Evidence map›Paper›PMID 41682679›Full record

ReviewJournal of clinical medicine2026

Is Immunotherapy a Contraindication for Treating Lung Cancer Patients with Interstitial Lung Diseases? A Review of the Literature.

Raffaella Pagliaro, Paola Della Monica, Vito D'Agnano, Angela Schiattarella, Antonio D'Orologio, Paola Maria Medusa, Giulia Maria Stella, Federica Colapietra, Fabio Perrotta, Andrea Bianco and 2 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 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

12 authors.

Raffaella PagliaroDepartment of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy.ORCID 0009-0006-2902-3558
Paola Della MonicaDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.
Vito D'AgnanoDepartment of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy.
Angela SchiattarellaDepartment of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy.
Antonio D'OrologioDepartment of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy.
Paola Maria MedusaDepartment of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy.
Giulia Maria StellaDepartment of Internal Medicine and Medical Therapeutics, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0003-0929-4394
Federica ColapietraDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.ORCID 0009-0004-5630-3956
Fabio PerrottaDepartment of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy.
Andrea BiancoDepartment of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy.ORCID 0000-0002-4692-5901
Marina Di DomenicoDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.
Filippo ScialòDepartment of Molecular Medicine and Medical Biotechnologies, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0002-1121-7315

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management of lung cancer (LC) in patients with interstitial lung diseases (ILDs) presents significant challenges, particularly with the increasing use of immunotherapy (IT). Immunotherapy-related pneumonitis (ICIP) is a potential complication of immune checkpoint inhibitors (ICIs) that can be difficult to differentiate from pre-existing or treatment-induced ILD. The incidence of treatment-related pneumonitis is higher in patients with pre-existing ILD, which complicates the therapeutic approach. Moreover, antifibrotic drugs have shown potential in reducing the incidence of post-operative acute exacerbations in IPF patients undergoing surgery and radiotherapy. ILDs in LC patients can either develop ab initio, linked to environmental exposures, autoimmune diseases, or emerge because of cancer therapies. Although large-scale clinical trial evidence remains limited, careful therapy selection, early detection of pneumonitis, and close monitoring are crucial. Further prospective studies are needed to refine therapeutic strategies, particularly regarding the role of IT in this sensitive population and the role of combination therapies with antifibrotics and ICIs to optimize outcomes for patients with both LC and ILDs. This review summarizes the available evidence on the safety and efficacy of IT in this population, emphasizing the importance of personalized treatment approaches and vigilant monitoring.

Indexed as

antifibrotic treatmentimmune check point inhibitorsinterstitial lung diseaselung cancer

Identifiers

PMID41682679
PMCPMC12898763

What Socratic holds

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LicenceCC BY
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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.