Evidence map›Paper›PMID 39627133›Full record

Observational studyBMJ open2024

Immune checkpoint inhibitor rechallenge after immune-related adverse events: a retrospective study from VigiBase update in 2024 looking for emergent safety signals.

Jean-Matthieu L'Orphelin, Angélique Da Silva, Jean Cabon, Joachim Alexandre, Charles Dolladille

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04696250 (Evaluation of Reporting of AdVerse Events Associated With AnTicAncer theRapy), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT04696250 unknown statusnot on this map

Evaluation of Reporting of AdVerse Events Associated With AnTicAncer theRapy : an Observational and Retrospective Study Using the WHO Pharmacovigilance Database(AVATAR)

TypeobservationalSponsorUniversity Hospital, CaenRan2021 to 2025Enrolled5,000,000ConditionsCancerArmsAntineoplastic and Immunomodulating Agents
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

5 authors.

Jean-Matthieu L'Orphelin *Caen Normandy University Hospital, Caen, France jean.matthieu.lorphelin@gmail.com.ORCID http://orcid.org/0000-0002-5680-7888
Angélique Da Silva *Departments of Pharmacology & Oncology, University of Caen Normandy, Caen, France.
Jean CabonUniversity of Caen Normandy, Caen, France.
Joachim AlexandrePICARO Cardio-Oncology Program, Department of Pharmacology, CHRU de Caen, Caen, France.
Charles DolladilleUniversité de Caen Normandie, Caen, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesLimited information is available on the safety of a rechallenge with an immune checkpoint inhibitor (ICI) after occurrence of an immune-related adverse event (irAE). We aim to identify potential emergent safety signals.

designThis is an update of our observational pharmacovigilance cohort study.

settingWe exanimated individual case safety reports from the WHO database VigiBase.

participantsWe included all individual case safety reports with ICI and rechallenged ICI.

interventionsWe identified that incident irAE cases using the Medical Dictionary for Regulatory Activities V.26.1 related with at least one ICI administration were systematically collected until 1 March 2024. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the recurrence rate (expressed as a percentage with its 95% CI) of the initial irAE postrechallenge with the same ICI.

resultsWe identified 1016 irAEs cases from ICI rechallenges. Of these, 323 irAEs recurrences occurred (31.8%, 95% CI 28.1 to 34.0). The most common postrechallenge irAEs were nephritis (recurrence rate: 50%, 95% CI 25 to 75), skin irAEs (44%, 95% CI 31 to 58) and colitis (39%, 95% CI 33 to 44).

conclusionsIn this updated, largest cohort study on rechallenge (NCT04696250), we observed a 31.8% recurrence rate of the same irAE postrechallenge with the same ICI, building on our previous findings. TRIAL REGISTRATION NUMBER: NCT04696250.

Indexed as

Immune Checkpoint InhibitorsPharmacovigilanceAdultAdverse Drug Reaction Reporting SystemsAgedDatabases, FactualDrug-Related Side Effects and Adverse ReactionsFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesImmune Checkpoint InhibitorsAdult oncologyAdverse eventsIMMUNOLOGY

Identifiers

PMID39627133
PMCPMC11624719

What Socratic holds

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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.