Evidence map›Paper›PMID 40264941›Full record

ArticleNeuro-oncology advances

Outcomes in patients with multiple sclerosis and solid organ cancers treated with immune checkpoint inhibitors.

Chanawee Hirunpattarasilp, Pingfu Fu, Seunghee Park Margevicius, Matthew Mirsky, Debora Bruno, Ankit Mangla, Richard Stephen Hoehn, Luke Daniel Rothermel, Iris Yeong-Fung Sheng

Abstract read
In one paragraph

Article in Neuro-oncology advances. 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

9 authors.

Chanawee HirunpattarasilpPrincess Srisavangavadhana Faculty of Medicine, Chulabhorn Royal Academy, Bangkok, Thailand.ORCID https://orcid.org/0000-0003-1262-9466
Pingfu FuDepartment of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, Cleveland, Ohio, United States.ORCID https://orcid.org/0000-0002-2334-5218
Seunghee Park MargeviciusDepartment of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, Cleveland, Ohio, United States.
Matthew MirskyDivision of Hematology and Oncology, University Hospitals Seidman Cancer Center, Cleveland, Ohio, United States.
Debora BrunoDepartment of Medical Oncology, City of Hope Atlanta, Newnan, Georgia, United States.
Ankit ManglaDivision of Hematology and Oncology, University Hospitals Seidman Cancer Center, Cleveland, Ohio, United States.
Richard Stephen HoehnDepartment of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States.
Luke Daniel RothermelDepartment of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States.
Iris Yeong-Fung ShengDivision of Hematology and Oncology, University Hospitals Seidman Cancer Center, Cleveland, Ohio, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Multiple sclerosis (MS) patients are excluded from studies of immune checkpoint inhibitors (ICIs) due to concern for MS flare. This study aims to report the incidence of MS relapse, immune-related adverse events (irAEs), and cancer outcomes in MS patients with solid-organ malignancy treated with ICIs. Methods: In this retrospective study, MS patients who received ICIs at University Hospitals Seidman Cancer Center were identified electronically. Information on MS relapses, irAEs, and cancer outcomes after ICI initiation was collected and analyzed. Results: Twelve patients were included in the study, all of whom had inactive MS. No patient experienced MS relapse or new lesions on brain MRI after ICI initiation. Two patients (16.7%) had severe irAEs (grade ≥ 3), which was acute pneumonitis. No deaths were associated. The objective response rate was 50%. An additional year of age was associated with a 14.2% decrease in the risk of developing severe irAEs (hazard ratio (HR) = 0.858; 95% confidence interval (CI): 0.798-0.922; Conclusions: Our study suggests that ICIs could be safely used in patients with inactive MS with a low risk of MS relapse and comparable irAE risk with the general population. Although larger studies are needed for confirmation, the benefit of using ICIs to treat solid-organ malignancies might outweigh the risk of withholding treatment for this population.

Indexed as

immune checkpoint inhibitorsirAEsmultiple sclerosisretrospective studies

Identifiers

PMID40264941
PMCPMC12012678

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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.