Evidence map›Paper›PMID 41511614›Full record

ArticleInvestigational new drugs2026

Clinical features, treatment and outcomes of pembrolizumab induced autoimmune hemolytic anemia.

Jieqiong Liu, Wei Sun, Chunjiang Wang

Abstract read
PubMed Publisher
In one paragraph

Article in Investigational new drugs, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Molecular Genetics ofEcology and evolution · 2026
    Article
  3. Article
  4. 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

3 authors.

Jieqiong LiuDepartment of Hematology and Oncology, The First Hospital of Changsha (The Affiliated Changsha Hospital of Xiangya School of Medicine, Central South University), Changsha, 410005, Hunan, China.
Wei SunDepartment of Pharmacy, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
Chunjiang WangCollege of Pharmacy, Changsha Medical University, No. 1501 Leifeng Avenue, Xiangjiang New District, Changsha, 410219, China. wongcj@csu.edu.cn.

Funding

Hunan Provincial Natural Science Foundation of China 2025JJ80494
6 · The paper itself

Abstract

To explore the clinical characteristics of pembrolizumab induced autoimmune hemolytic anemia (AIHA) and to provide references for diagnosis, treatment and prognosis. Case reports and case series of pembrolizumab induced AIHA were collected by searching the database and the clinical data of patients were summarized for statistical analysis up to August 31, 2025. Sixteen cases (55.2%) of male patients and 13 cases (44.8%) of female patients were included, with a median age of 69 years (36,85). The median time to develop AIHA after the first administration was 30 days (range 10,780), and the median cycle was 2.5 cycles (range 1,33). Clinical symptoms can be manifested as fatigue (13.8%), shortness of breath (10.3%), dyspnea (10.3%) and dizziness (6.9%). Direct antiglobulin test showed negative results (17.2%). Warm AIHA accounted for 44.8% of pembrolizumab induced AIHA. Peripheral blood smear examination showed spherocytes (20.7%), red cell agglutination (10.3%). After discontinuation of pembrolizumab and treatment with glucocorticoids (100%) and red blood cell infusion (69.0%), 96.5% of the patients achieved a treatment response. AIHA is a rare and serious complication of pembrolizumab. Clinicians should be aware of the possibility of AIHA occurrence during the treatment process. DAT negativity does not rule out pembrolizumab -induced AIHA. Glucocorticoids may be an important option for the treatment of AIHA. For refractory AIHA, second-line treatment needs to be initiated.

Indexed as

Anemia, Hemolytic, AutoimmuneAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedTreatment OutcomeAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalpembrolizumabAnemiaAutoimmune hemolytic anemiaImmune-related adverse eventsImmunotherapyPembrolizumab

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.