Evidence map›Paper›PMID 32770608›Full record

ArticleCancer science2020

Efficacy of local therapy for oligoprogressive disease after programmed cell death 1 blockade in advanced non-small cell lung cancer.

Yusuke Kagawa, Hiromi Furuta, Takehiro Uemura, Naohiro Watanabe, Junichi Shimizu, Yoshitsugu Horio, Hiroaki Kuroda, Yoshitaka Inaba, Takeshi Kodaira, Katsuhiro Masago and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancer science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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  7. Complex situations in lung cancer: multifocal disease, oligoprogression and oligorecurrence.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
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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 2 institutions in 1 country.

Yusuke KagawaDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Japan.
Hiromi FurutaDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Japan.ORCID https://orcid.org/0000-0001-7027-0354
Takehiro UemuraDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Japan.
Naohiro WatanabeDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Japan.
Junichi ShimizuDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Japan.
Yoshitsugu HorioDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Japan.
Hiroaki KurodaDepartment of Thoracic Surgery, Aichi Cancer Center Hospital, Nagoya, Japan.
Yoshitaka InabaDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, Japan.
Takeshi KodairaDepartment of Radiation Oncology, Aichi Cancer Center Hospital, Nagoya, Japan.
Katsuhiro MasagoDepartment of Pathology and Molecular Diagnostics, Aichi Cancer Center Hospital, Nagoya, Japan.
Shiro FujitaDepartment of Pathology and Molecular Diagnostics, Aichi Cancer Center Hospital, Nagoya, Japan.
Akio NiimiDepartment of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medicine Sciences, Nagoya, Japan.
Toyoaki HidaDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Japan.ORCID https://orcid.org/0000-0003-3537-0020
Aichi Cancer Center · JPNagoya City University · JP

Funding

AbbVieAstellas PharmaAstraZenecaBoehringer IngelheimBristol-Myers SquibbChugai PharmaceuticalClovis OncologyDaiichi Sankyo CompanyKyowa Hakko KirinMerck Sharp and DohmeNovartis PharmaOno PharmaceuticalPfizerTaiho PharmaceuticalTakeda Pharmaceutical Company
6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) have dramatically changed the strategy used to treat patients with non-small-cell lung cancer (NSCLC); however, the vast majority of patients eventually develop progressive disease (PD) and acquire resistance to ICIs. Some patients experience oligoprogressive disease. Few retrospective studies have evaluated clinical efficacy in patients with oligometastatic progression who received local therapy after ICI treatment. We conducted a retrospective analysis of advanced NSCLC patients who received PD-1 inhibitor monotherapy with nivolumab or pembrolizumab to evaluate the effects of ICIs on the patterns of progression and the efficacy of local therapy for oligoprogressive disease. Of the 307 patients treated with ICIs, 148 were evaluated in our study; 42 were treated with pembrolizumab, and 106 were treated with nivolumab. Thirty-eight patients showed oligoprogression. Male sex, a lack of driver mutations, and smoking history were significantly correlated with the risk of oligoprogression. Primary lesions were most frequently detected at oligoprogression sites (15 patients), and 6 patients experienced abdominal lymph node (LN) oligoprogression. Four patients showed evidence of new abdominal LN oligometastases. There was no significant difference in overall survival (OS) between the local therapy group and the switch therapy group (reached vs. not reached, P = .456). We summarized clinical data on the response of oligoprogressive NSCLC to ICI therapy. The results may help to elucidate the causes of ICI resistance and indicate that the use of local therapy as the initial treatment in this setting is feasible treatment option.

Indexed as

Ablation TechniquesAdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedCarcinoma, Non-Small-Cell LungCombined Modality TherapyDisease ProgressionFeasibility StudiesFemaleHumansImmune Checkpoint InhibitorsLung NeoplasmsMaleMiddle AgedNivolumabAntibodies, Monoclonal, HumanizedImmune Checkpoint InhibitorsNivolumabPDCD1 protein, humanpembrolizumabProgrammed Cell Death 1 Receptorlocal therapynivolumaboligometastasisoligoprogressionpembrolizumab

Identifiers

PMID32770608
PMCPMC7734009
OpenAlexW3047911379

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.