Evidence map›Paper›PMID 31019571›Full record

ArticleTherapeutic advances in medical oncology2019

Monitoring blood biomarkers to predict nivolumab effectiveness in NSCLC patients.

Francesco Passiglia, Antonio Galvano, Marta Castiglia, Lorena Incorvaia, Valentina Calò, Angela Listì, Salvatore Mazzarisi, Alessandro Perez, Giuseppe Gallina, Sergio Rizzo and 3 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 5 pooled it
3.8field-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

47 citing papers in PubMed, 5 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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  14. Liquid biopsy techniques and lung cancer: diagnosis, monitoring and evaluation.Journal of experimental & clinical cancer research : CR · 2024
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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

13 authors at 2 institutions in 1 country.

Francesco PassigliaDepartment of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy.
Antonio GalvanoDepartment of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy.
Marta CastigliaDepartment of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy.
Lorena IncorvaiaDepartment of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy.
Valentina CalòDepartment of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy.
Angela ListìDepartment of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy.
Salvatore MazzarisiMedical Oncology Unit, AOU Policlinico Vittorio Emanuele, Catania, Italy.
Alessandro PerezDepartment of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy.
Giuseppe GallinaDepartment of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy.
Sergio RizzoDepartment of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy.
Hector Soto ParraMedical Oncology Unit, AOU Policlinico Vittorio Emanuele, Catania, Italy.
Viviana BazanDepartment of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy.
Antonio RussoDepartment of Oncology, A.O.U.P. 'P. Giaccone' University Hospital, 2013 ESMO Designated Centres of Integrated Oncology and Palliative Care, Via del Vespro 129, 90127 Palermo, Italy.ORCID https://orcid.org/0000-0002-4370-2008
University of Palermo · ITAzienda Ospedaliero-Universitaria Policlinico - Vittorio Emanuele · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated whether early dynamic changes of circulating free (cfDNA) levels as well as the neutrophil to lymphocyte ratio (NLR) could predict nivolumab effectiveness in pretreated patients with advanced non-small cell lung cancer (NSCLC).

methodsA total of 45 patients receiving nivolumab 3 mg/kg every 2 weeks were enrolled. Patients underwent a computed tomography scan and responses were evaluated by the response evaluation criteria in solid tumors. Peripheral blood samples were obtained from the patients and the cfDNA level as well as the NLR were assessed. Time to progression (TTP) and overall survival (OS) were determined.

resultsPatients with increased cfDNA >20% at the sixth week reported significantly worse survival outcomes (median OS: 5.7

conclusionAn early combined increase of both cfDNA and NLR over the course of the first 6 weeks of nivolumab therapy predicted worse survival in pretreated patients with advanced NSCLC, suggesting a potential role in the real-time monitoring of immunotherapy resistance.

Indexed as

blood-based biomarkersCirculating free DNA (cfDNA)immunotherapyneutrophil to lymphocyte ratio (NLR)non-small cell lung cancer (NSCLC)

Identifiers

PMID31019571
PMCPMC6469277
OpenAlexW2940365402

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.