Evidence map›Paper›PMID 40707022›Full record

ArticleCancer research and treatment2026

Characteristics of Immune Checkpoint Inhibitor-Related Hepatotoxicity Based on the Baseline Liver Function.

Won-Jung Jung, Eun-Jung Jo, Ye-Jee Kim, Mihyun Park, Eunji Kim, Yu-Seon Jung, Sook Ryun Park, Ji Seon Oh, So-Hui Kim, Jeongbin Park and 2 more

Abstract read
In one paragraph

Article in Cancer research and treatment, 2026. 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. 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

12 authors.

Won-Jung JungCollege of Pharmacy and Research Institute for Drug Development, Pusan National University, Busan, Korea.
Eun-Jung JoDepartment of Internal Medicine, School of Medicine, Pusan National University, Busan, Korea.
Ye-Jee KimDepartment of Clinical Epidemiology and Biostatistics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Mihyun ParkCollege of Pharmacy and Research Institute for Drug Development, Pusan National University, Busan, Korea.
Eunji KimCollege of Pharmacy and Department of Global Innovative Drugs, Chung-Ang University, Seoul, Korea.
Yu-Seon JungCollege of Pharmacy, Chung-Ang University, Seoul, Korea.
Sook Ryun ParkDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Ji Seon OhDepartment of Information Medicine, Big Data Research Center, Asan Medical Center, Seoul, Korea.
So-Hui KimSchool of Biomedical Convergence Engineering, Pusan National University, Yangsan, Korea.
Jeongbin ParkSchool of Biomedical Convergence Engineering, Pusan National University, Yangsan, Korea.
Sun-Young JungCollege of Pharmacy and Department of Global Innovative Drugs, Chung-Ang University, Seoul, Korea. jsyoung@cau.ac.kr.
Nakyung JeonCollege of Pharmacy and Research Institute for Drug Development, Pusan National University, Busan, Korea. nakyung.jeon@pusan.ac.kr.

Funding

Korea Health Information ServiceKorean Institute of Drug Safety and Risk Management 20230303716-00Ministry of Health and WelfarePusan National University Hospital
6 · The paper itself

Abstract

purposeThis study estimated the incidence of immune checkpoint inhibitor-related hepatotoxicity (ICH), identified risk factors, and characterized patients who developed ICH. MATERIALS AND

methodsAdult patients treated with immune checkpoint inhibitors (ICIs) from January 2015 to June 2022 in a tertiary hospital were included, excluding those without liver function tests or those with liver cancer but normal baseline liver function. Patients were stratified by baseline liver function status; in overall and each of stratified cohorts ICH incidence was calculated as the number of events per 100 person-years with grade 3 hepatotoxicity as the primary outcome. Patient characteristics were assessed using descriptive statistics, and risk factors were identified through multivariable Cox regression. Causality between ICI use and hepatotoxicity was assessed using the Naranjo Algorithm.

resultsAmong 803 patients, the ICH incidence was 19.5 cases per 100 person-years, with a higher incidence (47.3 vs. 9.3 cases per 100 person-years) and earlier onset (13 vs. 15 days) in the abnormal compared to the normal group. Significant risk factors for ICH included female sex in the normal group and liver cancer in the abnormal group. According to the Naranjo Algorithm, all the 60 ICH cases were classified as "probable" or "possible". Among the 60 cases, 61.7% (n=37) resulted in ICI discontinuation. The baseline liver function did not impact on the severity or the likelihood of ICI discontinuation.

conclusionFuture studies are needed to evaluate whether the impact of ICI discontinuation on survival outcomes in patients with ICH varies based on baseline liver function abnormalities.

Indexed as

Chemical and Drug Induced Liver InjuryImmune Checkpoint InhibitorsNeoplasmsAdultAgedFemaleHumansIncidenceLiverLiver Function TestsLiver NeoplasmsMaleMiddle AgedRetrospective StudiesRisk FactorsImmune Checkpoint InhibitorsCausality assessmentHepatotoxicityImmune checkpoint inhibitors

Identifiers

PMID40707022
PMCPMC13382547

What OpenQuestion holds

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LicenceCC BY-NC
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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.