Evidence map›Paper›PMID 29318140›Full record

ArticleBioMed research international2017

Dynamics of Neutrophils-to-Lymphocyte Ratio Predict Outcomes of PD-1/PD-L1 Blockade.

Michele Moschetta, Mario Uccello, Benjamin Kasenda, Gabriel Mak, Anissa McClelland, Stergios Boussios, Martin Forster, Hendrik-Tobias Arkenau

Open access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in BioMed research international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 7% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 4 institutions in 3 countries.

Michele MoschettaDrug Development Unit, Sarah Cannon Research Institute, London, UK.ORCID 0000-0003-4370-1723
Mario UccelloDrug Development Unit, Sarah Cannon Research Institute, London, UK.ORCID 0000-0002-0741-1668
Benjamin KasendaUniversity Hospital of Basel, Basel, Switzerland.
Gabriel MakDrug Development Unit, Sarah Cannon Research Institute, London, UK.
Anissa McClellandDrug Development Unit, Sarah Cannon Research Institute, London, UK.
Stergios BoussiosDepartment of Medical Oncology, University of Ioannina, Ioannina, Greece.ORCID 0000-0002-2512-6131
Martin ForsterThe University College London Cancer Institute, London, UK.
Hendrik-Tobias ArkenauDrug Development Unit, Sarah Cannon Research Institute, London, UK.ORCID 0000-0003-0372-0540
Sarah Cannon Research Institute · GBLondon Cancer · GBUniversity Hospital of Basel · CHUniversity of Ioannina · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBaseline neutrophil-to-lymphocyte ratio (NLR) has been repeatedly reported as a significant prognostic factor in advanced cancer patients. We explored whether changes in NLR may predict outcome of advanced cancer patients enrolled into phase 1 trials and treated with PD-1/PD-L1 inhibitors. PATIENTS AND

methodsAdvanced cancer patients enrolled into phase 1 trials between September 2013 and May 2016 and treated with anti-PD-1/PD-L1 agents were included in this retrospective study. NLR was calculated at baseline and after 2 cycles of treatment. Royal Marsden Hospital (RMH) prognostic score and Eastern Cooperative Group (ECOG) performance status (PS) were determined at baseline. Kaplan-Meier estimation and Cox regression analyses were used to assess the impact of NLR dynamics on PFS.

resultsAmong the 55 patients eligible, 26 (47%) were treated with anti-PD-L1 monotherapy, 22 (40%) received single agent anti-PD-1, and 7 (13%) were given a tyrosine kinase inhibitor (TKI) plus a PD-1 inhibitor. Neither ECOG PS nor RMH prognostic score was significantly associated with PFS in our cohort, whereas changes in NLR significantly impacted on PFS.

conclusionChanges in the NLR may be a useful predicting factor in advanced cancer patients treated with anti-PD-1/PD-L1 agents. Further prospective trials are needed to verify these findings.

Indexed as

LymphocytesNeoplasmsNeutrophilsAdultAgedAged, 80 and overB7-H1 AntigenDisease-Free SurvivalFemaleHumansLymphocyte CountMaleMiddle AgedProgrammed Cell Death 1 ReceptorProtein Kinase InhibitorsSurvival RateB7-H1 AntigenCD274 protein, humanPDCD1 protein, humanProgrammed Cell Death 1 ReceptorProtein Kinase Inhibitors

Identifiers

PMID29318140
PMCPMC5727693
OpenAlexW2769732660

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.