Evidence map›Paper›PMID 39648646›Full record

SynthesisImmunotherapy2024

Musculoskeletal immune-related adverse events of PD-(L)1 inhibitors in melanoma: a systematic review and meta-analysis.

Janet Roberts, Sara Barmettler, Jenna Murray, Jennifer E Melvin, Carrie Ye

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Immunotherapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

5 authors.

Janet RobertsDepartment of Medicine, Division of Rheumatology, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0002-3787-8541
Sara BarmettlerDivision of Rheumatology, Allergy, and Immunology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Jenna MurrayPediatric cardiology, Stanford Children's Health, Palo Alto, CA, USA.
Jennifer E MelvinDepartment of Medicine, Division of Medical Oncology, Dalhousie University, Halifax, NS, Canada.
Carrie YeDepartment of Medicine, University of Alberta, Edmonton, Canada.ORCID 0000-0002-9858-5398

Funding

Modeling Risk for Hypogammaglobulinemia, Infections, and Mortality with Chimeric Antigen Receptor (CAR) T-cell TherapyK23AI163350 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI BARMETTLER, SARA · 2021 to 2025
$1.1M
NIAID NIH HHS K23 AI163350
6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICIs) are first-line treatment for melanoma. The incidence of musculoskeletal immune-related adverse events (MSK irAEs) remains unclear.

objectiveTo estimate the relative risk of MSK irAEs in melanoma patients treated with ICIs targeting programmed cell death-1 or its ligand PD-(L)1 as compared to placebo.

methodsWe performed a systematic literature review including phase III randomized controlled trials of adult melanoma patients comparing a PD-(L)1 inhibitor to a placebo arm. Outcomes of interest included arthralgias, arthritis, back pain and myalgias. Meta-analysis was performed to estimate the pooled relative risk of MSK irAEs over the treatment course.

resultsFour RCTs met the inclusion criteria (

conclusionsUse of PD-(L)1 inhibitors is associated with a significantly increased risk of arthralgias and myalgias in melanoma patients. The risk of back pain and arthritis is unknown. IMPLICATIONS FOR PRACTICE: MSK irAEs can impact quality of life and should be considered, particularly in the adjuvant setting when risks and benefits are carefully weighed.

Indexed as

B7-H1 AntigenImmune Checkpoint InhibitorsMelanomaMusculoskeletal DiseasesProgrammed Cell Death 1 ReceptorHumansRandomized Controlled Trials as TopicB7-H1 AntigenCD274 protein, humanImmune Checkpoint InhibitorsProgrammed Cell Death 1 Receptoradverse effectsarthralgiaimmunotherapyMelanomarandomized controlled trial

Identifiers

PMID39648646
PMCPMC11852740

What OpenQuestion holds

Textmetadata
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.