Evidence map›Paper›PMID 32353934›Full record

ArticleVaccines2020

The Agnostic Role of Site of Metastasis in Predicting Outcomes in Cancer Patients Treated with Immunotherapy.

Andrea Botticelli, Alessio Cirillo, Simone Scagnoli, Bruna Cerbelli, Lidia Strigari, Alessio Cortellini, Laura Pizzuti, Patrizia Vici, Federica De Galitiis, Francesca Romana Di Pietro and 11 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 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 5% 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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Prognostic value of the CHAM score in non-small cell lung cancer patients treated with nivolumab.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  7. Observational
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  12. Article
  13. Consideration on immunotherapy of liver metastases of malignant tumors.World journal of gastrointestinal surgery · 2024
    Article
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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

21 authors at 8 institutions in 1 country.

Andrea BotticelliDepartment of Clinical and molecular oncology, University of Rome "Sapienza", 00185 Rome, Italy.
Alessio CirilloDepartment of Radiological, Oncological and anatomo-pathological Science, University of Rome "Sapienza", 00185 Rome, Italy.
Simone ScagnoliDepartment of Medical and Surgical Sciences and Translational Medicine, University of Rome "Sapienza", 00185 Rome, Italy.ORCID 0000-0003-4943-5622
Bruna CerbelliDepartment of Radiological, Oncological and anatomo-pathological Science, University of Rome "Sapienza", 00185 Rome, Italy.
Lidia StrigariMedical Physics Unit, "S. Orsola-Malpighi" Hospital, 40138 Bologna, Italy.
Alessio CortelliniDepartment of Biotechnology and Applied Clinical Sciences, University of L'Aquila, 671000 L'Aquila, Italy.ORCID 0000-0002-1209-5735
Laura PizzutiDepartment of Biotechnology and Applied Clinical Sciences, University of L'Aquila, 671000 L'Aquila, Italy.
Patrizia ViciDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Federica De GalitiisIstituto Dermopatico dell'Immacolata, 00167 Rome, Italy.
Francesca Romana Di PietroIstituto Dermopatico dell'Immacolata, 00167 Rome, Italy.
Edoardo CerbelliDepartment of Radiological, Oncological and anatomo-pathological Science, University of Rome "Sapienza", 00185 Rome, Italy.
Michele GhidiniFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milano, Italy.
Giulia D'AmatiDepartment of Radiological, Oncological and anatomo-pathological Science, University of Rome "Sapienza", 00185 Rome, Italy.
Carlo Della RoccaDepartment of Medico-Surgical Sciences and Biotechnology, Polo Pontino, Sapienza University, 00185 Roma, Italy.
Silvia MeziDepartment of Radiological, Oncological and anatomo-pathological Science, University of Rome "Sapienza", 00185 Rome, Italy.ORCID 0000-0003-4746-2678
Alain GelibterDepartment of Radiological, Oncological and anatomo-pathological Science, University of Rome "Sapienza", 00185 Rome, Italy.
Raffaele GiustiSant'Andrea Hospital, Department of clinical and molecular medicine, Sapienza, University of Rome, 00153 Roma, Italy.
Enrico CortesiDepartment of Radiological, Oncological and anatomo-pathological Science, University of Rome "Sapienza", 00185 Rome, Italy.
Paolo Antonio AsciertoUnit of Melanoma, Cancer Immunotherapy and Development Therapeutics, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, Via Mariano Semmola snc, 80131 Naples, Italy.
Marianna NutiDepartment of Experimental Medicine, University Sapienza, 00185 Rome, Italy.ORCID 0000-0003-1809-1003
Paolo MarchettiDepartment of Clinical and molecular oncology, University of Rome "Sapienza", 00185 Rome, Italy.
Sapienza University of Rome · ITIstituto Dermopatico dell'Immacolata · ITUniversity of L'Aquila · ITAzienda Ospedaliera Sant'Andrea · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors have revolutionized treatment and outcome of melanoma and many other solid malignancies including non-small cell lung cancer (NSCLC) and renal cell carcinoma (RCC). Unfortunately, only a minority of patients have a long-term benefit, while the remaining demonstrate primary or acquired resistance. Recently, it has been demonstrated that the prevalence of programmed death-ligand 1 (PD-L1) and tumor-infiltrating lymphocytes (TILs) varies based on the anatomical site of metastases. In particular, liver seems to have more immunosuppressive microenvironment while both the presence of lymph nodal disease and lung metastases seem to have the highest prevalence of PD-L1 and TILs. The aim of the present study is to investigate the possible role of site of metastases as a predictive factor for response or resistance to immunotherapy in several types of cancer. In this multicenter retrospective study, we enrolled patients with metastatic NSCLC, melanoma, RCC, urothelial, merkel carcinoma, and colon cancer who received immunotherapy from April 2015 to August 2019. Major clinicopathological parameters were retrieved and correlated with patients' survival outcomes in order to assess their prognostic value and build a useful tool to assist in the decision-making process. A total of 291 patients were included in this study. One hundred eighty-seven (64%) patients were male and 104 (36%) female. The tumor histology was squamous NSCLC in 56 (19%) patients, non-squamous NSCLC in 99 (34%) patients, melanoma in 101 (35%) patients, RCC in 28 (10%) patients, and other tumors in the remaining 7 (2%) patients. The number of metastatic sites was 1 in 103 patients (35%), 2 in 104 patients (36%) and 3 in 84 patients (29%). Out of 183 valuable patients, the entity of response was complete response (CR), partial response (PR), stable disease (SD), and progression disease (PD) in 15, 53, 31, and 79 patients, respectively. Using an univariate analysis (UVA), tumor burden (

Indexed as

agnostic biomarkersimmunotherapymelanomametastatic sitesNSCLCpredictive factorsprognostic factorsRCC

Identifiers

PMID32353934
PMCPMC7349154
OpenAlexW3017958602

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.