Evidence map›Paper›PMID 32307579›Full record

ArticleCancer immunology, immunotherapy : CII2020

Outcomes with immune checkpoint inhibitors for relapsed small-cell lung cancer in a Swiss cohort.

Sabine Schmid, Laetitia A Mauti, Alex Friedlaender, Veronika Blum, Sacha I Rothschild, Hasna Bouchaab, Patrizia Frösch, Christian Britschgi, David König, Luciano Wannesson and 6 more

Open access · greenAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

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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

16 authors at 12 institutions in 1 country.

Sabine SchmidDepartment of Oncology and Haematology, Cantonal Hospital St. Gallen, 9007, St. Gallen, Switzerland. sabine.schmid@kssg.ch.
Laetitia A MautiDepartment of Oncology and Haematology, Cantonal Hospital St. Gallen, 9007, St. Gallen, Switzerland.
Alex FriedlaenderOncologie, Hôpitaux universitaires de Genève, Geneva, Switzerland.
Veronika BlumDepartment of Oncology, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Sacha I RothschildDepartment of Oncology, University Hospital Basel, Basel, Switzerland.
Hasna BouchaabOncologie, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Patrizia FröschIstituto Oncologico della Svizzera Italiana, Ospedale Regionale di Bellinzona e Valli, Bellinzona, Switzerland.
Christian BritschgiDepartment of Medical Oncology and Hematology, University Hospital Zurich, Comprehensive Cancer Center Zurich, University of Zurich, Zurich, Switzerland.
David KönigDepartment of Oncology, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Luciano WannessonIstituto Oncologico della Svizzera Italiana, Ospedale Regionale di Bellinzona e Valli, Bellinzona, Switzerland.
Wolf-Dieter JanthurDepartment of Oncology, Cantonal Hospital Aarau, Aarau, Switzerland.
Sämi SchärSAKK, Swiss Group for Clinical Cancer Research, Coordinating Center, Bern, Switzerland.
Izadora DemmerInstitute of Pathology, Cantonal Hospital St. Gallen, 9007, St. Gallen, Switzerland.
Alfredo AddeoOncologie, Hôpitaux universitaires de Genève, Geneva, Switzerland.
Wolfram JochumInstitute of Pathology, Cantonal Hospital St. Gallen, 9007, St. Gallen, Switzerland.
Martin FrühDepartment of Oncology and Haematology, Cantonal Hospital St. Gallen, 9007, St. Gallen, Switzerland.
Hôpital Beau-Séjour · CHKantonsspital St. Gallen · CHOspedale Regionale di Bellinzona e Valli · CHUniversity of St.Gallen · CHKantonsspital Aarau · CHKantonsspital Winterthur · CHSwiss Group For Clinical Cancer Research · CHUniversity Hospital of Basel · CHUniversity Hospital of Lausanne · CHUniversity of Bern · CHUniversity of Lucerne · CHUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEarly clinical trials showed promising outcomes with immune-checkpoint inhibitors (ICI) in a subset of patients with relapsed small-cell lung carcinoma (SCLC). The aim of this retrospective analysis was to assess the efficacy and safety of ICI for relapsed SCLC in a real-world patient population.

methodsNine cancer centres in Switzerland contributed data to this cohort. Responses were assessed by the local investigators using standard RECIST v1.1 criteria. Progression-free survival (PFS) and overall survival (OS) were analysed by the Kaplan-Meier method. Associations between potential predictive markers and survival endpoints were probed by Cox proportional hazards.

resultsForty-five patients were included in the analysis. Median age was 63 years, 73% were males and 18% had an ECOG performance status (PS) ≥ 2. ICIs were given as second-line treatment in 60%. Twenty-four patients (53%) received ipilimumab with nivolumab. Twenty-eight patients (62%) had undergone irradiation (RT) prior to or during ICI. Overall response rate (ORR) was 29% and median PFS and OS were 2.3 and 6.5 months, respectively. Median duration of response was 9 months (95% CI 2.8-NA). Five patients maintained their response for > 6 months, all of them receiving combination treatment. There were no new safety signals.

conclusionThis is the first report of "real-world" data on ICI in relapsed SCLC also including patients with poor PS. Promising durable responses were observed. No biological prognostic marker could be identified.

Indexed as

AdultAgedAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorFemaleFollow-Up StudiesHumansImmunotherapyIpilimumabLung NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalNivolumabPrognosisAntibodies, Monoclonal, HumanizedatezolizumabBiomarkers, TumorIpilimumabNivolumabBiomarkerCheckpoint inhibitor treatmentOutcomeReal-life cohortSCLC

Identifiers

PMID32307579
PMCPMC11027633
OpenAlexW3016907771

What OpenQuestion holds

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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.