Evidence map›Paper›PMID 40930827›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Agranulocytosis Following Durvalumab Plus Tremelimumab Therapy for Hepatocellular Carcinoma.

Genta Uchida, Junji Hiraga, Kiyoshi Morita, Atsufumi Takeuchi, Hitomi Takashi, Satoshi Furune, Tomoyuki Tsuzuki

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Genta UchidaDepartment of Gastroenterology and Hepatology, Toyota Kosei Hospital, Japan.
Junji HiragaDepartment of Hematology, Toyota Kosei Hospital, Japan.
Kiyoshi MoritaDepartment of Gastroenterology and Hepatology, Toyota Kosei Hospital, Japan.
Atsufumi TakeuchiDepartment of Gastroenterology and Hepatology, Toyota Kosei Hospital, Japan.
Hitomi TakashiDepartment of Gastroenterology and Hepatology, Toyota Kosei Hospital, Japan.
Satoshi FuruneDepartment of Gastroenterology and Hepatology, Toyota Kosei Hospital, Japan.
Tomoyuki TsuzukiDepartment of Gastroenterology and Hepatology, Toyota Kosei Hospital, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Agranulocytosis is an extremely rare but potentially fatal immune-related adverse event (irAE) induced by immune checkpoint inhibitors (ICIs). Its management, particularly following combination therapies such as durvalumab/tremelimumab (Dur/Tre) for hepatocellular carcinoma (HCC), is challenging owing to limited data. We herein report a 79-year-old man with HCC who developed severe Dur/Tre-induced agranulocytosis that was refractory to granulocyte colony-stimulating factor, high-dose corticosteroids, and intravenous immunoglobulin. Subsequent treatment with oral cyclosporine (CsA), carefully dosed for liver cirrhosis, achieved complete hematologic recovery. This report details a successful management strategy for this rare, life-threatening irAE, suggesting the potential utility of CsA after initial therapies fail.

Indexed as

AgranulocytosisAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, HepatocellularLiver NeoplasmsAgedCyclosporineHumansImmune Checkpoint InhibitorsMaleAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCyclosporinedurvalumabImmune Checkpoint Inhibitorstremelimumabagranulocytosiscyclosporinedurvalumabhepatocellular carcinomaimmune-related adverse eventstremelimumab

Identifiers

PMID40930827
PMCPMC13106806

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.