Evidence map›Paper›PMID 40248956›Full record

ArticleOncoimmunology2025

Impact of steroid dose and timing on efficacy of combination PD-1/CTLA-4 blockade.

Nina B Curkovic, Rebecca Irlmeier, Xue Bai, Can Cui, Fei Ye, Hannah R Burnette, Aleigha R Lawless, Juliane Andrade Czapla, Ryan Sullivan, Douglas B Johnson

Abstract readMulticenter Study
In one paragraph

Article in Oncoimmunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
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

10 authors.

Nina B CurkovicSchool of Medicine, Vanderbilt University, Nashville, TN, USA.ORCID 0000-0003-2200-4988
Rebecca IrlmeierVanderbilt Ingram Cancer Center, Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.
Xue BaiDepartment of Medicine, Massachusetts General Hospital Cancer Center, Boston, MA, USA.
Can CuiDepartment of Medicine, Massachusetts General Hospital Cancer Center, Boston, MA, USA.
Fei YeSchool of Medicine, Vanderbilt University, Nashville, TN, USA.
Hannah R BurnetteVanderbilt Ingram Cancer Center, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Aleigha R LawlessDepartment of Medicine, Massachusetts General Hospital Cancer Center, Boston, MA, USA.
Juliane Andrade CzaplaDepartment of Medicine, Massachusetts General Hospital Cancer Center, Boston, MA, USA.
Ryan SullivanDepartment of Medicine, Massachusetts General Hospital Cancer Center, Boston, MA, USA.
Douglas B JohnsonVanderbilt Ingram Cancer Center, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

Funding

Long-Term Cardiovascular Sequelae of Cancer ImmunotherapiesR01HL155990 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI JOHNSON, DOUGLAS B, MOSLEHI, JAVID J · 2021 to 2025
$3.3M
(PQ8) Patient- and tumor-specific biomarkers and mechanisms that predict irAEs resulting from checkpoint inhibitionR01CA227481 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BALKO, JUSTIN M, JOHNSON, DOUGLAS B · 2019 to 2023
$2.6M
NCI NIH HHS R01 CA227481NHLBI NIH HHS R01 HL155990
6 · The paper itself

Abstract

With the increasing use of immune checkpoint inhibitors (ICIs) in combination regimens and in earlier stages of advanced melanoma, the effective management of immune-related adverse events (irAEs) is key to balancing immunotherapy efficacy and toxicity. Conflicting evidence exists on possible detrimental effects of immunosuppression with corticosteroids for irAEs on ICI effectiveness. We conducted a multicenter, retrospective cohort study of immunotherapy-naïve advanced melanoma patients undergoing treatment with ipilimumab and nivolumab and a small cohort treated with nivolumab/relatlimab. We utilized univariate tests to assess response, PFS, and OS based on presence of irAE, receipt of steroids for irAEs, peak dose, and time-to-steroid, as well as multivariable analysis for response, OS, and PFS in patients receiving steroids for irAEs. Among 226 total ipilimumab/nivolumab patients, those without irAEs had poorer PFS and OS compared to irAE groups regardless of steroid administration. In subgroup analysis of patients receiving steroids for an irAE, increased time-to-steroid was significantly associated with improved response (aOR, 1.026

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCTLA-4 AntigenImmune Checkpoint InhibitorsMelanomaProgrammed Cell Death 1 ReceptorSteroidsAdultAgedAged, 80 and overFemaleHumansIpilimumabMaleMiddle AgedNivolumabRetrospective StudiesCTLA-4 AntigenCTLA4 protein, humanImmune Checkpoint InhibitorsIpilimumabNivolumabPDCD1 protein, humanProgrammed Cell Death 1 ReceptorSteroidsImmune checkpoint inhibitorimmune-related adverse event - irAEimmunosuppressionimmunotherapy

Identifiers

PMID40248956
PMCPMC12013437

What OpenQuestion holds

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Registered trials

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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.