Oluchukwu Chimuanya NwankwoInternal Medicine, National Pirogov Memorial Medical University, Vinnytsia, UKR.
Francisco Martin Lara-SalazarInternal Medicine, Universidad Autónoma de Guadalajara Facultad de Medicina Guadalajara, Zapopan, MEX.
Santiago Lara-SalazarInternal Medicine, Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Guadalajara, MEX.
Abdulrashid Onimisi AbdulrahimInternal Medicine, King Fahad Specialist Hospital, Buraidah, SAU.
Ijeoma ChijiokeInternal Medicine, Ross University School of Medicine, Bridgetown, BRB.
Jyoti SinghSurgery, King George's Medical College, Lucknow, IND.
Ikhlaq KoradiaInternal Medicine, Rajiv Gandhi Medical College, Thane, IND.
Nicole M GomezMedicine, Universidad Iberoamericana, Santo Domingo, DOM.
Rohit PrakashOrthopaedics and Trauma, Medway NHS Foundation Trust, Gillingham, GBR.
Ragini GopagoniInternal Medicine, Malla Reddy institute of Medical Sciences, Hyderabad, IND.
Megha JoshiInternal Medicine, Smt. Nathiba Hargovandas Lakhmichand Municipal Medical College, Ahmedabad, IND.
Manju RaiBiotechnology, Shri Venkateshwara University, Gajraula, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) are an approved therapy for the management of various advanced neoplasms. Limited reviews focus on the influence of this therapy resulting in pancreatitis. This review discusses the relationship between ICIs and their effects on the pancreas, including the incidence of pancreatitis, immunotherapy, programmed cell death 1 (PD-1) receptors, driver mutations, programmed death ligand 1 (PD-L1), and immune-related adverse events. Additionally, it focuses on the clinical presentations, diagnosis, case studies, and mechanisms by which ICIs activate different pathways to cause pancreatitis. We conducted a comprehensive literature search using PubMed, Cochrane Library, and Google Scholar databases to identify relevant studies on ICI-associated pancreatitis. The review explores the incidence and epidemiology of ICI-induced pancreatitis, its clinical presentation, diagnostic criteria, and management strategies.The overall incidence of ICI-induced pancreatitis is estimated at 1-2%, with higher rates observed in combination therapy. Clinical presentations range from asymptomatic enzyme elevations to severe pancreatitis. Diagnosis relies on a combination of clinical symptoms, elevated pancreatic enzymes, and imaging findings, with MRI and endoscopic ultrasound showing promise in early detection. Management strategies include IV fluid administration, pain control, and nutritional support. The efficacy of corticosteroids remains controversial, and alternative immunosuppressants are being explored for steroid-refractory cases. Long-term monitoring is crucial due to the risk of chronic pancreatitis and pancreatic insufficiency. This review highlights the need for further research to elucidate the exact mechanisms of ICI-associated pancreatic injury, develop predictive biomarkers, and refine treatment protocols. As ICI use continues to expand, a thorough understanding of this adverse event is essential for optimizing patient care and outcomes in cancer immunotherapy.

Indexed as

immune checkpoint inhibitorsimmune-related adverse events.immunotherapypancreatitispancreatitis pathophysiology

Identifiers

PMID39347217
PMCPMC11433468

What OpenQuestion holds

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LicenceCC BY
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.