Evidence map›Paper›PMID 40861846›Full record

ArticleClinical pharmacology : advances and applications2025

Recurrent Checkpoint Inhibitor-Related Pneumonitis Refractory to Corticosteroid Treatment: A Case Report and Literature Review.

Jinyu Yu, Xuanjun Liu, Xingjiao Ma, Li Liang, Yan'e Liu, Wencheng Yin, Qian Li, Baoshan Cao, Wei Liu

Abstract readCase Reports
In one paragraph

Article in Clinical pharmacology : advances and applications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Pulmonary toxicity of immune checkpoint inhibitors.Breathe (Sheffield, England) · 2026
    Review
  2. 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

9 authors.

Jinyu Yu *Department of Medical Oncology and Radiation Sickness, Peking University Third Hospital, Beijing, 100191, People's Republic of China.
Xuanjun Liu *Department of Pharmacy, Guangxi Academy of Medical Sciences and the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, 530021, People's Republic of China.ORCID 0009-0000-8365-4832
Xingjiao MaDepartment of Pharmacy, Peking University Third Hospital, Beijing, 100191, People's Republic of China.
Li LiangDepartment of Medical Oncology and Radiation Sickness, Peking University Third Hospital, Beijing, 100191, People's Republic of China.
Yan'e LiuDepartment of Medical Oncology and Radiation Sickness, Peking University Third Hospital, Beijing, 100191, People's Republic of China.
Wencheng YinDepartment of Medical Oncology and Radiation Sickness, Peking University Third Hospital, Beijing, 100191, People's Republic of China.
Qian LiDepartment of Medical Oncology and Radiation Sickness, Peking University Third Hospital, Beijing, 100191, People's Republic of China.
Baoshan CaoDepartment of Medical Oncology and Radiation Sickness, Peking University Third Hospital, Beijing, 100191, People's Republic of China.ORCID 0000-0001-7939-4820
Wei LiuDepartment of Pharmacy, Peking University Third Hospital, Beijing, 100191, People's Republic of China.ORCID 0000-0002-1773-5156

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immune checkpoint inhibitors (ICIs) are antibodies that activate the immune system to kill tumor cells and have been widely used in oncology. However, dysregulated immune activation may result in the attack of normal tissues and organs, leading to immune-related adverse events (irAEs). Corticosteroid-refractory irAE pneumonitis severely threatens patient survival and is characterized by a lack of high-level evidence-based management guidelines, highlighting the need for increased scrutiny in this area. Case Presentation: This article presents the diagnosis and treatment of a patient with lung squamous cell carcinoma who developed recurrent corticosteroid-refractory grade 3 checkpoint inhibitor- related pneumonitis (CIP) during treatment with the ICI tislelizumab. The management approach included the use of intravenous immunoglobulin (IVIG) and mycophenolate mofetil (MMF). The case is thoroughly analyzed and discussed, accompanied by a review of relevant literature. Conclusion: IVIG and MMF showed effectiveness in corticosteroid-refractory CIP, and further investigation is warranted to establish standardized guideline and to optimize therapeutic drug monitoring for immunosuppressive agents.

Indexed as

corticosteroid-refractoryimmune checkpoint inhibitorsmycophenolate mofetilpneumonitis

Identifiers

PMID40861846
PMCPMC12374699

What OpenQuestion holds

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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.