Evidence map›Paper›PMID 40621463›Full record

Observational studyFrontiers in immunology2025

Thyroid disorders as predictors of cemiplimab efficacy in recurrent/metastatic cervical cancer: real-world evidence from Poland.

Renata Pacholczak-Madej, Maja Lisik-Habib, Radosław Mądry, Monika Szarszewska, Zuzanna Borysiewicz, Katarzyna Gabalewicz, Ewa Iwańska, Wiktor Szatkowski, Mirosława Puskulluoglu, Jerzy Jakubowicz and 1 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

11 authors.

Renata Pacholczak-MadejDepartment of Gynecological Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Krakow, Poland.
Maja Lisik-HabibDepartment of Proliferative Diseases, Copernicus Memorial Hospital in Lodz Comprehensive Cancer Center and Traumatology, Łódź, Poland.
Radosław MądryKlinika Ginekologii Onkologicznej Uniwersytetu Medycznego w Poznaniu, Poznan, Poland.
Monika SzarszewskaKlinika Ginekologii Onkologicznej Uniwersytetu Medycznego w Poznaniu, Poznan, Poland.
Zuzanna BorysiewiczDepartment of Oncology and Chemotherapy, Provincial Integrated Hospital, Elbląg, Poland.
Katarzyna GabalewiczLower Silesian Oncology, Pulmonology and Hematology Center, Wrocław, Poland.
Ewa IwańskaDepartment of Gynecological Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Krakow, Poland.
Wiktor SzatkowskiDepartment of Gynecological Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Krakow, Poland.
Mirosława PuskulluogluDepartment of Clinical Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Krakow, Poland.
Jerzy JakubowiczDepartment of Gynecological Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Krakow, Poland.
Paweł BlecharzDepartment of Gynecological Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Krakow, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Immune checkpoint inhibitors have improved survival in patients with recurrent or metastatic cervical cancer (r/mCC), yet reliable predictors of treatment efficacy remain undefined. Immune-related adverse events (irAEs) have been suggested as potential predictors of response, but evidence in cervical cancer is limited. Methods: We conducted an ambispective, multicenter observational study of 37 patients with r/mCC treated with cemiplimab within Poland's national rescue access program. Baseline characteristics, treatment outcomes, and irAEs were analyzed. Survival outcomes were estimated using the Kaplan-Meier method and compared using Cox proportional hazards models. A p-value of <0.05 was considered statistically significant. Results: After a median follow-up of 9.2 months, 17 episodes of irAEs were reported in 40.5% of patients (n=15), with thyroid disorders being the most common (n=11, 64.7%). Patients who developed ir-thyroid disorders had significantly longer progression-free survival (hazard ratio [HR]=0.2; 95% confidence interval [CI]: 0.07-0.6, p=0.004) and overall survival (HR=0.2; 95% CI: 0.05-0.9; p=0.04) compared to those without such events. Moreover, the objective response rate was notably higher in this group (45.5% versus 11.5%, p=0.04). Most irAEs were mild and manageable, with a median time to onset of two months after cemiplimab initiation. Conclusions: Ir-thyroid disorders may indicate enhanced immune activation and represent a potential surrogate of cemiplimab efficacy in r/mCC, although validation in larger cohorts is required.

Indexed as

Antibodies, Monoclonal, HumanizedImmune Checkpoint InhibitorsNeoplasm Recurrence, LocalThyroid DiseasesUterine Cervical NeoplasmsAdultAgedFemaleHumansMiddle AgedNeoplasm MetastasisPolandTreatment OutcomeAntibodies, Monoclonal, HumanizedcemiplimabImmune Checkpoint Inhibitorscemiplimabimmune checkpoint inhibitorsimmune-related adverse eventsthyroid diseasesuterine cervical neoplasms

Identifiers

PMID40621463
PMCPMC12226472

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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.