Evidence map›Paper›PMID 41035103›Full record

SynthesisBMC rheumatology2025

Immune checkpoint inhibitor associated vasculitis and polymyalgia rheumatica: a case series and systematic review.

Aaron Teel, Adrian Grebowicz, Yuliya Lytvyn, Stephanie Garner, C Thomas Appleton, Alexandra P Saltman, Nader Khalidi, Mats Junek, Faiza Khokhar

Abstract readSystematic Review
In one paragraph

Synthesis in BMC rheumatology, 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. [Polymyalgia rheumatica].Zeitschrift fur Rheumatologie · 2026
    Review
  2. Review
  3. Review
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.

Aaron TeelMichael G. DeGroote School of Medicine, McMaster University, 50 Charlton Ave E, St Joseph's Hospital, Fontbonne Building, Hamilton, ON, Canada. aaron.teel@medportal.ca.ORCID http://orcid.org/0000-0002-6957-1632
Adrian GrebowiczDepartment of Medicine, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
Yuliya LytvynTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0003-1805-9994
Stephanie GarnerCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
C Thomas AppletonDepartment of Medicine, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.ORCID http://orcid.org/0000-0001-7148-0767
Alexandra P SaltmanTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Nader KhalidiDivision of Rheumatology, St Joseph's Healthcare, McMaster University, Hamilton, Ontario, Canada.ORCID http://orcid.org/0000-0002-8270-2617
Mats Junek *Division of Rheumatology, St Joseph's Healthcare, McMaster University, Hamilton, Ontario, Canada.ORCID http://orcid.org/0000-0001-8416-3955
Faiza Khokhar *Division of Rheumatology, St Joseph's Healthcare, McMaster University, Hamilton, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICIs) have been associated with immune-related adverse events (irAEs), including ICI associated vasculitis (ICI-vasculitis) and ICI associated PMR (ICI-polymyalgia rheumatica (PMR)-like syndromes). We sought to describe the characteristics of ICI-vasculitis and ICI-PMR in individuals treated with ICIs through a systematic review and local case series.

methodsWe searched MEDLINE and Embase from inception to July 2023 for cases of ICI-vasculitis and ICI-PMR in ICI-treated individuals. Our series included cases obtained from clinicians at the Universities of Toronto, McMaster, and Western in Ontario, Canada.

resultsOne hundred and forty-four patients were identified: 130 from the systematic review in 76 articles and 14 from our case series. This included 73 patients with ICI-vasculitis (14 large vessel, 7 ANCA-associated, 52 other) and 71 with ICI-PMR. Ninety-five per cent of patients were treated with glucocorticoids and 17% received disease-modifying antirheumatic drugs (DMARDs). Among 4 individuals with vasculitis who continued the ICI, two remitted. Of five who paused and restarted ICIs, one experienced a recurrence. Among four individuals with vasculitis who continued ICIs, two remitted. All 11 ICI-PMR cases that continued ICIs remitted; among 3 patients who paused and restarted two did not relapse and one had a relapse that improved with an increase in their dose of prednisone.

conclusionICI-vasculitis and ICI-PMR are underrecognized complications of ICIs. Glucocorticoids are effective for ICI-vasculitis and ICI-PMR. It is unclear if ICIs can be safely continued or restarted after remission of ICI-vasculitis or ICI-PMR. Limited data suggests ICIs may be resumed in individuals with non-severe ICI-vasculitis or ICI-PMR.

Indexed as

Antineutrophil cytoplasmic antibodiesDrug-induced rheumatic diseaseGiant cell arteritisPolymyalgia rheumaticaVasculitis

Identifiers

PMID41035103
PMCPMC12487409

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.