Evidence map›Paper›PMID 32923136›Full record

ArticleOncoimmunology2020

Impact of pseudoprogression and treatment beyond progression on outcome in patients with non-small cell lung cancer treated with immune checkpoint inhibitors.

Sang Eun Won, Hyo Jung Park, Sangil Byun, Junhee Pyo, Jwa Hoon Kim, Chang-Min Choi, Jae Cheol Lee, Dae Ho Lee, Sang-We Kim, Shinkyo Yoon and 1 more

Open access · goldAbstract read
In one paragraph

Article in Oncoimmunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
1.7field-weighted citation impact, top 13% 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  16. Repeated dynamic [European journal of nuclear medicine and molecular imaging · 2024
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  20. A novel [Frontiers in immunology · 2023
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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

11 authors at 5 institutions in 3 countries.

Sang Eun WonDepartment of Radiology and Research Institute of Radiology, Asan Image Metrics, Asan Medical Center, Seoul, Republic of Korea.
Hyo Jung ParkDepartment of Radiology and Research Institute of Radiology, Asan Image Metrics, Asan Medical Center, Seoul, Republic of Korea.
Sangil ByunDepartment of Radiology and Research Institute of Radiology, Asan Image Metrics, Asan Medical Center, Seoul, Republic of Korea.
Junhee PyoWHO Collaborating Center for Pharmaceutical Policy and Regulation, Department of Pharmaceutical Science, Utrecht University, Utrecht, The Netherlands.
Jwa Hoon KimDepartment of Oncology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Chang-Min ChoiDepartment of Oncology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Jae Cheol LeeDepartment of Oncology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Dae Ho LeeDepartment of Oncology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Sang-We KimDepartment of Oncology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Shinkyo YoonDepartment of Oncology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Kyung Won KimDepartment of Radiology and Research Institute of Radiology, Asan Image Metrics, Asan Medical Center, Seoul, Republic of Korea.
Image Metrics (United Kingdom) · GBUlsan College · KRAsan Medical Center · KRUniversity of Ulsan · KRUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immune checkpoint inhibitors (ICI) have become an important treatment option for non-small cell lung cancer (NSCLC). We aimed to evaluate the clinical impact of pseudoprogression (PsP) and treatment beyond RECIST1.1-defined progressive disease (TBP) on outcome in NSCLC patients treated with ICI. Methods: NSCLC patients treated with ICI between Mar 2016 and July 2018 were recruited in a consecutive manner. Response was assessed every 8-12 weeks using RECIST1.1 and iRECIST. Based on iRECIST, PsP was defined as progressive disease (PD) on RECIST1.1 subsequently reset to non-PD categories. Using log-rank test, progression-free survival (PFS) was compared between patients with and without PsP, and overall survival (OS) was compared between patients treated with and without TBP. The impact of TBP on OS was evaluated through multivariate Cox proportional hazard models. Results: Of the 189 patients, seven (3.7%) experienced PsP which mostly occurred approximately 3 months after baseline. The median PFS was significantly longer in patients with PsP (not reached) than those without PsP (3.8 months, Conclusion: PsP occurred in 3.7% of NSCLC patients under ICI treatment. Based on iRECIST scheme, PsP and TBP may be associated with survival benefit.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsFemaleHumansImmune Checkpoint InhibitorsMaleResponse Evaluation Criteria in Solid TumorsRetrospective StudiesImmune Checkpoint InhibitorsCarcinomaCheckpoint inhibitorImmunotherapyNon-Small Cell LungPseudoprogressionResponse Evaluation Criteria In Solid Tumors

Identifiers

PMID32923136
PMCPMC7458612
OpenAlexW3036870732

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.