Evidence map›Paper›PMID 32326034›Full record

ArticleVaccines2020

The Impact of Locoregional Treatment on Response to Nivolumab in Advanced Platinum Refractory Head and Neck Cancer: The Need Trial.

Andrea Botticelli, Silvia Mezi, Giulia Pomati, Paolo Sciattella, Bruna Cerbelli, Michela Roberto, Giulia Mammone, Alessio Cirillo, Alessandra Cassano, Carmela Di Dio and 9 more

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Durable complete response rates following radiotherapy and immunotherapy combination in recurrent and metastatic head and neck squamous cell carcinoma: A retrospective single-centre cohort study.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2022
    Article
  6. Article
  7. Review
  8. Review
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

19 authors at 8 institutions in 1 country.

Andrea BotticelliDepartment of Clinical and Molecular Medicine, University of Rome "Sapienza", 00161 Rome, Italy.
Silvia MeziDepartment of Radiological, Oncological and Anatomo-Pathological Science, University of Rome "Sapienza", 00161 Rome, Italy.ORCID 0000-0003-4746-2678
Giulia PomatiDepartment of Radiological, Oncological and Anatomo-Pathological Science, University of Rome "Sapienza", 00161 Rome, Italy.
Paolo SciattellaDepartment of Statistical Sciences, Sapienza University of Rome, 00161 Rome, Italy.
Bruna CerbelliDepartment of Radiological, Oncological and Anatomo-Pathological Science, University of Rome "Sapienza", 00161 Rome, Italy.
Michela RobertoDepartment of Clinical and Molecular Medicine, University of Rome "Sapienza", 00161 Rome, Italy.
Giulia MammoneDepartment of Radiological, Oncological and Anatomo-Pathological Science, University of Rome "Sapienza", 00161 Rome, Italy.
Alessio CirilloDepartment of Radiological, Oncological and Anatomo-Pathological Science, University of Rome "Sapienza", 00161 Rome, Italy.
Alessandra CassanoMedical Oncology, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Carmela Di DioFondazione Policlinico universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.
Alessio CortelliniDepartment of Biotechnology and Applied Clinical Sciences, University of L'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0002-1209-5735
Laura PizzutiDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Graziana RonzinoOspedale "Vito Fazzi", 73100 Lecce, Italy.
Massimiliano SalatiDepartment of Oncology and Hematology, Division of Oncology, University of Modena and Reggio Emilia, 41100 Modena, Italy.
Patrizia ViciDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Antonella PolimeniDepartment of Oral and Maxillo Facial Sciences, Policlinico Umberto I "Sapienza" University of Rome, 00161 Rome, Italy.ORCID 0000-0002-2679-7607
Marco Carlo MerlanoMedical Oncology and Translational Research, Santa Croce e Carle Teaching Hospital, 12100 Cuneo, Italy.
Marianna NutiDepartment of Experimental Medicine, University of Rome "Sapienza", 00161 Rome, Italy.
Paolo MarchettiDepartment of Clinical and Molecular Medicine, University of Rome "Sapienza", 00161 Rome, Italy.
Sapienza University of Rome · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITAgostino Gemelli University Polyclinic · ITOspedale Vito Fazzi · ITPoliclinico Umberto I · ITUniversità Cattolica del Sacro Cuore · ITUniversity of L'Aquila · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious locoregional treatment could affect the response to nivolumab in platinum-refractory recurrent/metastatic head and neck squamous cell carcinoma (R/M HNSCC). The aim of this study is to evaluate the impact of the clinicopathological characteristics and previous treatment in predicting early progression to nivolumab in a real-world population.

methodsThis is an observational, multicenter retrospective/prospective study including patients (pts) with platinum refractory R/M HNSCC who received nivolumab 240 mg every 2 weeks from October 2018 to October 2019. We analyzed the association between previous treatment, clinicopathological characteristics, and early progression (within 3 months).

resultsData from 61 pts were reviewed. Median age was 67 years (30-82). Forty-two pts (69%) received previous locoregional treatment. Early progression to nivolumab occurred in 36 pts (59%), while clinical benefit (stable disease and partial response) was achieved in 25 pts (41%). Early progression to nivolumab was significantly associated to previous locoregional treatment both at univariate and multivariate analysis (

conclusionnivolumab in R/M HNSCC is burdened with a high early progression rate. Previous wide neck dissection and high dose radiotherapy may compromise the efficacy of nivolumab, distorting the anatomy of the local lymphatic system and hindering the priming of immune response.

Indexed as

head and neck cancerimmunotherapylocoregional treatmentnivolumabsquamous cell carcinoma

Identifiers

PMID32326034
PMCPMC7349768
OpenAlexW3016336916

What OpenQuestion holds

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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.