Evidence map›Paper›PMID 29934411›Full record

ArticleThe oncologist2018

Association of Immune-Related Adverse Events with Clinical Benefit in Patients with Advanced Non-Small-Cell Lung Cancer Treated with Nivolumab.

Yukihiro Toi, Shunichi Sugawara, Yosuke Kawashima, Tomoiki Aiba, Sachiko Kawana, Ryohei Saito, Kyoji Tsurumi, Kana Suzuki, Hisashi Shimizu, Jun Sugisaka and 7 more

Abstract read
In one paragraph

Article in The oncologist, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 161 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
161citing papers in PubMed, 8 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

161 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  8. Anti-PD-1/L1-associated immune-related adverse events as harbinger of favorable clinical outcome: systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Pooled it
  9. Trial
  10. Interleukin-1α (IL-1α) in pancreatic ductal adenocarcinoma: implications for immunotherapy and molecular biomarkers.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  11. Generalized Pairwise Comparisons in Dose Optimization Oncology Trials: Beyond Safety to Multi-outcome Dose Selection.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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101 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

17 authors.

Yukihiro ToiDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.ORCID 0000-0001-5983-3531
Shunichi SugawaraDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan swara357@sendai-kousei-hospital.jp.
Yosuke KawashimaDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Tomoiki AibaDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Sachiko KawanaDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Ryohei SaitoDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Kyoji TsurumiDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Kana SuzukiDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Hisashi ShimizuDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Jun SugisakaDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Hirotaka OnoDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Yutaka DomekiDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Keisuke TerayamaDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Atsushi NakamuraDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Shinsuke YamandaDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Yuichiro KimuraDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.
Yoshihiro HondaDepartment of Pulmonary Medicine, Sendai Kousei Hospital, Sendai, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune-related adverse events (irAEs) are frequently observed with nivolumab monotherapy. This study aimed to evaluate whether the development of irAEs correlates with treatment response in advanced non-small-cell lung cancer (NSCLC). PATIENTS AND

methodsWe conducted a retrospective study of patients who received nivolumab monotherapy at Sendai Kousei Hospital (

resultsThe objective response rate was 57% in the irAE group versus 12% in the non-irAE group. Median progression-free survival was 12.0 months in the irAE versus 3.6 months in the non-irAE group. The incidence of both irAEs and pre-existing antithyroid antibody was significantly higher in responders than in nonresponders. Multivariate analysis identified incidence of irAEs and pre-existing antithyroid antibody as an independent predictor of treatment response.

conclusionObjective response rate and progression-free survival were significantly better in the irAE than in the non-irAE group in patients with advanced NSCLC treated with nivolumab monotherapy. The development of irAEs was associated with clinical efficacy, and the presence of pre-existing antithyroid antibody might be correlated with treatment response to nivolumab monotherapy. IMPLICATIONS FOR PRACTICE: Immune-related adverse events (irAEs) are frequently observed with nivolumab monotherapy. This study evaluted whether the development of irAEs correlates with treatment response in advanced non-small-cell lung cancer. Results showed that the objective response rate and progression-free survival were significantly better in the patients who developed irAEs than in the patients who did not develop irAEs, and the incidence of irAEs and positivity for antithyroid antibody at pretreatment were independent predictors of treatment response of nivolumab monotherapy. Therefore, the development of irAEs predicts clinical benefit and suggests that cautious management of irAEs can lead to achieving maximum clinical benefit from nivolumab monotherapy.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Non-Small-Cell LungDrug-Related Side Effects and Adverse ReactionsHumansLung NeoplasmsMiddle AgedNivolumabRetrospective StudiesNivolumabAntithyroid antibodyImmune checkpoint inhibitorImmune‐related adverse eventNivolumabNon‐small‐cell lung cancer

Identifiers

PMID29934411
PMCPMC6291330

What OpenQuestion holds

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Registered trials

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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.