Evidence map›Paper›PMID 42192898›Full record

ArticleCancers2026

Impact of Immune-Related Adverse Event Frequency, Severity and Corticosteroid Use on Immune Checkpoint Inhibitor Efficacy in Non-Small Cell Lung Cancer.

José Del Corral-Morales, Carlos Ayala-de Miguel, Laura Quintana-Cortés, Santiago González-Santiago, José Fuentes-Pradera, Pablo Ayala-de Miguel

Abstract read
In one paragraph

Article in Cancers, 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. 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

6 authors.

José Del Corral-MoralesMedical Oncology Department, Hospital de Mérida, 06800 Badajoz, Spain.
Carlos Ayala-de MiguelMedical Oncology Deparment, Complejo Hospitalario Universitario de Cáceres, 10004 Cáceres, Spain.
Laura Quintana-CortésMedical Oncology Department, Hospital Don Benito-Villanueva, 06400 Badajoz, Spain.
Santiago González-SantiagoMedical Oncology Deparment, Complejo Hospitalario Universitario de Cáceres, 10004 Cáceres, Spain.
José Fuentes-PraderaMedical Oncology Department, Hospital Universitario Virgen de Valme, 41014 Sevilla, Spain.
Pablo Ayala-de MiguelMedical Oncology Deparment, Complejo Hospitalario Universitario de Cáceres, 10004 Cáceres, Spain.ORCID 0000-0002-9557-5880

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesImmune checkpoint inhibitors (ICIs) have transformed the treatment landscape of non-small cell lung cancer (NSCLC), introducing a distinct spectrum of immune-related toxicities (irAEs). However, the real-world impact of irAEs and corticosteroid use on treatment outcomes remains uncertain.

methodsWe conducted a multicenter, retrospective study including patients with advanced NSCLC treated with ICIs alone or in combination with chemotherapy between April 2017 and December 2023. Clinical records were reviewed to collect data on irAEs and corticosteroid administration. Efficacy and safety outcomes were compared according to irAE occurrence, grade, and corticosteroid use. Categorical variables were analyzed using chi-square tests, while PFS and OS were estimated using the Kaplan-Meier method and compared with the log-rank test. Cox proportional hazards models were used to estimate HRs and 95% CIs.

resultsAmong 452 patients, 151 (33.4%) experienced irAEs of any grade, and 37 (8.2%) developed grade ≥3 events. The most common irAEs were dermatologic (11.1%), endocrine disorders (9.1%), and arthritis (5.5%). Corticosteroids were administered for irAE management in 60 patients (13.3%). Patients who developed irAEs achieved significantly improved progression-free survival (median PFS: 23.2 vs. 4.2 months; HR = 0.29;

conclusionsIn this retrospective cohort, the occurrence of irAEs-and their management with CS-was associated with enhanced ICI efficacy in metastatic NSCLC, including among patients who developed high-grade toxicities and those who discontinued treatment due to toxicity.

Indexed as

carcinomadrug-related side effects and adverse reactionsimmune-related adverse eventsimmunotherapynon-small-cell lung cancer

Identifiers

PMID42192898
PMCPMC13204747

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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.