Evidence map›Paper›PMID 41966859›Full record

Observational studyAnnals of the rheumatic diseases2026

Oral glucocorticoid treatment for checkpoint inhibitor-associated inflammatory arthritis does not affect cancer progression-free survival: a RADIOS Registry study.

Deanna P Jannat-Khah, Pankti Reid, Laura C Cappelli, Maria E Suarez-Almazor, Noha Abdel-Wahab, Jeffrey A Sparks, Tawnie J Braaten, Alexa Meara, Minerva Nong, Kyle Ge and 8 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Annals of the rheumatic diseases, 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. 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

18 authors.

Deanna P Jannat-KhahDivision of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA. Electronic address: jannatkhahd@hss.edu.
Pankti ReidDepartment of Medicine, Section of Rheumatology, Committee on Clinical Pharmacology and Pharmacogenomics, University of Chicago, Chicago, IL, USA.
Laura C CappelliDivision of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Maria E Suarez-AlmazorMD Anderson Cancer Center, Section of Rheumatology & Clinical Immunology, University of Texas, Houston, TX, USA.
Noha Abdel-WahabDepartment of Rheumatology & Rehabilitation, Assiut University Faculty of Medicine, Assiut, Egypt; Department of Cancer Sciences, Global Center for Immunotherapy and Precision Immuno-Oncology, Cleveland Clinic, OH, USA; Cancer Institute, Cleveland Clinic, Abu Dhabi, UAE.
Jeffrey A SparksDivision of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Tawnie J BraatenUniversity of Utah, Salt Lake City, UT, USA.
Alexa MearaDivision of Oncology and Hematology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Minerva NongDivision of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Columbia College of Physicians & Surgeons, Columbia University, New York, NY, USA.
Kyle GeDivision of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA.
Tamiko R KatsumotoDepartment of Medicine-Immunology & Rheumatology, Stanford University, Stanford, CA, USA.
Cassandra CalabreseDepartment of Rheumatologic and Immunologic Disease, Cleveland Clinic Foundation, Cleveland Heights, OH, USA.
Alice TisonDivision of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Department of Rheumatology, CHRU Brest, Brest, France; LBAI UMR1227, Université de Bretagne Occidentale, Inserm, Brest, France.
Karmela ChanDivision of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Nilasha GhoshDivision of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Ami A ShahDivision of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Clifton BinghamDivision of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Anne R BassDivision of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.

Funding

Sample Processing and Immunoassay Research CoreP30AR070254 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI Antony Rosen · 2016 to 2026
$8.9M
Harnessing multivariate patient- and population-level disease trajectories to predict major clinical events in sclerodermaK24AR080217 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI Ami Aalok Shah · 2022 to 2026
$847k
Immune-Related Adverse Events in Melanoma Patients Receiving Adjuvant Immune Checkpoint Inhibitor TherapyK01AI163412 · NIAID · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HASSAN, NOHA ABDELWAHAB HASSAN ALI · 2021 to 2025
$569k
Evaluating the relationship between immune checkpoint inhibitors and osteoarthritisR03AR081997 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI CAPPELLI, LAURA CHRISTINE · 2023 to 2024
$164k
NIAID NIH HHS K01 AI163412NIAMS NIH HHS K24 AR080217NIAMS NIH HHS P30 AR070254NIAMS NIH HHS R03 AR081997
6 · The paper itself

Abstract

objectivesGlucocorticoids are the first-line treatment for immune checkpoint inhibitor-associated inflammatory arthritis (ICI-IA). However, glucocorticoids may negatively impact cancer progression-free survival (PFS). We investigated the association between glucocorticoids and PFS among patients with cancer with ICI-IA.

methodsData from the prospective multicentre rheumatic adverse events due to Immunotherapy Observational Study registry were used. Kaplan-Meier plots and multivariable Cox regression models (time-varying and landmark) assessed glucocorticoid dose and its association with PFS. Participants who progressed before glucocorticoid initiation were excluded from the landmark analysis.

resultsParticipants with ICI-IA (N = 269) had a mean age of 64.85 years (SD: 12.87), 48.3% were female, 87% were White, 32% had melanoma, and most were stage IV (56.4%). In the first month of treatment, the median glucocorticoid dose (prednisone equivalent) was 13 mg daily and 7.8% of participants received an immunomodulatory disease-modifying antirheumatic drug. Cancer progression occurred in 67 participants (24.9%). In a time-varying Cox model, glucocorticoids were not associated with PFS (adjusted hazard ratio [aHR]: 2.64 [95% CI: 0.36-19.61]). Glucocorticoid doses above the median compared with below the median in the first month of ICI-IA treatment were not associated with worse PFS in adjusted Cox models (aHR: 1.15 [95% CI: 0.59-2.25]).

conclusionsIn this prospective ICI-IA cohort, low doses of glucocorticoids (median dose 13 mg [IQR: 7.5, 25] in the first month of treatment) did not adversely affect PFS.

Indexed as

ArthritisGlucocorticoidsImmune Checkpoint InhibitorsNeoplasmsAdministration, OralAgedAntirheumatic AgentsFemaleHumansMaleMiddle AgedProgression-Free SurvivalProportional Hazards ModelsProspective StudiesRegistriesAntirheumatic AgentsGlucocorticoidsImmune Checkpoint Inhibitors

Identifiers

PMID41966859
PMCPMC13553020

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.