Evidence map›Paper›PMID 32541476›Full record

Observational studyMedicine2020

Real-world treatment efficacy of anti-programmed death-1 combined with anti-angiogenesis therapy in non-small cell lung cancer patients.

Lupeng Qiu, Xiao Zhao, Weiwei Shi, Shengjie Sun, Guoqing Zhang, Qiong Sun, Jing Meng, Qi Xiong, Boyu Qin, Shunchang Jiao

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 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

10 authors at 2 institutions in 2 countries.

Lupeng QiuMedical School of Chinese People's Liberation Army.
Xiao ZhaoDepartment of Medical Oncology, the First Medical Centre, Chinese People's Liberation Army General Hospital, Beijing, China.
Weiwei ShiDepartment of Medical Oncology, the First Medical Centre, Chinese People's Liberation Army General Hospital, Beijing, China.
Shengjie SunDepartment of Medical Oncology, the First Medical Centre, Chinese People's Liberation Army General Hospital, Beijing, China.
Guoqing ZhangDepartment of Medical Oncology, the First Medical Centre, Chinese People's Liberation Army General Hospital, Beijing, China.
Qiong SunDepartment of Medical Oncology, the First Medical Centre, Chinese People's Liberation Army General Hospital, Beijing, China.
Jing MengDepartment of Medical Oncology, the First Medical Centre, Chinese People's Liberation Army General Hospital, Beijing, China.
Qi XiongDepartment of Medical Oncology, the First Medical Centre, Chinese People's Liberation Army General Hospital, Beijing, China.
Boyu QinDepartment of Medical Oncology, the First Medical Centre, Chinese People's Liberation Army General Hospital, Beijing, China.
Shunchang JiaoDepartment of Medical Oncology, the First Medical Centre, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0000-0002-9120-5233
People's Liberation Army No. 150 Hospital · CNAngiogenesis Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-programmed death-1 (PD-1) therapy has been extensively used to treat cancer. Recently, the combination of immunotherapy and anti-angiogenic therapy has emerged as a novel treatment approach. Therefore, we designed a study to evaluate the real-world benefit of the combination of anti-PD-1 and anti-angiogenesis therapy in patients with non-small cell lung cancer (NSCLC).We obtained the medical records of patients at the Chinese People's Liberation Army General Hospital who received either nivolumab or pembrolizumab combined with anti-angiogenesis therapy from January 2015 to December 2018. The overall response rate (ORR), progression-free survival (PFS), and overall survival (OS) were evaluated for all patients.Sixty-nine patients with NSCLC were included in our study. The ORR was 31.9% (95% CI: 20.6-43.2%) and the median PFS was 8.37 months (95% CI: 6.5-10.0 months). The subgroup analysis statistically revealed a significant difference in ORR for patients receiving first-line treatment vs other lines, and the values were 58.8% (95% CI: 32.7-84.9%) compared with 23.1% (95% CI: 11.2-34.9%). We also observed a significant improvement in PFS, with a median value of 10.5 months (95% CI: 7.4-13.1 months) for patients without EGFR mutations and 5.4 months (95% CI: 4.0-6.3 months) for patients with EGFR mutations.The real-world ORR, PFS, and OS were comparable to previous clinical trials, despite the patients' different baseline characteristics. Importantly, compared with patients having identified EGFR mutations, patients without EGFR mutations had a better PFS. Furthermore, these data support the use of anti-PD-1 combined with anti-angiogenesis therapy as a novel treatment approach for patients with NSCLC.

Indexed as

AgedAngiogenesis InhibitorsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungFemaleHumansLung NeoplasmsMaleMiddle AgedProgrammed Cell Death 1 ReceptorRetrospective StudiesAngiogenesis InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 Receptor

Identifiers

PMID32541476
PMCPMC7302578
OpenAlexW3035512885

What OpenQuestion holds

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LicenceCC BY-NC
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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.