Evidence map›Paper›PMID 42821011›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Clinical characteristics, treatment and prognosis of nivolumab induced cytokine release syndrome.

Shaoli Zhao, Wei Sun, Liping Peng, Chunjiang Wang

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Shaoli ZhaoDepartment of Endocrinology, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
Wei SunDepartment of Pharmacy, The Third Xiangya Hospital, Central South University, No. 138 Tongzipo Road, YueLu District, Changsha, 410013, Hunan, China.
Liping PengDepartment of Cardiology, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
Chunjiang WangDepartment of Pharmacy, The Third Xiangya Hospital, Central South University, No. 138 Tongzipo Road, YueLu District, Changsha, 410013, Hunan, China. wongcj@csu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo explore the clinical patterns of nivolumab-induced cytokine release syndrome (CRS), and to provide a basis for diagnosis, treatment and prognosis.

methodsClinical reports of nivolumab-induced CRS before March 31, 2026 were collected, and clinical data were extracted for retrospective analysis.

resultsThirty-five patients were included, with a median age of 55 years (range 3, 86). The median time for the appearance of CRS was 54.5 days (range 0.2, 391) and the median number of cycles was 3 (range 1, 17). Fever (85.7%), hypotension (57.1%), tachycardia (42.9%), fatigue (25.7%), rash (25.7%) and impaired consciousness (25.7%) were the main symptoms of patients. Laboratory tests may reveal liver injury, renal injury, elevated C-reactive protein, elevated ferritin, and elevated interleukin-6. After discontinuing nivolumab and receiving treatment with glucocorticoids and tocilizumab, 71.4% of the patients showed improvement in symptoms and clinical markers, while 28.6% of the patients died.

conclusionNivolumab-induced CRS can lead to multi-organ functional impairment and even be fatal. During the administration of nivolumab, the possibility of CRS should be taken into consideration. Glucocorticoids and tocilizumab are widely utilized as primary therapeutic approaches for the management of CRS in clinical practice. However, given the limited available evidence and inherent clinical confounders, the standardized and optimal treatment strategy for nivolumab-induced CRS remains undefined and requires further exploration.

Indexed as

Antineoplastic Agents, ImmunologicalCytokine Release SyndromeNivolumabAdolescentAdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedChildChild, PreschoolFemaleGlucocorticoidsHumansMaleMiddle AgedNeoplasmsAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalGlucocorticoidsNivolumabtocilizumabCytokine release syndromeImmune checkpoint inhibitorsImmune-related adverse eventsNivolumabTocilizumab

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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.