Evidence map›Paper›PMID 40190947›Full record

ArticleCureus2025

Tumor Response to Immune-Oncology Therapy Despite High-Dose Steroid Intervention in a Patient With Papillary Renal Cell Carcinoma and Immune-Related Myasthenia Gravis.

Liyan Mazahreh, Farah Mazahreh, Bayan Alqtishat, Mazin Safar

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. 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

4 authors.

Liyan MazahrehInternal Medicine, University of Arkansas for Medical Sciences, Little Rock, USA.
Farah MazahrehInternal Medicine, University of Arkansas for Medical Sciences, Little Rock, USA.
Bayan AlqtishatNeurology, University of Arkansas for Medical Sciences, Little Rock, USA.
Mazin SafarHematology and Medical Oncology, University of Arkansas for Medical Sciences, Little Rock, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune-oncology (IO) therapies, particularly immune checkpoint inhibitors, have significantly altered the treatment landscape for various cancers, including renal cell carcinoma (RCC). Unfortunately, immune-related adverse events (irAEs) during therapy often necessitate corticosteroid intervention, which may theoretically impair the anti-tumor immune response. In this article, we describe a unique case in which a patient with advanced papillary RCC developed immune-related myasthenia gravis (MG) while on nivolumab (a PD-1 inhibitor) and cabozantinib. Even while giving corticosteroid treatment for myasthenia gravis, the patient exhibited a striking treatment response, with substantial tumor shrinkage and regression of regional lymphadenopathy. This case highlights that IO agents can remain efficacious even in the presence of significant immunosuppression, raising important mechanistic and clinical considerations for managing irAEs.

Indexed as

high-dose corticosteroidsimmune-checkpoint inhibitorsimmune mediated myasthenia gravisimmune-related adverse effectspapillary renal cell cancertumor response

Identifiers

PMID40190947
PMCPMC11971921

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.