Evidence map›Paper›PMID 40587818›Full record

Observational studyJCO oncology practice2026

Prophylactic Interventions to Prevent Severe Skin Toxicities in Patients With Non-Small Cell Lung Cancer Treated With Nivolumab + Ipilimumab With or Without Chemotherapy.

Toshiyuki Sumi, Kaori Kanamaru, Shunsuke Tsuji, Masahumi Kagawa, Taiki Ishigooka, Keigo Matsuura, Takumi Ikeda, Yuichi Yamada, Hirofumi Chiba

Abstract readObservational Study
In one paragraph

Observational study in JCO oncology practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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.

Toshiyuki SumiDepartment of Pulmonary Medicine, Hakodate Goryoukaku Hospital, Hakodate, Japan.ORCID 0000-0002-2540-5878
Kaori KanamaruNursing Department, Hakodate Goryoukaku Hospital, Hakodate, Japan.
Shunsuke TsujiPharmacy Department, Hakodate Goryoukaku Hospital, Hakodate, Japan.
Masahumi KagawaPharmacy Department, Hakodate Goryoukaku Hospital, Hakodate, Japan.
Taiki IshigookaDepartment of Pulmonary Medicine, Hakodate Goryoukaku Hospital, Hakodate, Japan.
Keigo MatsuuraDepartment of Pulmonary Medicine, Hakodate Goryoukaku Hospital, Hakodate, Japan.
Takumi IkedaDepartment of Pulmonary Medicine, Hakodate Goryoukaku Hospital, Hakodate, Japan.
Yuichi YamadaDepartment of Pulmonary Medicine, Hakodate Goryoukaku Hospital, Hakodate, Japan.
Hirofumi ChibaDepartment of Respiratory Medicine and Allergology, Sapporo Medical University School of Medicine, Sapporo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe frequent occurrence of immune-related adverse events during immune checkpoint inhibitor therapy for non-small cell lung cancer (NSCLC), particularly dermatologic toxicities, often necessitates treatment modifications and systemic corticosteroid use, negatively affecting patient outcomes. This study evaluated the impact of a multidisciplinary prophylactic intervention on the incidence of severe skin toxicities among patients receiving nivolumab + ipilimumab (NI) with or without chemotherapy. PATIENTS AND

methodsThis single-center, retrospective, observational study included 154 treatment-naïve patients with NSCLC who received NI with or without chemotherapy. A comparison was made between skin toxicities and clinical outcomes before and after the implementation of a prophylactic intervention consisting of physician-prescribed medications, pharmacist-led patient education, and nurse-guided skincare. The primary end points were the incidence of grade 3 or higher skin toxicities, systemic corticosteroid use, and treatment discontinuation. Secondary end points included progression-free survival (PFS) and overall survival (OS).

resultsThe incidence of grade 3 skin toxicities significantly decreased from 21% before the intervention to 8% after the intervention (

conclusionProphylactic interventions significantly reduced the severity of skin toxicities and enhanced treatment continuity in patients with NSCLC receiving nivolumab and ipilimumab-based therapy. These findings underscore the importance of proactive, multidisciplinary management strategies to optimize therapeutic outcomes.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungIpilimumabLung NeoplasmsNivolumabSkin DiseasesAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesIpilimumabNivolumab

Identifiers

PMID40587818
PMCPMC13086111

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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.