Evidence map›Paper›PMID 32011450›Full record

ArticleMedicine2020

Efficacy and safety of programmed cell-death-protein-1 and its ligand inhibitors in pretreated patients with epidermal growth-factor receptor-mutated or anaplastic lymphoma kinase-translocated lung adenocarcinoma.

Olivier Bylicki, Florian Guisier, Isabelle Monnet, Hélène Doubre, Radj Gervais, Henri Janicot, Maurice Perol, Pierre Fournel, Régine Lamy, Jean-Bernard Auliac and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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  6. Efficacy of immunotherapy in oncogene-driven non-small-cell lung cancer.Therapeutic advances in medical oncology · 2023
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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

11 authors at 9 institutions in 2 countries.

Olivier BylickiService de Pneumologie, Hôpital d'Instruction des Armées Percy, Clamart.
Florian GuisierService de Pneumologie, Centre Hospitalier Universitaire de Rouen, Rouen.
Isabelle MonnetService de Pneumologie, Centre Hospitalier Intercommunal de Créteil, Créteil.
Hélène DoubreService de Pneumologie, Hôpital Foch, Suresnes.
Radj GervaisDépartement d'oncologie, Centre François Baclesse, Caen.
Henri JanicotService de Pneumologie, Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand.
Maurice PerolService d'Oncologie Thoracique, Centre Léon Bérard, Lyon.
Pierre FournelDépartement d'oncologie, Institut de Cancérologie de la Loire, Saint-Priest-en-Jarez.
Régine LamyService de Pneumologie, Centre Hospitalier Bretagne Sud-Lorient, Lorient.
Jean-Bernard AuliacService de Pneumologie, Centre Hospitalier F. Quesnay, Mantes-la-Jolie, France.
Christos ChouaidService de Pneumologie, Centre Hospitalier Intercommunal de Créteil, Créteil.
Hôpital Intercommunal de Créteil · FRCentre François Baclesse · LUCentre Hospitalier de Bretagne Sud · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRCentre Hospitalier Universitaire de Rouen · FRCentre Léon Bérard · FRHôpital Foch · FRInstitute Cancer De La Loire Lucien Neuwirth · FRInstitut Mondor de Recherche Biomédicale · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune-checkpoint inhibitor (ICI) efficacy in patients with non-small cell lung cancer (NSCLC) harboring molecular alterations remains poorly elucidated. This study was undertaken to determine ICI efficacy against epidermal growth-factor receptor (EGFR)/anaplastic lymphoma kinase (ALK)/c-ros oncogene 1 (ROS1)-mutated NSCLC patients in the real-world setting.In this retrospective, multicenter study on adults with ICI-treated EGFR-mutated or ALK- or ROS1-translated NSCLCs, we analyzed clinical characteristics and outcomes: ICI-treatment duration, and progression-free survival (PFS), objective response rate, duration of response, and overall survival (OS) from immunotherapy initiation.Fifty-one NSCLC patients (mean age, 58.0 years) were included from 20 French centers: 61% were never-smokers and 59% were women. Among them, 82% had EGFR-activating mutations, 16% ALK translocations, or 2% ROS1 translocations. Before ICI therapy, patients had received a median of 3 treatment lines (including tyrosine-kinase inhibitor). The median PFS was 2.1 (95% confidence interval [CI], 1.5-3.2) months for the entire cohort, 2.2 (95% CI, 1.4-3.2) for EGFR-mutated patients, and 2.4 (95% CI, 2.1-not reached) months for ALK-translocated patients. The median OS was 14.7 (95% CI, 12.1-19.2) months for the entire population and 13.9 (95% CI, 8.8-20.0) and 19.2 (95% CI, 13.1-not reached) months for EGFR-mutated and ALK-translocated patients, respectively. Seven (13.7%) patients were treated with ICI for >9 months. Toxicities were reported in 22% (11/51), including 8% (4/51) grade ≥3.In this real-world setting, analysis of ICI PFS against EGFR-mutated or ALK-translocated NSCLC patients appeared close to that observed in pretreated unselected NSCLC patients. The more promising OS probably linked to post-ICI treatments. Large prospective studies on these patient subsets are needed.

Indexed as

AdenocarcinomaAnaplastic Lymphoma KinaseAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalErbB ReceptorsFemaleFranceHumansLung NeoplasmsMaleMiddle AgedProgrammed Cell Death 1 ReceptorReceptor Protein-Tyrosine KinasesRetrospective StudiesTranslocation, GeneticAnaplastic Lymphoma KinaseAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalErbB ReceptorsPDCD1 protein, humanpembrolizumabProgrammed Cell Death 1 ReceptorReceptor Protein-Tyrosine Kinases

Identifiers

PMID32011450
PMCPMC7220079
OpenAlexW2998844423

What OpenQuestion holds

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LicenceCC BY
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.