Evidence map›Paper›PMID 32697352›Full record

Trial reportCancer2020

A phase 2 trial of consolidation pembrolizumab following concurrent chemoradiation for patients with unresectable stage III non-small cell lung cancer: Hoosier Cancer Research Network LUN 14-179.

Greg A Durm, Salma K Jabbour, Sandra K Althouse, Ziyue Liu, Ahad A Sadiq, Robin T Zon, Shadia I Jalal, Goetz H Kloecker, Michael J Williamson, Karen L Reckamp and 8 more

2 registry-linked trialsOpen access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 111 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 2 pooled it
8.5field-weighted citation impact, top 2% 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.

NCT06734702 phase3recruitingnot on this mapstarted 2024, after this paper: background citation

Neoadjuvant Immunotherapy Plus Chemotherapy Followed by Concurrent Chemoradiotherapy and Consolidative Immunotherapy Compared With Concurrent Chemoradiotherapy and Consolidative Immunotherapy in Locally Advanced Non-small Cell Lung Cancer: A Randomized, Phase III Controlled Study

TypeinterventionalSponsorSun Yat-sen UniversityRan2024 to 2028Enrolled497ConditionsNeoadjuvant Therapy, Concurrent Chemoradiotherapy, Immunotherapy, Locally Advanced Non-Small Cell Lung CancerArmsNeoadjuvant therapy, Hypo-RT and concurrent chemotherapy, CFRT and concurrent chemotherapy, Consolidative immunotherapy
NCT07052669 phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Hypofractionated Chemoradiotherapy Followed by Consolidative Immunotherapy Versus Conventional Fractionated Chemoradiotherapy Followed by Consolidative Immunotherapy in Locally Advanced Non-small Cell Lung Cancer: A Randomized, Phase III Controlled Study

TypeinterventionalSponsorSun Yat-sen UniversityRan2025 to 2029Enrolled311ConditionsLocally Advanced Non-Small Cell Lung CancerArmsHypofractionated Radiation Therapy, Conventionally Fractionated Radiation Therapy, Concurrent Chemotherapy, concurrent chemotherapy, Consolidative immunotherapy
3 · Its place in the literature

Who cites it

111 citing papers in PubMed, 2 syntheses or guidelines pooled it, 160 citations in OpenAlex.

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51 more citing papers are in PubMed but not listed here.

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

18 authors at 12 institutions in 1 country.

Greg A DurmIndiana University Melvin and Bren Simon Cancer Center, Indianapolis, Indiana.ORCID 0000-0003-2606-745X
Salma K JabbourRutgers Cancer Institute of New Jersey, New Brunswick, New Jersey.
Sandra K AlthouseDepartment of Biostatistics, Indiana University, Indianapolis, Indiana.
Ziyue LiuDepartment of Biostatistics, Indiana University, Indianapolis, Indiana.
Ahad A SadiqFort Wayne Medical Oncology and Hematology, Fort Wayne, Indiana.
Robin T ZonMichiana Hematology Oncology, South Bend, Indiana.
Shadia I JalalIndiana University Melvin and Bren Simon Cancer Center, Indianapolis, Indiana.
Goetz H KloeckerJames Graham Brown Cancer Center, University of Louisville, Louisville, Kentucky.
Michael J WilliamsonIndiana University Health Ball Memorial Cancer Center, Muncie, Indiana.
Karen L ReckampCity of Hope Comprehensive Cancer Center, Duarte, California.
Robert M LangdonNebraska Methodist Hospital, Omaha, Nebraska.
Ebenezer A KioGoshen Center for Cancer Care, Goshen, Indiana.
Ryan D GentzlerUniversity of Virginia, Charlottesville, Virginia.
Bamidele A AdesunloyeIndiana University Health Arnett Cancer Center, Lafayette, Indiana.
Wael A HarbHorizon Oncology Center, Lafayette, Indiana.
Radhika V WallingCommunity Regional Cancer Center, Indianapolis, Indiana.
Michael L TitzerOncology Hematology Associates of Southwest Indiana, Newburgh, Indiana.
Nasser H HannaIndiana University Melvin and Bren Simon Cancer Center, Indianapolis, Indiana.
Indiana University Health · USIndiana University Indianapolis · USCity of Hope · USFort Wayne Medical Institute · USGoshen Health · USHorizon Oncology Center · USHouston Methodist · USIllinois CancerCare · USIndiana Cancer Consortium · USRutgers, The State University of New Jersey · USUniversity of Louisville · USUniversity of Virginia · US

Funding

Dr. Salma Jabbour’s NCI Research Specialist (Clinician Scientist) Award (R50)R50CA275877 · NCI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI Salma Jabbour · 2023 to 2026
$785k
NCI NIH HHS R50 CA275877
6 · The paper itself

Abstract

backgroundFive-year overall survival (OS) for patients with unresectable stage III non-small cell lung cancer (NSCLC) is poor. Until recently, a standard of care was concurrent chemoradiation alone. Patients with metastatic NSCLC treated with anti-programmed death 1 antibodies have demonstrated improved OS. This trial evaluated pembrolizumab as consolidation therapy after concurrent chemoradiation in patients with unresectable stage III disease.

methodsPatients with unresectable stage III NSCLC received concurrent chemoradiation with cisplatin and etoposide, cisplatin and pemetrexed, or carboplatin and paclitaxel and 59.4 to 66.6 Gy of radiation. Patients with nonprogression of disease were enrolled and received pembrolizumab (200 mg intravenously every 3 weeks for up to 12 months). The primary endpoint was the time to metastatic disease or death (TMDD). Secondary endpoints included progression-free survival (PFS) and OS.

resultsThe median follow-up for 93 patients (92 for efficacy) was 32.2 months (range, 1.2-46.6 months). The median TMDD was 30.7 months (95% confidence interval [CI], 18.7 months to not reached), which was significantly longer than the historical control of 12 months (P < .0001). The median PFS was 18.7 months (95% CI, 12.4-33.8 months), and the median OS was 35.8 months (95% CI, 24.2 months to not reached). The 1-, 2-, and 3-year OS estimates were 81.2%, 62.0%, and 48.5%, respectively. Forty patients (43.5%) completed 12 months of treatment (median number of cycles, 13.5). Symptomatic pneumonitis (grade 2 or higher) was noted in 16 patients (17.2%); these cases included 4 grade 3 events (4.3%), 1 grade 4 event (1.1%), and 1 grade 5 event (1.1%).

conclusionsConsolidation pembrolizumab after concurrent chemoradiation improves TMDD, PFS, and OS in comparison with historical controls of chemoradiation alone. Rates of grade 3 to 5 pneumonitis were similar to those reported with chemoradiation alone.

Indexed as

AgedAged, 80 and overAntibodies, Monoclonal, HumanizedCarcinoma, Non-Small-Cell LungChemoradiotherapyHumansLung NeoplasmsMiddle AgedNeoplasm StagingProgrammed Cell Death 1 ReceptorAntibodies, Monoclonal, HumanizedpembrolizumabProgrammed Cell Death 1 Receptorimmunotherapypembrolizumabstage III non-small cell lung cancer (NSCLC)

Identifiers

PMID32697352
PMCPMC10865991
OpenAlexW3044858467

What OpenQuestion holds

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Registered trials

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.