Evidence map›Paper›PMID 30221046›Full record

ArticleOncoimmunology

Predictive role of plasmatic biomarkers in advanced non-small cell lung cancer treated by nivolumab.

Adrien Costantini, Catherine Julie, Coraline Dumenil, Zofia Hélias-Rodzewicz, Julie Tisserand, Jennifer Dumoulin, Violaine Giraud, Sylvie Labrune, Thierry Chinet, Jean-François Emile and 1 more

Open access · goldAbstract read
In one paragraph

Article in Oncoimmunology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 9 pooled it
7.0field-weighted citation impact, top 2% 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

119 citing papers in PubMed, 9 syntheses or guidelines pooled it, 172 citations in OpenAlex.

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59 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

11 authors at 3 institutions in 1 country.

Adrien CostantiniEA4340, UVSQ, Paris-Saclay University, Boulogne-Billancourt, France.
Catherine JulieEA4340, UVSQ, Paris-Saclay University, Boulogne-Billancourt, France.
Coraline DumenilEA4340, UVSQ, Paris-Saclay University, Boulogne-Billancourt, France.
Zofia Hélias-RodzewiczEA4340, UVSQ, Paris-Saclay University, Boulogne-Billancourt, France.
Julie TisserandEA4340, UVSQ, Paris-Saclay University, Boulogne-Billancourt, France.
Jennifer DumoulinEA4340, UVSQ, Paris-Saclay University, Boulogne-Billancourt, France.
Violaine GiraudEA4340, UVSQ, Paris-Saclay University, Boulogne-Billancourt, France.
Sylvie LabruneEA4340, UVSQ, Paris-Saclay University, Boulogne-Billancourt, France.
Thierry ChinetEA4340, UVSQ, Paris-Saclay University, Boulogne-Billancourt, France.
Jean-François EmileEA4340, UVSQ, Paris-Saclay University, Boulogne-Billancourt, France.
Etienne Giroux LeprieurEA4340, UVSQ, Paris-Saclay University, Boulogne-Billancourt, France.
Université de Versailles Saint-Quentin-en-Yvelines · FRHôpital Ambroise-Paré · FRUniversité Paris-Saclay · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors, as nivolumab, are used in advanced non-small cell lung cancer (NSCLC). However, no associated biomarker is validated in clinical practice with this drug. We investigated herein immune-related blood markers in patients with advanced NSCLC treated with nivolumab. Plasma of 43 consecutive patients were prospectively collected at time of the diagnosis of cancer, at the initiation of nivolumab and at the first tumour evaluation (2 months). Concentrations of PD-L1 (sPD-L1), soluble PD-L2 (sPD-L2), Interleukine-2 (sIl-2), Interferon-gamma (sIFN-γ), and Granzyme B (sGranB) were quantified by ELISA. Cell free RNA was quantified by Reverse Transcriptase -PCR), and plasmatic microRNAs (miRNAs) were evaluated by targeted sequencing. Expression of PD-L1 on tumour biopsies was performed by immunohistochemistry using E13LN. High sPD-L1 at 2 months and increase of sPD-L1 concentrations were associated with poor response and absence of clinical benefit (nivolumab treatment less than 6 months). The variation of sPD-L1 concentrations were confirmed by RNA quantification. sPD-L1 concentrations were not correlated with PD-L1 expression on corresponding tumour samples. Low sGranB at nivolumab initiation was also associated with poor response. High sPD-L1 and low sGranB were associated with poor progression-free survival (PFS) and overall survival (OS). Low sPD-L2, low sIl-2 and high sIFN-γ were associated with grade 3-4 toxicities. Finally, miRNA screening showed that patients with clinical benefit (n = 9) had down-expression of miRNA-320b and -375 compared to patients with early progression at 2 months (n = 9). In conclusion, our results highlight the interest of circulating biomarkers in patients treated with nivolumab.

Indexed as

biomarkerGranzyme BInterferon-γInterleukine-2microRNAnivolumabnon-small cell lung cancerPD-L1PD-L2plasma

Identifiers

PMID30221046
PMCPMC6136870
OpenAlexW2793970395

What OpenQuestion holds

Textmetadata
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.