Evidence map›Paper›PMID 32581058›Full record

ArticleJournal for immunotherapy of cancer2020

Sequential ctDNA whole-exome sequencing in advanced lung adenocarcinoma with initial durable tumor response on immune checkpoint inhibitor and late progression.

Etienne Giroux Leprieur, Zofia Hélias-Rodzewicz, Paul Takam Kamga, Adrien Costantini, Catherine Julie, Alexandre Corjon, Coraline Dumenil, Jennifer Dumoulin, Violaine Giraud, Sylvie Labrune and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 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

13 authors at 3 institutions in 2 countries.

Etienne Giroux LeprieurUniversité Paris-Saclay, UVSQ, EA 4340 BECCOH, Boulogne-Billancourt, France etienne.giroux-leprieur@aphp.fr.ORCID 0000-0001-8441-1701
Zofia Hélias-RodzewiczUniversité Paris-Saclay, UVSQ, EA 4340 BECCOH, Boulogne-Billancourt, France.
Paul Takam KamgaUniversité Paris-Saclay, UVSQ, EA 4340 BECCOH, Boulogne-Billancourt, France.
Adrien CostantiniUniversité Paris-Saclay, UVSQ, EA 4340 BECCOH, Boulogne-Billancourt, France.
Catherine JulieUniversité Paris-Saclay, UVSQ, EA 4340 BECCOH, Boulogne-Billancourt, France.
Alexandre CorjonUniversité Paris-Saclay, UVSQ, EA 4340 BECCOH, Boulogne-Billancourt, France.
Coraline DumenilDepartment of Respiratory DIseases and Thoracic Oncology, APHP - Hopital Ambroise Pare, Boulogne-Billancourt, France.
Jennifer DumoulinDepartment of Respiratory DIseases and Thoracic Oncology, APHP - Hopital Ambroise Pare, Boulogne-Billancourt, France.
Violaine GiraudDepartment of Respiratory DIseases and Thoracic Oncology, APHP - Hopital Ambroise Pare, Boulogne-Billancourt, France.
Sylvie LabruneDepartment of Respiratory DIseases and Thoracic Oncology, APHP - Hopital Ambroise Pare, Boulogne-Billancourt, France.
Simon GarinetDepartment of Molecular Biology, APHP - Hopital Europeen Georges Pompidou, Paris, France.
Thierry ChinetUniversité Paris-Saclay, UVSQ, EA 4340 BECCOH, Boulogne-Billancourt, France.
Jean-François EmileUniversité Paris-Saclay, UVSQ, EA 4340 BECCOH, Boulogne-Billancourt, France.
Université de Versailles Saint-Quentin-en-Yvelines · FRCHU Ambroise Paré · BEAssistance Publique – Hôpitaux de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite prolonged tumor response to immune checkpoint inhibitors (ICIs) for a subset of patients with advanced non-small cell lung cancer (NSCLC), a secondary resistance will occur for a majority of these patients. The understanding of late progression mechanisms with ICIs is important to improve future treatment strategies.

methodsWe performed whole-exome sequencing (WES) on circulating tumor DNA and compared molecular profiles between the beginning of ICI treatment and tumor progression in patients with advanced NSCLC treated with ICIs and who had initial and prolonged tumor response with secondary progression, after at least 6 months of treatment.

resultsWe identified eight patients who experienced initial and durable tumor response, and secondary tumor progression after 6 months of treatment, with available paired blood samples (diagnosis and progression). All had lung adenocarcinoma, three had programmed-death ligand-1 expression ≥50% in immunohistochemistry and all presented low blood tumor mutational burden (bTMB). Seven patients received nivolumab in second-line or more, and one received pembrolizumab as first-line treatment. WES at progression showed clonal selection with molecular alterations of Wnt pathway-related genes, increase of copy number aberrations in cancer-related genes and loss of tumor-suppressor genes (such as

conclusionsThis is the first study describing putative molecular mechanisms associated with late progression under ICI in lung cancer. Studies on treatment strategies adapted to these mechanisms are needed.

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedB7-H1 AntigenCarcinoma, Non-Small-Cell LungCirculating Tumor DNADisease ProgressionDNA Copy Number VariationsDNA Mutational AnalysisDrug MonitoringDrug Resistance, NeoplasmExome SequencingFemaleHumansImmune Checkpoint InhibitorsAntibodies, Monoclonal, HumanizedB7-H1 AntigenCD274 protein, humanCirculating Tumor DNAImmune Checkpoint InhibitorsNivolumabPDCD1 protein, humanpembrolizumabProgrammed Cell Death 1 Receptorbiomarkers, tumorlung neoplasms

Identifiers

PMID32581058
PMCPMC7319709
OpenAlexW3037130386

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.