Evidence map›Paper›PMID 40790180›Full record

ArticleBMC cancer2025

Adverse drug events of immune checkpoint inhibitors - a retrospective, descriptive real-world data analysis.

Lauris Annatha Mariam Auch, Chloé Sieber, Dirk Lehnick, Balthasar L Hug

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  5. Programmed Cell Death Protein 1-Interleukin-2 Bispecific Agents for Cancer Therapy.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
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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

4 authors.

Lauris Annatha Mariam AuchFaculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland. lauris.auch@gmail.com.ORCID http://orcid.org/0009-0008-0663-1408
Chloé SieberFaculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.ORCID http://orcid.org/0000-0002-6642-5082
Dirk LehnickFaculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.ORCID http://orcid.org/0000-0003-1836-2811
Balthasar L HugFaculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.ORCID http://orcid.org/0000-0003-4235-1995

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe objective of this study was to analyze immune-related adverse events (irAEs) in a real-world data sample and examine the differences in incidence between affected organ systems, irAE severity, therapeutic agent, and gender.

methodsWe retrospectively analyzed all consecutive patients treated with anti-cytotoxic T-lymphocyte associated protein 4 (CTLA-4) antibodies, anti-programmed death 1 (PD-1) inhibitors, and programmed death-ligand 1 (PD-L1) inhibitors between January 2020 and May 2023 in a tertiary referral center in Switzerland. IrAEs documented in the electronic health records (EHR) were graded according to the Common Terminology Criteria for Adverse Events (CTCAE) and analyzed descriptively.

resultsAmong the 500 patients, 196 (39.2%) were female. Treatments included pembrolizumab (51.2%), atezolizumab (20.2%), nivolumab (14.4%), durvalumab (6.4%), ipilimumab in combination with nivolumab (4.8%), cemiplimab (1.4%), avelumab (1.2%), and ipilimumab (0.4%). N = 216 (43.2%) patients had ≥ 1 irAEs (females: 47.4%; males: 40.5%). Severe (≥ grade 3) irAEs were reported in 13.6% of patients. The following irAE incidences were found: dermatological (15.2%), gastrointestinal (13.0%), endocrine (10.8%), musculoskeletal (4.8%), pulmonary (3.8%), systemic (3.6%), neurological (2.6%), cardiac (1.4%), renal (1.4%), hematological (0.6%), and ocular (0.2%).

conclusionNearly half of the patients experienced ≥ 1 irAEs, of which one-third severe. Females experienced more irAEs than males, above all due to a higher incidence of grade 1 irAEs. Only about half of the irAEs were reported as coded diagnosis. Further prospective studies on irAEs are warranted using structured documentation.

Indexed as

Drug-Related Side Effects and Adverse ReactionsImmune Checkpoint InhibitorsNeoplasmsAdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesSwitzerlandAntibodies, Monoclonal, HumanizedImmune Checkpoint InhibitorsAnti-CTLA-4Anti-PD-1Anti-PD-L1Immune checkpoint inhibitorsImmune-related adverse eventsReal-world data

Identifiers

PMID40790180
PMCPMC12337401

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.