Evidence map›Paper›PMID 29936475›Full record

Trial reportIn vivo (Athens, Greece)

Association Between Imaging Findings of Airway Obstruction Adjacent to Lung Tumors and the Onset of Interstitial Lung Disease After Nivolumab.

Kenji Nakahama, Akihiro Tamiya, Shun-Ichi Isa, Yoshihiko Taniguchi, Takayuki Shiroyama, Hidekazu Suzuki, Takako Inoue, Motohiro Tamiya, Tomonori Hirashima, Fumio Imamura and 1 more

Open access · diamondAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
0.6field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. Article
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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

11 authors at 3 institutions in 1 country.

Kenji NakahamaDepartment of Internal Medicine, National Hospital Organization Kinki-chuo Chest Medical Center, Osaka, Japan nakahama_kenji@outlook.jp.
Akihiro TamiyaDepartment of Internal Medicine, National Hospital Organization Kinki-chuo Chest Medical Center, Osaka, Japan.
Shun-Ichi IsaDepartment of Thoracic Oncology, National Hospital Organization Kinki-chuo Chest Medical Center, Osaka, Japan.
Yoshihiko TaniguchiDepartment of Internal Medicine, National Hospital Organization Kinki-chuo Chest Medical Center, Osaka, Japan.
Takayuki ShiroyamaDepartment of Thoracic Malignancy, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, Osaka, Japan.
Hidekazu SuzukiDepartment of Thoracic Malignancy, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, Osaka, Japan.
Takako InoueDepartment of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Motohiro TamiyaDepartment of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Tomonori HirashimaDepartment of Thoracic Malignancy, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, Osaka, Japan.
Fumio ImamuraDepartment of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Shinji AtagiDepartment of Thoracic Oncology, National Hospital Organization Kinki-chuo Chest Medical Center, Osaka, Japan.
National Kinki Chuo Hospital for Chest Disease · JPOsaka Medical Center for Cancer and Cardiovascular Diseases · JPOsaka Prefectural Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompared to conventional cytotoxic chemotherapy, immune checkpoint inhibitors have shown a significant efficacy in the treatment of lung cancer. Although interstitial lung disease (ILD) is an important adverse event in immunotherapy, risk factors for ILD remain unclear. PATIENTS AND

methodsIn this multicenter cohort study (UMIN000025908), 201 patients who were treated with nivolumab were retrospectively reviewed. Associations between the incidence of ILD and patient characteristics were evaluated. ILD grade and progression-free survival were analyzed according to the presence or absence of imaging findings of airway obstruction adjacent to lung tumors (IAOT).

resultsIn the multivariate analysis, the odds ratio (OR) of ILD for patients with a history of radiation pneumonitis or IAOT was 3.96 (p=0.012) and 6.59 (p=0.004), respectively. ILD occurred in six (37.5%) out of 16 patients with IAOT and 19 (10.3%) out of 185 patients without IAOT. Three out of the six patients with ILD and IAOT had ILD of grade 4 or more. The median progression-free survival of patients with and without IAOT was 0.9 and 3.2 months, respectively (p<0.001).

conclusionIAOT was strongly associated with the occurrence of ILD after therapy with nivolumab.

Indexed as

AdultAgedAged, 80 and overAirway ObstructionAntibodies, MonoclonalCohort StudiesDisease-Free SurvivalFemaleHumansLung Diseases, InterstitialLung NeoplasmsMaleMiddle AgedNivolumabRadiation PneumonitisAntibodies, MonoclonalNivolumabAirway obstructioninterstitial lung diseaselung cancernivolumabrisk factor

Identifiers

PMID29936475
PMCPMC6117789
OpenAlexW2810424622

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.