Evidence map›Paper›PMID 31745135›Full record

ArticleScientific reports2019

Clinical impact of low serum free T4 in patients with non-small cell lung cancer treated with nivolumab.

Tomoko Yamamoto Funazo, Takashi Nomizo, Hiroaki Ozasa, Takahiro Tsuji, Yuto Yasuda, Hironori Yoshida, Yuichi Sakamori, Hiroki Nagai, Toyohiro Hirai, Young Hak Kim

Abstract read
In one paragraph

Article in Scientific reports, 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
  2. Pooled it
  3. Early Detriment Analysis of First-Line Nivolumab plus Ipilimumab-Based Therapy in Patients with Metastatic Non-Small Cell Lung Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  4. Review
  5. International journal of molecular sciences · 2025
    Article
  6. Oncology letters · 2023
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. 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.

Tomoko Yamamoto FunazoDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54, Shogoin-kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.ORCID http://orcid.org/0000-0003-2152-2150
Takashi NomizoDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54, Shogoin-kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Hiroaki OzasaDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54, Shogoin-kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan. ozahiro@kuhp.kyoto-u.ac.jp.
Takahiro TsujiDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54, Shogoin-kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.ORCID http://orcid.org/0000-0002-5706-8300
Yuto YasudaDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54, Shogoin-kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.ORCID http://orcid.org/0000-0002-5703-4119
Hironori YoshidaDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54, Shogoin-kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Yuichi SakamoriDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54, Shogoin-kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Hiroki NagaiDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54, Shogoin-kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Toyohiro HiraiDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54, Shogoin-kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Young Hak KimDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54, Shogoin-kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nivolumab improves the prognosis of non-small cell lung cancer (NSCLC) but can cause immune-related adverse events (irAEs). Reports have indicated longer progression-free survivals (PFSs) in patients with irAEs than in those without irAEs. We reported associations between programmed death ligand-1 (PD-L1) single nucleotide polymorphisms (SNPs) and PFS after nivolumab treatment. We hypothesized that adverse events might be associated with the SNPs of PD-L1. We analyzed data from 111 patients with NSCLC treated with nivolumab. The response rate was 14%, and the median PFS was 68 days. We found patients with the adverse event of low free tetraiodothyronine (fT4) had significantly longer PFSs than those without low fT4 (not reached vs 67 days; hazard ratio [HR], 0.297; P = 0.010). Moreover, median overall survival was longer in patients with low fT4 than those without low fT4 (not reached vs 556 days, HR, 0.139; P = 0.020). Patients with the T allele of rs1411262 (P = 0.0073) and with the A allele of rs822339 (P = 0.0204) developed low fT4. Patients with the T/T genotype had longer PFSs than with those with the C/T and C/C genotypes of rs1411262 (165 vs. 67 days, HR, 1.65; P = 0.040), and those with the A/A genotype had longer PFSs than those with the A/G and G/G genotypes of rs822339 (182 vs. 67 days, HR, 1.76; P = 0.025). In the patients with advanced NSCLC, low fT4 after nivolumab treatment was associated with significantly longer PFSs. The SNPs of PD-L1 may be associated with the adverse events of nivolumab.

Indexed as

Polymorphism, Single NucleotideAdultAgedAged, 80 and overAntineoplastic Agents, ImmunologicalB7-H1 AntigenBiomarkers, TumorCarcinoma, Non-Small-Cell LungDrug-Related Side Effects and Adverse ReactionsFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedNivolumabAntineoplastic Agents, ImmunologicalB7-H1 AntigenBiomarkers, TumorCD274 protein, humanNivolumabPDCD1 protein, humanProgrammed Cell Death 1 ReceptorThyroxine

Identifiers

PMID31745135
PMCPMC6864095

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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.