Evidence map›Paper›PMID 23901264›Full record

Trial reportDrug design, development and therapy2013

Immunomodifiers in combination with conventional chemotherapy in small cell lung cancer: a phase II, randomized study.

Konstantinos Zarogoulidis, Eftimios Ziogas, Efimia Boutsikou, Paul Zarogoulidis, Kaid Darwiche, Theodoros Kontakiotis, Kosmas Tsakiridis, Konstantinos Porpodis, Dimitrios Latsios, Olga Chatzizisi and 3 more

Open access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Drug design, development and therapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.7field-weighted citation impact, top 10% 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.

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

31 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. [Research Progress of Immunotherapy and Prognostic Markers in Small Cell Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2020
    Review
  9. Advances and challenges in immunotherapy of small cell lung cancer.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2020
    Article
  10. Review
  11. Review
  12. The role of immunotherapy in small cell lung cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2019
    Review
  13. ZWINT is the next potential target for lung cancer therapy.Journal of cancer research and clinical oncology · 2019
    Article
  14. Review
  15. Review
  16. Article
  17. [Recent Advances and Future Strategies for Small Cell Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2017
    Review
  18. Progress and challenges in the treatment of small cell lung cancer.Medical oncology (Northwood, London, England) · 2017
    Review
  19. Article
  20. 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

13 authors at 5 institutions in 4 countries.

Konstantinos ZarogoulidisPulmonary Department, "G Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Eftimios Ziogas
Efimia Boutsikou
Paul Zarogoulidis
Kaid Darwiche
Theodoros Kontakiotis
Kosmas Tsakiridis
Konstantinos Porpodis
Dimitrios Latsios
Olga Chatzizisi
Ilias Karapantzos
Qiang Li
Georgios Kyriazis
Aristotle University of Thessaloniki · GRG. Papanikolaou General Hospital · GRRuhrlandklinik · DESecond Military Medical University · CNSt Luke's Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effect of immunotherapy on response, survival, and certain immune markers in patients with small cell lung cancer (SCLC) who are receiving chemotherapy. PATIENTS AND

methodsPatients with SCLC (n = 164) were assigned to receive either chemotherapy alone (group A) or a combination of chemotherapy and immunotherapy as follows: interferon α (IFN-α; 3 million IU) 3 times per week (group B); IFN-γ (3 million IU) 3 times per week (group C); and IFN-α and IFN-γ (1.5 million IU of each) 3 times per week (group D). Chemotherapy was the same for all groups and consisted of eight cycles with carboplatin 5.5 mg/m(2) intravenously on day 1, ifosfamide 3.5 mg/m(2) intravenously on day 1, and etoposide 200 mg/m(2) total dose taken orally on days 1 through 3, every 28 days. Patients completing chemotherapy were restaged, and those who were found to have limited disease received primary site and prophylactic cranial irradiation. Immunotherapy was continued throughout these treatments and during the follow-up period. Blood was taken before each course of chemotherapy and during follow-up to measure CD3+ lymphocytes, CD3+CD4+ lymphocytes, CD3+CD8+ lymphocytes, natural killer cells, and natural killer T cells.

resultsDifferences in response and survival were not significantly different when all patients were considered. However, among patients with limited disease, Kaplan-Meier analysis disclosed a survival benefit for group B (P , 0.05). The analysis of immunologic measurements revealed that the improvement of immune markers was always accompanied by clinical improvement, whereas deterioration of all markers was accompanied by disease progression (result not statistically significant except for group C; P , 0.05).

conclusionAmong cytokines used in the study, only IFN-α seems to confer a survival benefit to patients with SCLC with limited disease. However, immunotherapy remains a challenge in the treatment of lung neoplasms and should be further explored.

Indexed as

Antineoplastic AgentsFemaleHumansImmunotherapyInterferon-alphaInterferon-gammaLung NeoplasmsMaleMiddle AgedSmall Cell Lung CarcinomaAntineoplastic AgentsInterferon-alphaInterferon-gammaimmunomodifiersinterferonlung cancerSCLC

Identifiers

PMID23901264
PMCPMC3726438
OpenAlexW2017296624

What OpenQuestion 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 OpenQuestion graph.