Evidence map›Paper›PMID 40589698›Full record

ArticleCureus2025

Efficacy and Immune-Related Adverse Events of Immune Checkpoint Inhibitors in Patients With Non-small Cell Lung Cancer and Autoimmune Diseases.

Kenta Takashima, Kazutoshi Isobe, Hiroki Wakabayashi, Kaichi Kaneko, Atsuhito Saiki, Yasuo Matuzawa

Abstract read
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. 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

6 authors.

Kenta TakashimaDepartment of Internal Medicine, Toho University Graduate School of Medicine, Tokyo, JPN.
Kazutoshi IsobeDepartment of Internal Medicine, Toho University Sakura Medical Center, Chiba, JPN.
Hiroki WakabayashiDepartment of Internal Medicine, Toho University Sakura Medical Center, Chiba, JPN.
Kaichi KanekoDepartment of Internal Medicine, Toho University Sakura Medical Center, Chiba, JPN.
Atsuhito SaikiDepartment of Internal Medicine, Toho University Sakura Medical Center, Chiba, JPN.
Yasuo MatuzawaDepartment of Internal Medicine, Toho University Sakura Medical Center, Chiba, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutoimmune diseases (AIDs) are often associated with lung cancer, but their clinical characteristics remain unclear. PURPOSE: The study aimed to elucidate the clinical features of non-small cell lung cancer (NSCLC) in patients with AIDs.

methodsThis single-center, retrospective observational study was conducted between June 2016 and October 2024. It included patients diagnosed with primary NSCLC and comorbid AIDs who received lung cancer treatment.

resultsA total of 32 patients (median age: 68 years; male/female: 14/18) were enrolled. Rheumatoid arthritis was the most common AID (10 cases, 31.3%), followed by Graves' disease, Hashimoto's thyroiditis, and ulcerative colitis (four cases each, 12.5%). Other AIDs included systemic lupus erythematosus (two cases, 6.3%) and one case (3.1%) each of Behçet's disease, dermatomyositis, myasthenia gravis, scleroderma, Schmidt's syndrome, psoriasis, and sarcoidosis. Immune checkpoint inhibitors (ICIs) were administered to 11 patients (34.3%), with a response rate and disease control rate of 63.6%. Immune-related adverse events (irAEs) occurred in 72.7% (8/11) of patients, including one grade 3 event. Of which, AID exacerbation related to ICI occurred in 45.5% (5/11) of patients. The median progression-free survival was 126 days, and the median overall survival (OS) was 1,594 days. Among patients without driver mutations who received ICI therapy, the median OS was significantly longer compared to those with driver mutations (2,274 vs. 654 days; P < 0.001). Multivariate analysis revealed that good performance status, adenocarcinoma history, and ICI administration were associated with better OS.

conclusionsICIs may be effective in selected NSCLC patients with AIDs; however, careful monitoring is essential due to the risk of irAE and AID exacerbation.

Indexed as

autoimmune diseaseautoimmune disease exacerbationimmune-checkpoint inhibitorsimmune-related adverse events (iraes)non-small-cell lung cancer

Identifiers

PMID40589698
PMCPMC12208510

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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.