Evidence map›Paper›PMID 30050778›Full record

ArticleTranslational lung cancer research2018

Real world data of nivolumab for previously treated non-small cell lung cancer patients: a Galician lung cancer group clinical experience.

Mª Carmen Areses Manrique, Joaquín Mosquera Martínez, Jorge García González, Francisco Javier Afonso Afonso, Martín Lázaro Quintela, Natalia Fernández Núñez, Cristina Azpitarte Raposeiras, Margarita Amenedo Gancedo, Lucía Santomé Couto, Mª Rosario García Campelo and 10 more

Abstract read
In one paragraph

Article in Translational lung cancer research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Mª Carmen Areses ManriqueComplejo Hospitalario Universitario de Ourense, Ourense, Spain.
Joaquín Mosquera MartínezComplejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
Jorge García GonzálezComplejo Hospitalario Universitario de Santiago, Santiago de Compostela, A Coruña, Spain.
Francisco Javier Afonso AfonsoComplejo Hospitalario Universitario de Ferrol, Ferrol, Spain.
Martín Lázaro QuintelaComplejo Hospitalario Universitario de Vigo, Vigo, Spain.
Natalia Fernández NúñezHospital Universitario Lucus Augusti, Lugo, Spain.
Cristina Azpitarte RaposeirasComplejo Hospitalario de Pontevedra, Pontevedra, Spain.
Margarita Amenedo GancedoCentro Oncológico de A Coruña, A Coruña, Spain.
Lucía Santomé CoutoHospital Povisa, Vigo, Spain.
Mª Rosario García CampeloComplejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
Jose Muñoz IglesiasComplejo Hospitalario Universitario de Ourense, Ourense, Spain.
Alexandra Cortegoso MosqueraComplejo Hospitalario Universitario de Santiago, Santiago de Compostela, A Coruña, Spain.
Rocío Vilchez SimoComplejo Hospitalario Universitario de Ferrol, Ferrol, Spain.
Joaquín Casal RubioComplejo Hospitalario Universitario de Vigo, Vigo, Spain.
Begoña Campos BaleaHospital Universitario Lucus Augusti, Lugo, Spain.
Iria Carou FrieiroComplejo Hospitalario de Pontevedra, Pontevedra, Spain.
Guillermo Alonso-Jaudenes CurberaComplejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
Urbano Anido HerranzComplejo Hospitalario Universitario de Santiago, Santiago de Compostela, A Coruña, Spain.
Jesus García MataComplejo Hospitalario Universitario de Ourense, Ourense, Spain.
José Luis Fírvida PérezComplejo Hospitalario Universitario de Ourense, Ourense, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, immunotherapy has changed the standard of treatment in non-small cell lung cancer (NSCLC). Outside clinical trials, data of real life is lacking. This is an observational study that represents the real world experience with nivolumab in pretreated NSCLC.

methodsEligibility criteria included, histologically confirmed NSCLC, stage IIIB and IV, evaluable disease and at least one prior therapy. Patients received nivolumab until progressive disease (PD) or unacceptable toxicity. The main aim of the study was to report the efficacy and safety profile of Nivolumab in pretreated patients with advanced NSCLC of our everyday clinical practice. The secondary aim was to perform subgroup analysis by clinical features.

resultsFrom August of 2015 to January of 2017, 188 patients were enrolled. The patients demographics were: median age 58 years, 144 male; 17 never smoker and 171 former/current smoker; 112 adenocarcinoma, 66 squamous-cell carcinoma and 10 not otherwise specified (NOS); 61 stage IIIB and 127 stage IV; 15 performance status (PS) 0, 154 PS 1 and 19 PS 2; 5 epidermal growth factor receptor (EGFR) and 1 anaplastic lymphoma kinase (ALK); 42 with central nervous system (CNS) metastases; and 71 received 2 or more prior therapy lines. Of the 188 patients enrolled, 25 (13.3%) were not evaluated, 3 (1.6%) had complete response (CR), 45 (23.9%) partial response (PR), 48 (25.5%) disease stabilization (DS) and 67 (35.6%) PD. The median of progression-free survival (PFS) was 4.83 months (95% CI, 3.6-5.9) and overall survival (OS) was 12.85 months (95% CI, 9.07-16.62). The subgroup analysis revealed statistical significance in OS for patients with CNS metastases 14.8 months (95% CI, 11.5-17.3)

conclusionsThis study represents the real word experience with nivolumab and the results are consistent with previously reported in clinical trials. PS 2 and the presence of CNS metastases are associated with poor prognosis.

Indexed as

anti-PD1central nervous metastasesNivolumabperformance status (PS) 2pretreated non-small cell lung cancer (NSCLC)Real word datasafety and efficacysubgroups

Identifiers

PMID30050778
PMCPMC6037977

What OpenQuestion holds

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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.