Evidence map›Paper›PMID 31353840›Full record

ArticleCancer medicine2019

Three-year follow-up results from phase II studies of nivolumab in Japanese patients with previously treated advanced non-small cell lung cancer: Pooled analysis of ONO-4538-05 and ONO-4538-06 studies.

Hidehito Horinouchi, Makoto Nishio, Toyoaki Hida, Kazuhiko Nakagawa, Hiroshi Sakai, Naoyuki Nogami, Shinji Atagi, Toshiaki Takahashi, Hideo Saka, Mitsuhiro Takenoyama and 11 more

Abstract read
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
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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

21 authors.

Hidehito HorinouchiDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0001-9090-801X
Makoto NishioDepartment of Thoracic Medical Oncology, Cancer Institute Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0003-4969-4165
Toyoaki HidaDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Japan.
Kazuhiko NakagawaDepartment of Medical Oncology, Faculty of Medicine, Kindai University, Osaka, Japan.
Hiroshi SakaiDepartment of Thoracic Oncology, Saitama Cancer Center, Saitama, Japan.
Naoyuki NogamiDivision of Thoracic Oncology and Medicine, National Hospital Organization Shikoku Cancer Center, Ehime, Japan.
Shinji AtagiDepartment of Internal Medicine, Kinki-Chuo Chest Medical Center, Sakai, Japan.
Toshiaki TakahashiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Hideo SakaDepartment of Medical Oncology, Nagoya Medical Center, Nagoya, Japan.
Mitsuhiro TakenoyamaDepartment of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Nobuyuki KatakamiDepartment of Medical Oncology, Kobe City Medical Center, Kobe, Japan.
Hiroshi TanakaDepartment of Internal Medicine, Niigata Cancer Center Hospital, Niigata, Japan.
Koji TakedaDepartment of Medical Oncology, Osaka City General Hospital, Osaka, Japan.
Miyako SatouchiDepartment of Thoracic Oncology, Hyogo Cancer Center, Hyogo, Japan.
Hiroshi IsobeDepartment of Medical Oncology, KKR Sapporo Medical Center, Sapporo, Japan.
Makoto MaemondoDivision of Pulmonary Medicine, Allergy and Rheumatology, Department of Internal Medicine, Iwate Medical University School of Medicine, Iwate, Japan.
Koichi GotoDivision of Thoracic Oncology, National Cancer Center Hospital East, Chiba, Japan.
Tomonori HirashimaDepartment of Thoracic Oncology, Osaka Habikino Medical Center, Osaka, Japan.
Koichi MinatoDivision of Respiratory Medicine, Gunma Prefectural Cancer Center, Gunma, Japan.
Naoki SumiyoshiOncology Clinical Development Planning, Ono Pharmaceutical Co., Ltd, Osaka, Japan.
Tomohide TamuraThoracic Center, St. Luke's International Hospital, Tokyo, Japan.

Funding

Bristol-Myers SquibbOno Pharmaceutical Co., Ltd.
6 · The paper itself

Abstract

backgroundNivolumab is a programmed cell death 1 (PD-1) receptor inhibitor antibody that enhances immune system antitumor activity. It is associated with longer overall survival (OS) than the standard treatment of docetaxel in patients with previously treated advanced squamous (SQ) and non-squamous (non-SQ) non-small cell lung cancer (NSCLC). We previously conducted two phase II studies of nivolumab in Japanese patients with SQ (ONO-4538-05) and non-SQ (ONO-4538-06) NSCLC, showing overall response rates (ORRs) (95% CI) of 25.7% (14.2-42.1) and 22.4% (14.5-32.9), respectively, with acceptable toxicity. In this analysis, we more precisely estimated the long-term safety and efficacy in patients with SQ and non-SQ NSCLC by pooling data from these two trials.

methodsSQ (N = 35) and non-SQ (N = 76) NSCLC patients received nivolumab (3 mg/kg, every 2 weeks) until progression or discontinuation. OS was estimated using the Kaplan-Meier method. A pooled analysis of SQ and non-SQ patients was also performed.

resultsIn SQ NSCLC patients, the median OS (95% CI) was 16.3 months (12.4-25.2), and the estimated 1-year, 2-year, and 3-year survival rates were 71.4% (53.4-83.5), 37.1% (21.6-52.7), and 20.0% (8.8-34.4), respectively. In non-SQ NSCLC patients, median OS was 17.1 months (13.3-23.0), and the estimated 1-, 2-, and 3-year survival rates were 68.0% (56.2-77.3), 37.4% (26.5-48.1), and 31.9% (21.7-42.5), respectively. When SQ NSCLC and non-SQ NSCLC data were pooled, the median OS was 17.1 months (14.2-20.6), and the estimated 1-, 2-, and 3-year survival rates were 69.1% (59.6-76.8), 37.3% (28.3-46.2), and 28.1% (20.0-36.7), respectively. Twenty (76.9%) of 26 responders lived for 3 or more years. Nivolumab was well tolerated and no new safety signals were found.

conclusionTreatment with nivolumab improved long-term survival and was well tolerated in patients with SQ and non-SQ NSCLC.

trial registrationJapicCTI-132072; JapicCTI-132073.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Agents, ImmunologicalBiomarkers, TumorCarcinoma, Non-Small-Cell LungClinical Trials, Phase II as TopicFemaleHumansJapanKaplan-Meier EstimateLung NeoplasmsMaleMiddle AgedMolecular Targeted TherapyNeoplasm MetastasisAntineoplastic Agents, ImmunologicalBiomarkers, TumorNivolumabnivolumabnon-small cell lung cancer (NSCLC)phase II studyprogrammed cell death 1 ligand 1 (PD-L1)programmed cell death 1 receptor (PD-1)

Identifiers

PMID31353840
PMCPMC6718542

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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.