Evidence map›Paper›PMID 30328672›Full record

ArticleThoracic cancer2018

Hyperprogressive disease in patients with non-small cell lung cancer treated with nivolumab: A case series.

Masaki Kanazu, Ryuya Edahiro, Hiroyuki Krebe, Kohei Nishida, Mikako Ishijima, Takeshi Uenami, Yuki Akazawa, Yukihiro Yano, Toshihiko Yamaguchi, Masahide Mori

Open access · goldAbstract readCase Reports
In one paragraph

Article in Thoracic cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 15% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Potentials of Non-InvasiveFrontiers in genetics · 2021
    Review
  15. Review
  16. Review
  17. Hyperprogression: A novel response pattern under immunotherapy.Clinical and translational medicine · 2020
    Review
  18. Review
  19. Article
  20. Article
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

10 authors at 1 institution in 1 country.

Masaki KanazuDepartment of Thoracic Oncology, National Hospital Organization, Toneyama National Hospital, Osaka, Japan.ORCID 0000-0003-4405-1929
Ryuya EdahiroDepartment of Thoracic Oncology, National Hospital Organization, Toneyama National Hospital, Osaka, Japan.
Hiroyuki KrebeDepartment of Thoracic Oncology, National Hospital Organization, Toneyama National Hospital, Osaka, Japan.
Kohei NishidaDepartment of Thoracic Oncology, National Hospital Organization, Toneyama National Hospital, Osaka, Japan.
Mikako IshijimaDepartment of Thoracic Oncology, National Hospital Organization, Toneyama National Hospital, Osaka, Japan.
Takeshi UenamiDepartment of Thoracic Oncology, National Hospital Organization, Toneyama National Hospital, Osaka, Japan.
Yuki AkazawaDepartment of Thoracic Oncology, National Hospital Organization, Toneyama National Hospital, Osaka, Japan.
Yukihiro YanoDepartment of Thoracic Oncology, National Hospital Organization, Toneyama National Hospital, Osaka, Japan.
Toshihiko YamaguchiDepartment of Thoracic Oncology, National Hospital Organization, Toneyama National Hospital, Osaka, Japan.
Masahide MoriDepartment of Thoracic Oncology, National Hospital Organization, Toneyama National Hospital, Osaka, Japan.
Toneyama National Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNivolumab is an anti-PD-1 blocking monoclonal antibody approved for the treatment of non-small cell lung cancer (NSCLC). However, some patients on immunotherapy may experience rapid progression and worsening clinical status, known as hyperprogressive disease. We retrospectively reviewed the clinical records of patients with NSCLC administered nivolumab therapy at Toneyama National Hospital, Japan, from January 2016 to January 2018. Of the 87 patients administered nivolumab therapy, five experienced rapid progression during one cycle of nivolumab therapy. Four patients were treated with corticosteroids to overcome their symptomatic events. Nivolumab exhibited efficacy after temporal progression, so-called "pseudoprogression", in three patients, and their symptoms and laboratory results improved. In the other patient, pleural and pericardial effusions increased after nivolumab therapy, and drainage was required, with no subsequent recurrence. The clinical courses of our case series indicate that alternative treatment, namely high-dose corticosteroids, antibiotics, and drainage, effectively treated the symptoms of rapid tumor progression. Of note, corticosteroids suppressed the temporary inflammatory reaction to nivolumab. Although hyperprogressive disease is thought to be associated with poor quality of life and survival, these treatment strategies may be useful in patients with expected responses to immunotherapy.

Indexed as

AgedAged, 80 and overAntineoplastic Agents, ImmunologicalBiomarkers, TumorCarcinoma, Non-Small-Cell LungDisease ProgressionFemaleHumansLung NeoplasmsMaleMiddle AgedMolecular Targeted TherapyNivolumabRetreatmentTomography, X-Ray ComputedTreatment OutcomeAntineoplastic Agents, ImmunologicalBiomarkers, TumorNivolumabimmune check point inhibitorimmunotherapyProgrammed death-1 ligandpseudoprogressionrapid progression

Identifiers

PMID30328672
PMCPMC6275832
OpenAlexW2897084175

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.