Evidence map›Paper›PMID 31929875›Full record

ArticleBiomedical reports2020

Palliative radiotherapy in advanced cancer patients treated with immune-checkpoint inhibitors: The PRACTICE study.

Melissa Bersanelli, Elisabetta Lattanzi, Nunziata D'Abbiero, Sebastiano Buti, Alessandro Leonetti, Maria Giulia Canè, Salvatore Trapani, Gianluca Gravina, Giampiero Porzio, Katia Cannita and 15 more

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Biomedical reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 4 institutions in 1 country.

Melissa BersanelliDepartment of Medicine and Surgery, University Hospital of Parma, I-43126 Parma, Italy.
Elisabetta LattanziRadiotherapy Unit, University Hospital of Parma, I-43126 Parma, Italy.
Nunziata D'AbbieroRadiotherapy Unit, University Hospital of Parma, I-43126 Parma, Italy.
Sebastiano ButiMedical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.
Alessandro LeonettiMedical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.
Maria Giulia CanèRadiotherapy Unit, University Hospital of Parma, I-43126 Parma, Italy.
Salvatore TrapaniMedical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.
Gianluca GravinaDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, I-67100 L'Aquila, Italy.
Giampiero PorzioDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, I-67100 L'Aquila, Italy.
Katia CannitaMedical Oncology Unit, St. Salvatore Hospital, I-67100 L'Aquila, Italy.
Pietro Di MarinoClinical Oncology Unit, Santissima Annunziata Hospital, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.
Antonino GrassadoniaDepartment of Medical, Oral and Biotechnological Sciences, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.
Nicola TinariDepartment of Medical, Oral and Biotechnological Sciences, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.
Michele De TursiDepartment of Medical, Oral and Biotechnological Sciences, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.
Elisa GiaiacopiMedical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.
Maria MichiaraMedical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.
Paola BordiMedical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.
Fabiana PerroneMedical Oncology Unit, University Hospital of Parma, I-43126 Parma, Italy.
Luciana CaravattaDepartment of Radiation Oncology, Santissima Annunziata Hospital, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.
Marianna TrignaniDepartment of Radiation Oncology, Santissima Annunziata Hospital, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.
Domenico GenovesiDepartment of Radiation Oncology, Santissima Annunziata Hospital, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.
Clara NatoliDepartment of Medical, Oral and Biotechnological Sciences, Gabriele D'Annunzio University of Chieti-Pescara, I-66100 Chieti, Italy.
Corrado FicorellaDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, I-67100 L'Aquila, Italy.
Marcello TiseoDepartment of Medicine and Surgery, University Hospital of Parma, I-43126 Parma, Italy.
Alessio CortelliniDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, I-67100 L'Aquila, Italy.
University of Parma · ITUniversity of Chieti-Pescara · ITUniversity of L'Aquila · ITSan Salvatore Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the present study, the influence of purely palliative radiotherapy (pRT) on the outcomes of patients with advanced cancer undergoing immune checkpoint blockade was evaluated. Patients were stratified into three groups: Patients who had received pRT within 6 months prior to the initiation of immunotherapy (previous pRT); patients who received pRT during immunotherapy (concurrent pRT); and patients who did not receive RT prior to or during immunotherapy (no RT group), and these groups were compared. The median overall survival (mOS), median progression free survival (mPFS) and median time-to-treatment failure (mTTF) for the previous pRT group were significantly shorter compared with the no RT group (mOS, 3.6 vs. 12.1 months, respectively, P=0.0095; mPFS 1.8 vs. 5.4 months, respectively, P=0.0016; mTTF 1.8 vs. 5.7 months, respectively, P=0.0035). The concurrent pRT group had a longer mTTF compared with the previous pRT group and similar outcomes to the no RT group. In the previous pRT group, 26.9% of the patients experienced immune-related adverse events compared with 40.1% of patients in the no RT group. Despite the use of pRT during immunotherapy being considered safe, the results of the present study suggest that pRT has a negative effect on immune balance.

Indexed as

abscopal effectanti-PD-1anti-PD-L1immune checkpoint inhibitorsimmunosuppressionimmunotherapypalliative radiotherapy

Identifiers

PMID31929875
PMCPMC6951237
OpenAlexW2994820627

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.