Evidence map›Paper›PMID 27317388›Full record

ArticleMedical oncology (Northwood, London, England)2016

Intratumoral expression of programmed death ligand 1 (PD-L1) in patients with clear cell renal cell carcinoma (ccRCC).

M Abbas, S Steffens, M Bellut, H Eggers, A Großhennig, J U Becker, G Wegener, A J Schrader, V Grünwald, P Ivanyi

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Medical oncology (Northwood, London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03354884 (caBozantinib in cOllectiNg ductS Renal Cell cArcInoma), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 6% 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.

NCT03354884 phase2completednot on this mapstarted 2018, after this paper: background citation

caBozantinib in cOllectiNg ductS Renal Cell cArcInoma (BONSAI)

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2018 to 2020Enrolled23ConditionsCollecting Duct Carcinoma (Kidney)Armscabozantinib
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  18. Prognostic impact of PD-1 and its ligands in renal cell carcinoma.Medical oncology (Northwood, London, England) · 2017
    Review
  19. PD-L2: A prognostic marker in chromophobe renal cell carcinoma?Medical oncology (Northwood, London, England) · 2017
    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

10 authors at 3 institutions in 1 country.

M AbbasInstitute for Pathology, Hannover Medical School, Hannover, Germany.
S SteffensDepartment of Urology and Urological Oncology, Hannover Medical School, Hannover, Germany.
M BellutDepartment of Urology and Urological Oncology, Hannover Medical School, Hannover, Germany.
H EggersDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
A GroßhennigInstitute for Biometrics, Hannover Medical School, Hannover, Germany.
J U BeckerInstitute of Pathology, University Hospital of Cologne, Cologne, Germany.
G WegenerTumor Center, Hannover Medical School, Hannover, Germany.
A J SchraderDepartment of Urology, University Hospital of Muenster, Muenster, Germany.
V GrünwaldDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
P IvanyiDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. Ivanyi.Philipp@mh-hannover.de.ORCID http://orcid.org/0000-0002-2862-7302
Medizinische Hochschule Hannover · DEUniversity Hospital Cologne · DEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The immunological checkpoints of programmed death 1 and its ligand (PD-L1) are currently in focus as novel therapeutic targets in renal cell carcinoma (RCC). The aim of this study was to evaluate the prognostic association of PD-L1 expression in clear cell (cc) RCC with clinical parameters, tumor aggressiveness and overall survival (OS). Patients who underwent renal surgery due to RCC between 1994 and 2003 were retrospectively evaluated. Tumor specimens were analyzed for PD-L1 expression by immunohistochemistry. One hundred and seventy-seven ccRCC patients were eligible for analysis, in which 140 (79.1 %) were negative and 37 (20.9 %) were positive for PD-L1 expression. PD-L1 positivity was associated with female gender (p = 0.001), lymph node metastasis (p = 0.004), distant metastasis (p = 0.002), higher AJCC stage (p = 0.004), as well as advanced disease (pT3/4 and/or N+ and/or M1) (p < 0.001). Kaplan-Meier analysis revealed a significantly diminished 5- and 10-year overall survival of 46.7 and 28.3 % for PD-L1(+) compared to PD-L1(-) tumors with 66 and 53.4 % (p = 0.005), respectively. Univariate analysis showed a significant negative association of OS with PD-L1 positivity [p = 0.005; HR: 2 (95 % CI 1.2-3.3)], even though PD-L1 positivity only tends to predict independently the OS using multivariate analyses [p = 0.066; HR: 1.6 (95 % CI 0.98-2.7)]. PD-L1 expression in ccRCC is associated with parameters of aggressiveness, as well as with poor OS, even though PD-L1 status was not identified as a significant independent prognostic parameter. However, further studies in larger cohorts are warranted.

Indexed as

AdultAgedAged, 80 and overB7-H1 AntigenBiomarkers, TumorCarcinoma, Renal CellFemaleHumansImmunohistochemistryKaplan-Meier EstimateKidney NeoplasmsMaleMiddle AgedPrognosisProportional Hazards ModelsRetrospective StudiesB7-H1 AntigenBiomarkers, TumorCD274 protein, humanClear cell histologyPD-L1Renal cell carcinomaSurvival

Identifiers

PMID27317388
OpenAlexW2430551214

What OpenQuestion 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 OpenQuestion graph.