Evidence map›Paper›PMID 39995195›Full record

ArticleImmunotherapy2025

Immunotherapy rechallenge after significant toxicity - can it be done successfully?

Ashley Tan, Tara McSweeney, Nisha Sikotra, Brendan Adler, Tom van Hagen, Quentin Summers, Andrew Dean, Naomi van Hagen, Ashleigh DeMarie, Eli Gabbay and 1 more

Abstract read
In one paragraph

Article in Immunotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Ashley TanResearch Department, St John of God Healthcare, Subiaco, Western Australia.ORCID 0000-0002-2207-1219
Tara McSweeneyResearch Department, St John of God Healthcare, Subiaco, Western Australia.
Nisha SikotraResearch Department, St John of God Healthcare, Subiaco, Western Australia.
Brendan AdlerBendat Respiratory Research and Development Fund, St John of God Healthcare, Subiaco, Western Australia.
Tom van HagenDepartment of Oncology, St John of God Healthcare, Subiaco, Western Australia.
Quentin SummersDepartment of Respiratory Medicine, St John of God Healthcare, Subiaco, Western Australia.
Andrew DeanDepartment of Oncology, St John of God Healthcare, Subiaco, Western Australia.
Naomi van HagenDepartment of Oncology, St John of God Healthcare, Subiaco, Western Australia.
Ashleigh DeMarieDepartment of Oncology, St John of God Healthcare, Subiaco, Western Australia.
Eli GabbayResearch Department, St John of God Healthcare, Subiaco, Western Australia.
Timothy D ClayBendat Respiratory Research and Development Fund, St John of God Healthcare, Subiaco, Western Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe describe a single-center burden of admissions for irAE management and rechallenge feasibility.

methodsA retrospective single-center study of patients receiving immunotherapy between 2015-2018 assessing irAE and immunotherapy rechallenge outcomes.

results69 of 307 patients (22%) required 124 hospitalizations for irAEs. 8 required ICU admission (2.6%). 6 (1.9%) died from irAEs. Corticosteroids were used in 96% of admissions. Additional immunosuppression was required in 26 admissions (21%). 47 of 69 patients were rechallenged (68%). The median duration between toxicity and rechallenge was 49 days (range 17-994 days). 19 of 47 rechallenged patients (40%) were admitted for subsequent irAE. 19 patients of the rechallenged group (40%) were alive at last follow-up.

conclusionImmunotherapy rechallenge following prior irAE hospitalization is feasible but carries significant toxicity risk.

Indexed as

Drug-Related Side Effects and Adverse ReactionsImmune Checkpoint InhibitorsImmunotherapyNeoplasmsAdrenal Cortex HormonesAdultAgedAged, 80 and overFemaleHospitalizationHumansMaleMiddle AgedRetrospective StudiesAdrenal Cortex HormonesImmune Checkpoint Inhibitorscorticosteroid therapyhospitalisationimmune-related adverse events (irAEs)Immunotherapypatient outcomesrechallengesafetytoxicity

Identifiers

PMID39995195
PMCPMC11906110

What OpenQuestion holds

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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.