Evidence map›Paper›PMID 32690620›Full record

Observational studyESMO open2020

Nivolumab treatment of elderly Japanese patients with non-small cell lung cancer: subanalysis of a real-world retrospective observational study (CA209-9CR).

Kyoichi Okishio, Ryo Morita, Junichi Shimizu, Haruhiro Saito, Hiroshi Sakai, Young Hak Kim, Osamu Hataji, Makiko Yomota, Makoto Nishio, Keisuke Aoe and 16 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in ESMO open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 36% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Observational
  6. Review
  7. Observational
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

26 authors at 20 institutions in 1 country.

Kyoichi OkishioDepartment of Thoracic Oncology, National Hospital Organization Kinki-Chuo Chest Medical Center, Sakai, Osaka, Japan okishio.kyoichi.hj@mail.hosp.go.jp.ORCID 0000-0002-6348-1302
Ryo MoritaDepartment of Thoracic Oncology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan.
Junichi ShimizuDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Aichi, Japan.
Haruhiro SaitoDepartment of Thoracic Oncology, Kanagawa Cancer Center, Yokohama, Kanagawa, Japan.
Hiroshi SakaiDepartment of Thoracic Oncology, Saitama Cancer Center, Kitaadachi-gun, Saitama, Japan.
Young Hak KimDepartment of Respiratory Medicine, Kyoto University Hospital, Kyoto, Kyoto, Japan.
Osamu HatajiDepartment of Respiratory Center, Matsusaka Municipal Hospital, Matsusaka, Mie, Japan.
Makiko YomotaDepartment of Thoracic Oncology and Respiratory Medicine, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Bunkyo-ku, Tokyo, Japan.
Makoto NishioDepartment of Thoracic Medical Oncology, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Koto-ku, Tokyo, Japan.
Keisuke AoeDepartment of Medical Oncology, National Hospital Organization Yamaguchi-Ube Medical Center, Ube, Yamaguchi, Japan.
Osamu KanaiDivision of Respiratory Medicine, National Hospital Organization Kyoto Medical Center, Kyoto, Kyoto, Japan.
Toru KumagaiDepartment of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Osaka, Japan.
Kayoko KibataDepartment of Thoracic Oncology, Kansai Medical University Hospital, Hirakata, Osaka, Japan.
Hiroaki TsukamotoDepartment of Respiratory Medicine, National Hospital Organization Himeji Medical Center, Himeji, Hyogo, Japan.
Satoshi OizumiDepartment of Respiratory Medicine, National Hospital Organization Hokkaido Cancer Center, Sapporo, Hokkaido, Japan.
Daichi FujimotoDepartment of Respiratory Medicine, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.
Hiroshi TanakaDepartment of Internal Medicine, Niigata Cancer Center Hospital, Niigata, Niigata, Japan.
Keiko MizunoDepartment of Pulmonary Medicine, Kagoshima University Hospital, Kagoshima, Kagoshima, Japan.
Takeshi MasudaDepartment of Respiratory Internal Medicine, Hiroshima University Hospital, Hiroshima, Hiroshima, Japan.
Toshiyuki KozukiDepartment of Thoracic Oncology and Medicine, National Hospital Organization Shikoku Cancer Center, Matuyama, Ehime, Japan.
Takashi HakuRespiratory Medicine, Tokushima Prefectural Central Hospital, Tokushima, Tokushima, Japan.
Hiroyuki SuzukiDepartment of Chest Surgery, Fukushima Medical University, Fukushima, Fukushima, Japan.
Isamu OkamotoResearch Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Fukuoka, Japan.
Hirotoshi HoshiyamaBristol-Myers Squibb K.K, Shinjuku-ku, Tokyo, Japan.
Nobumichi YadaOno Pharmaceutical Co., Ltd, Osaka, Osaka, Japan.
Yuichiro OheDepartment of Thoracic Oncology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan.
National Cancer Center Hospital East · JPAichi Cancer Center · JPBristol-Myers Squibb (Japan) · JPFukushima Medical University · JPHimeji Medical Center · JPHiroshima University Hospital · JPKagoshima University Hospital · JPKanagawa Prefectural Hospital Organization · JPKansai Medical University · JPKobe City Medical Center General Hospital · JPKyoto Medical Center · JPKyoto University Hospital · JPKyushu University · JPNational Hospital Organization Hokkaido Medical Center · JPNational Sanyo Hospital · JPNHO Kinki Chuo Chest Medical Center · JPNiigata Cancer Center Hospital · JPOno Pharmaceutical (Japan) · JPOsaka International Cancer Institute · JPSaitama Cancer Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe conducted a subanalysis of data from the multicentre, retrospective observational Nivolumab Japan Real World (CA209-9CR) study to evaluate nivolumab effectiveness and safety in elderly patients (aged ≥75 years) with advanced/metastatic non-small cell lung cancer. MATERIALS AND

methodsMedical record data of patients initiating nivolumab treatment between April 2016 and December 2016 were collected using electronic data capture from 23 cancer hospitals in Japan between March 2017 and August 2018. Nivolumab treatment data were collected to investigate the treatment patterns by age group (<75 and ≥75 years), and the effectiveness and safety of nivolumab treatment.

resultsOf the 901 patients evaluated, 178 (19.8%) were aged ≥75 years. Overall, patients received a median of five nivolumab treatments regardless of age group. Comparable progression-free survival was observed, with a median of 2.1 months in patients aged <75 years and 2.1 months in patients aged ≥75 years (p=0.5441). No significant differences were found in duration of response, overall response rate or disease control rate between the two age groups. Median overall survival in patients aged <75 and ≥75 years was 14.7 months and 12.3 months, respectively. Grade ≥3 adverse events (AEs) occurred in 29.2% and 28.1% of patients aged <75 and ≥75 years, respectively. Immune-related AEs decreased slightly with increasing age; time to onset and rates of improvement were similar for patients aged <75 and ≥75 years. The most common grade 3-4 AEs were interstitial lung disease in both age groups (4.0% in patients aged <75 years and 2.8% in those aged ≥75 years). Poor performance status was associated with worse outcomes in both age groups.

conclusionBased on Japanese real-world data, the effectiveness and safety of nivolumab were confirmed regardless of age.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAdultAgedAged, 80 and overAntineoplastic Agents, ImmunologicalFemaleHumansJapanMaleMiddle AgedNivolumabRetrospective StudiesAntineoplastic Agents, ImmunologicalNivolumabelderlyJapannivolumabnon-small cell lung cancer

Identifiers

PMID32690620
PMCPMC7373314
OpenAlexW3045106360

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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.