Evidence map›Paper›PMID 30972962›Full record

ArticleThoracic cancer2019

Successful treatment with nivolumab for SMARCA4-deficient non-small cell lung carcinoma with a high tumor mutation burden: A case report.

Tomoyuki Naito, Shigeki Umemura, Hiroshi Nakamura, Yoshitaka Zenke, Hibiki Udagawa, Keisuke Kirita, Shingo Matsumoto, Kiyotaka Yoh, Seiji Niho, Noriko Motoi and 4 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Thoracic cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

55 citing papers in PubMed, 97 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. The role of SMARCA4 in lung cancer.Scientific reports · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Journal of thoracic disease · 2025
    Article
  15. Translational lung cancer research · 2025
    Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review
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

14 authors at 2 institutions in 1 country.

Tomoyuki NaitoDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.ORCID 0000-0003-2709-2614
Shigeki UmemuraDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Hiroshi NakamuraDivision of Pathology, National Cancer Center Hospital East, Kashiwa, Japan.
Yoshitaka ZenkeDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Hibiki UdagawaDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Keisuke KiritaDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Shingo MatsumotoDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Kiyotaka YohDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Seiji NihoDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Noriko MotoiDepartment of Pathology and Clinical Laboratories, National Cancer Center Hospital, Tokyo, Japan.
Keijyu AokageDivision of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan.
Masahiro TsuboiDivision of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan.
Genichiro IshiiDivision of Pathology, National Cancer Center Hospital East, Kashiwa, Japan.
Koichi GotoDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
National Cancer Center Hospital East · JPTokyo National Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SMARCA4 is a subunit of the switch/sucrose non-fermentable (SWI/SNF) chromatin-remodeling complex. An effective treatment for SMARCA4-deficient non-small cell lung carcinoma (NSCLC) has not yet been established. Correlations between a response to immune checkpoint inhibitors and the SWI/SNF complex have been suggested, but little is known about the efficacy of immune checkpoint inhibitors against SMARCA4-deficient NSCLC. A 43-year-old man underwent left upper lobe lung resection and was diagnosed with SMARCA4-deficient lung adenocarcinoma. Two months after surgery, multiple lung metastases appeared. Immunohistochemical analysis showed no PD-L1 expression. Whole-exon sequencing revealed a relatively high tumor mutation burden at 396. After the failure of three standard chemotherapy regimens, the patient was treated with nivolumab as fourth-line treatment. An obvious reduction in the lung metastases was obtained for more than 14 months. We report the first case of SMARCA4-deficient NSCLC with a high tumor mutation burden successfully treated with nivolumab. Anti-PD-1 antibodies might be a promising treatment strategy for patients with SMARCA4-deficient NSCLC.

Indexed as

MutationAdultAntineoplastic Agents, ImmunologicalCarcinoma, Non-Small-Cell LungCombined Modality TherapyDNA HelicasesHumansImmunohistochemistryLung NeoplasmsMaleNeoplasm MetastasisNeoplasm StagingNivolumabNuclear ProteinsTomography, X-Ray ComputedTranscription FactorsAntineoplastic Agents, ImmunologicalDNA HelicasesNivolumabNuclear ProteinsSMARCA4 protein, humanTranscription FactorsNivolumabNSCLCPD-1 antibodySMARCA4SWI/SNF complex

Identifiers

PMID30972962
PMCPMC6501032
OpenAlexW2940105435

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.