Evidence map›Paper›PMID 39721685›Full record

ArticleInternal medicine (Tokyo, Japan)2025

Hepatocellular Carcinoma Complicated by Fulminant Type 1 Diabetes Mellitus Shortly After Initiation of Durvalumab Plus Tremelimumab.

Nanase Usui, Yukinori Imai, Kayoko Sugawara, Yoshihito Uchida, Nobuaki Nakayama, Tomoaki Tomiya, Suguru Mizuno, Satoshi Mochida

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Nanase UsuiDepartment of Gastroenterology and Hepatology, Saitama Medical University, Japan.
Yukinori ImaiDepartment of Gastroenterology and Hepatology, Saitama Medical University, Japan.
Kayoko SugawaraDepartment of Gastroenterology and Hepatology, Saitama Medical University, Japan.
Yoshihito UchidaDepartment of Gastroenterology and Hepatology, Saitama Medical University, Japan.
Nobuaki NakayamaDepartment of Gastroenterology and Hepatology, Saitama Medical University, Japan.
Tomoaki TomiyaDepartment of Gastroenterology and Hepatology, Saitama Medical University, Japan.
Suguru MizunoDepartment of Gastroenterology and Hepatology, Saitama Medical University, Japan.
Satoshi MochidaDepartment of Gastroenterology and Hepatology, Saitama Medical University, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 64-year-old man with cirrhosis was diagnosed with unresectable hepatocellular carcinoma and treated with a combination of durvalumab and tremelimumab. The patient had no history of diabetes mellitus. Three weeks later, the patient developed general fatigue, dry mouth, and polyuria. A subsequent blood examination revealed a blood glucose level of 706 mg/dL and C-peptide level of 0.29 ng/mL, with an HbA1c of 6.4%. The patient was diagnosed with fulminant type 1 diabetes mellitus. Although fulminant type 1 diabetes mellitus is a rare immune-mediated adverse event, it requires prompt attention shortly after the initiation of these agents owing to its severe and emergent nature.

Indexed as

Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, HepatocellularDiabetes Mellitus, Type 1Liver NeoplasmsHumansMaleMiddle AgedAntibodies, MonoclonalAntibodies, Monoclonal, Humanizeddurvalumabtremelimumabdurvalumabfulminant type 1 diabetes mellitushepatocellular carcinomaimAEtremelimumab

Identifiers

PMID39721685
PMCPMC12331288

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.