Evidence map›Paper›PMID 37433718›Full record

ArticleJournal for immunotherapy of cancer2023

Impact of immune checkpoint inhibitors on atherosclerosis progression in patients with lung cancer.

Zsofia Dora Drobni, Carlos Gongora, Jana Taron, Giselle A Suero-Abreu, Julia Karady, Hannah K Gilman, Sama Supraja, Sofia Nikolaidou, Nicolas Leeper, Béla Merkely and 3 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 2% of its field
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.

NCT04430712 completednot on this map

Immune Checkpoint Inhibitors and Atherosclerotic Plaque Volume in Patients With Non-Small Cell Lung Cancer: A Case-Control Study

TypeobservationalSponsorMassachusetts General HospitalRan2020 to 2022Enrolled60ConditionsNon-small Cell Lung Cancer
NCT06309862 unknown statusnot on this mapstarted 2024, after this paper: background citation

Association of Immune Checkpoint Inhibitor Therapy for Cancer With Early Myocardial Tissue and Biomarker Changes During Treatment - Implication for Risk of Myocarditis and Cardiomyopathy

TypeobservationalSponsorSunnybrook Health Sciences CentreRan2024 to 2025Enrolled15ConditionsCardio-Oncology, Cardiomyopathy Due to Drug
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Vascular Toxicities of Cancer Therapies: 2025 Update.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  9. Article
  10. Immune checkpoint inhibitors and myocardial infarction.Journal of thrombosis and thrombolysis · 2026
    Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Long-Term Cardiovascular Toxicity of Immunotherapy: Too Important to Ignore.International journal of molecular sciences · 2025
    Review
  16. Article
  17. Review
  18. Review
  19. Cardiac Adverse Events in Patients Receiving Immune Checkpoint Inhibitors in the Adjuvant Setting: An FDA Pooled Analysis.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2025
    Article
  20. 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

13 authors at 4 institutions in 3 countries.

Zsofia Dora DrobniCardiovascular Imaging Research Center (CIRC), Department of Radiology and Division of Cardiology, Massachusetts General Hospital Department of Radiology, Boston, Massachusetts, USA drobni.zsofia@semmelweis.hu.ORCID 0000-0002-1355-5318
Carlos GongoraMassachusetts General Hospital, Boston, Massachusetts, USA.
Jana TaronDepartment of Radiology, Medical Center, University of Freiburg, Freiburg im Breisgau, Germany.
Giselle A Suero-AbreuCardiovascular Imaging Research Center (CIRC), Department of Radiology and Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Julia KaradyCardiovascular Imaging Research Center (CIRC), Department of Radiology and Division of Cardiology, Massachusetts General Hospital Department of Radiology, Boston, Massachusetts, USA.
Hannah K GilmanCardiovascular Imaging Research Center (CIRC), Department of Radiology and Division of Cardiology, Massachusetts General Hospital Department of Radiology, Boston, Massachusetts, USA.
Sama SuprajaCardiovascular Imaging Research Center (CIRC), Department of Radiology and Division of Cardiology, Massachusetts General Hospital Department of Radiology, Boston, Massachusetts, USA.
Sofia NikolaidouCardiovascular Imaging Research Center (CIRC), Department of Radiology and Division of Cardiology, Massachusetts General Hospital Department of Radiology, Boston, Massachusetts, USA.
Nicolas LeeperDepartment of Surgery, Stanford University, Stanford, California, USA.
Béla MerkelyHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Pal Maurovich-HorvatDepartment of Radiology, Semmelweis University, Budapest, Hungary.
Borek FoldynaCardiovascular Imaging Research Center (CIRC), Department of Radiology and Division of Cardiology, Massachusetts General Hospital Department of Radiology, Boston, Massachusetts, USA.
Tomas G NeilanCardiovascular Imaging Research Center (CIRC), Department of Radiology and Division of Cardiology, Massachusetts General Hospital Department of Radiology, Boston, Massachusetts, USA.
Massachusetts General Hospital · USSemmelweis University · HUStanford University · USUniversity of Freiburg · DE

Funding

Immune checkpoint inhibitors and accelerated coronary atherosclerosisR01HL159187 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Tomas G Neilan · 2022 to 2026
$5.2M
STOP-CA: Statins to prevent Cardiotoxicity from AnthracyclinesR01HL130539 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NEILAN, TOMAS G, SCHERRER-CROSBIE, MARIELLE · 2016 to 2020
$3.2M
Mechanisms of Cardiac Dysfunction in HIV and the Effect of StatinsR01HL137562 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NEILAN, TOMAS G, ZANNI, MARKELLA V. · 2017 to 2020
$2.7M
Cardiovascular Diseases among Patients with Cancer and Patients living with HIVK24HL150238 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Tomas G Neilan · 2020 to 2026
$883k
NHLBI NIH HHS K24 HL150238NHLBI NIH HHS R01 HL130539NHLBI NIH HHS R01 HL137562NHLBI NIH HHS R01 HL159187
6 · The paper itself

Abstract

backgroundPatients with lung cancer face a heightened risk of atherosclerosis-related cardiovascular events. Despite the strong scientific rationale, there is currently a lack of clinical evidence examining the impact of immune checkpoint inhibitors (ICIs) on the advancement of atherosclerosis in patients with lung cancer. The objective of our study was to investigate whether there is a correlation between ICIs and the accelerated progression of atherosclerosis among individuals with lung cancer.

methodsIn this case-control (2:1 matched by age and gender) study, total, non-calcified, and calcified plaque volumes were measured in the thoracic aorta using sequential contrast-enhanced chest CT scans. Univariate and multivariate rank-based estimation regression models were developed to estimate the effect of ICI therapy on plaque progression in 40 cases (ICI) and 20 controls (non-ICI).

resultsThe patients had a median age of 66 years (IQR: 58-69), with 50% of them being women. At baseline, there were no significant differences in plaque volumes between the groups, and their cardiovascular risk profiles were similar. However, the annual progression rate for non-calcified plaque volume was 7 times higher in the ICI group compared with the controls (11.2% vs 1.6% per year, p=0.001). Conversely, the controls showed a greater progression in calcified plaque volume compared with the ICI group (25% vs 2% per year, p=0.017). In a multivariate model that considered cardiovascular risk factors, the use of an ICI was associated with a more substantial progression of non-calcified plaque volume. Additionally, individuals treated with combination ICI therapy exhibited greater plaque progression.

conclusionsICI therapy was associated with more non-calcified plaque progression. These findings underscore the importance of conducting studies aimed at identifying the underlying mechanisms responsible for plaque advancement in patients undergoing ICI treatment. TRIAL REGISTRATION NUMBER: NCT04430712.

Indexed as

AtherosclerosisLung NeoplasmsAgedCase-Control StudiesCombined Modality TherapyFemaleHumansImmune Checkpoint InhibitorsMaleMiddle AgedThoraxImmune Checkpoint InhibitorsImmune Checkpoint InhibitorsImmunotherapyNon-Small Cell Lung Cancer

Identifiers

PMID37433718
PMCPMC10347471
OpenAlexW4383874885

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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 Socratic graph.