Evidence map›Paper›PMID 39371330›Full record

ArticleJournal of oncology research and therapy2023

High Dose Cyclophosphamide for the Treatment of Severe Immune Checkpoint Inhibitor Related Adverse Events.

Timothy Davis, Kateryna Fedorov, Peter S Gregos, Lauren C Shapiro, Aditi Shastri, Kira Gritsman, Nishi Shah, R Alejandro Sica, Marina Konopleva, Eric Feldman and 6 more

Abstract read
In one paragraph

Article in Journal of oncology research and therapy, 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. 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

16 authors.

Timothy DavisAlbert Einstein College of Medicine, Bronx, New York, USA.
Kateryna FedorovDepartment of Oncology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, York, USA.
Peter S GregosDivision of Oncology, Department of Internal Medicine, Weill Cornell New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, York, USA.
Lauren C ShapiroDepartment of Oncology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, York, USA.
Aditi ShastriDepartment of Oncology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, York, USA.
Kira GritsmanDepartment of Oncology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, York, USA.
Nishi ShahDepartment of Oncology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, York, USA.
R Alejandro SicaDepartment of Oncology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, York, USA.
Marina KonoplevaDepartment of Oncology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, York, USA.
Eric FeldmanDepartment of Oncology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, York, USA.
Ioannis MantzarisDepartment of Oncology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, York, USA.
Ira BraunschweigDepartment of Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, York, USA.
Amit VermaDepartment of Oncology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, York, USA.
Dennis CooperDepartment of Oncology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, York, USA.
Noah KornblumDepartment of Oncology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, York, USA.
Mendel GoldfingerDepartment of Oncology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, York, USA.

Funding

Therapeutic targeting of IRAK4 in MDSR01CA275007 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI Daniel Starczynowski, Amit K. Verma · 2022 to 2026
$2.6M
NCI NIH HHS R01 CA275007NIOSH CDC HHS U01 OH012271
6 · The paper itself

Abstract

Introduction: Immune-related adverse events (irAEs) are a group of autoimmune syndromes that arise following therapy with immune checkpoint inhibitors (ICIs) and are characterized by disinhibition of cell-mediated immunity and decreased self-tolerance. First line treatment of irAEs is typically steroids. Severe irAEs that are refractory to steroids can be life threatening and treatment protocols are an area of unmet need. Standardized clinical guidelines for management of severe corticosteroid refractory irAEs are currently not available and thus are an area of unmet need. Cases: We present two patients who were treated with nivolumab and subsequently developed steroid refractory irAEs in the forms of transverse myelitis, arthritis, and peri-engraftment respiratory distress syndrome. Conclusions: Treatment with a single high dose of cyclophosphamide resulted in rapid and sustained clinical improvements in two patients experiencing steroid refractory irAEs following ICI therapy. Cyclophosphamide may benefit patients with wide spectrum of irAEs while having a favorable toxicity profile.

Indexed as

Cancer TherapyCyclophosphamideImmune Checkpoint InhibitorsImmune-related Adverse EventsImmunology of T-CellsImmunotherapy

Identifiers

PMID39371330
PMCPMC11451324

What OpenQuestion holds

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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.