Evidence map›Paper›PMID 27553175›Full record

ArticleScientific reports2016

Monitoring PD-L1 positive circulating tumor cells in non-small cell lung cancer patients treated with the PD-1 inhibitor Nivolumab.

Chiara Nicolazzo, Cristina Raimondi, MariaLaura Mancini, Salvatore Caponnetto, Angela Gradilone, Orietta Gandini, Maria Mastromartino, Gabriella Del Bene, Alessandra Prete, Flavia Longo and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 190 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
190citing papers in PubMed, 3 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

190 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  7. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
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  9. Towards liquid biopsy-based analysis of antitumour immunity.Nature reviews. Clinical oncology · 2026
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130 more citing papers are in PubMed but not listed here.

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.

Chiara NicolazzoDepartment of Molecular Medicine, Circulating tumor cells Unit, Sapienza University of Rome.
Cristina RaimondiDepartment of Molecular Medicine, Circulating tumor cells Unit, Sapienza University of Rome.
MariaLaura ManciniDepartment of Radiological, Oncological and Pathological Sciences, Division of Medical Oncology, Sapienza University of Rome.
Salvatore CaponnettoDepartment of Radiological, Oncological and Pathological Sciences, Division of Medical Oncology, Sapienza University of Rome.
Angela GradiloneDepartment of Molecular Medicine, Circulating tumor cells Unit, Sapienza University of Rome.
Orietta GandiniDepartment of Molecular Medicine, Circulating tumor cells Unit, Sapienza University of Rome.
Maria MastromartinoDepartment of Molecular Medicine, Circulating tumor cells Unit, Sapienza University of Rome.
Gabriella Del BeneDepartment of Radiological, Oncological and Pathological Sciences, Division of Medical Oncology, Sapienza University of Rome.
Alessandra PreteDepartment of Radiological, Oncological and Pathological Sciences, Division of Medical Oncology, Sapienza University of Rome.
Flavia LongoDepartment of Radiological, Oncological and Pathological Sciences, Division of Medical Oncology, Sapienza University of Rome.
Enrico CortesiDepartment of Radiological, Oncological and Pathological Sciences, Division of Medical Oncology, Sapienza University of Rome.
Paola GazzanigaDepartment of Molecular Medicine, Circulating tumor cells Unit, Sapienza University of Rome.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Controversial results on the predictive value of programmed death ligand 1 (PD-L1) status in lung tumor tissue for response to immune checkpoint inhibitors do not allow for any conclusive consideration. Liquid biopsy might allow real-time sampling of patients for PD-L1 through the course of the disease. Twenty-four stage IV NSCLC patients included in the Expanded Access Program with Nivolumab were enrolled. Circulating tumor cells (CTCs) were analyzed by CellSearch with anti-human B7-H1/PD-L1 PE-conjugated antibody. PD-L1 expressing CTCs were assessed at baseline, at 3 and 6 months after starting therapy, and correlated with outcome. At baseline and at 3 months of treatment, the presence of CTCs and the expression of PD-L1 on their surface were found associated to poor patients outcome. Nevertheless, the high frequency of PD-L1 expressing CTCs hampered to discriminate the role of PD-L1 in defining prognosis. Conversely although CTCs were found in all patients 6 months after treatment, at this time patients could be dichotomized into two groups based PD-L1 expression on CTCs. Patients with PD-L1 negative CTCs all obtained a clinical benefit, while patients with PD-L1 (+) CTCs all experienced progressive disease. This suggests that the persistence of PD-L1(+) CTCs might mirror a mechanism of therapy escape.

Indexed as

AgedAntibodies, MonoclonalAntineoplastic AgentsB7-H1 AntigenCarcinoma, Non-Small-Cell LungCell Line, TumorDisease ProgressionFemaleHumansLung NeoplasmsMaleMiddle AgedMutationNeoplasm StagingNeoplastic Cells, CirculatingNivolumabAntibodies, MonoclonalAntineoplastic AgentsB7-H1 AntigenCD274 protein, humanNivolumabPDCD1 protein, humanProgrammed Cell Death 1 Receptor

Identifiers

PMID27553175
PMCPMC4995431

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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.