Evidence map›Paper›PMID 33020837›Full record

ArticleJapanese journal of clinical oncology2021

Five-year follow-up results from phase II studies of nivolumab in Japanese patients with previously treated advanced non-small cell lung cancer: pooled analysis of the ONO-4538-05 and ONO-4538-06 studies.

Hideo Saka, Makoto Nishio, Toyoaki Hida, Kazuhiko Nakagawa, Hiroshi Sakai, Naoyuki Nogami, Shinji Atagi, Toshiaki Takahashi, Hidehito Horinouchi, Mitsuhiro Takenoyama and 11 more

Open access · hybridAbstract read
In one paragraph

Article in Japanese journal of clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Efficacy and safety of sintilimab in the treatment of sqNSCLC.Pakistan journal of medical sciences · 2026
    Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. CD8Journal of oncology · 2021
    Article
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

21 authors at 20 institutions in 2 countries.

Hideo SakaDepartment of Medical Oncology, Nagoya Medical Center, Nagoya.
Makoto NishioDepartment of Thoracic Medical Oncology, Cancer Institute Hospital, Tokyo.
Toyoaki HidaDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya.
Kazuhiko NakagawaDepartment of Medical Oncology, Faculty of Medicine, Kindai University, Osaka.
Hiroshi SakaiDepartment of Thoracic Oncology, Saitama Cancer Center, Saitama.
Naoyuki NogamiDivision of Thoracic Oncology and Medicine, National Hospital Organization Shikoku Cancer Center, Ehime.
Shinji AtagiDepartment of Thoracic Oncology, Kinki-Chuo Chest Medical Center, Sakai.
Toshiaki TakahashiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka.
Hidehito HorinouchiDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo.
Mitsuhiro TakenoyamaDepartment of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka.
Nobuyuki KatakamiDepartment of Medical Oncology, Kobe City Medical Center General Hospital, Kobe.
Hiroshi TanakaDepartment of Internal Medicine, Niigata Cancer Center Hospital, Niigata, Japan.
Koji TakedaDepartment of Medical Oncology, Osaka City General Hospital, Osaka, Japan.
Miyako SatouchiDepartment of Thoracic Oncology, Hyogo Cancer Center, Hyogo, Japan.
Hiroshi IsobeDepartment of Medical Oncology, KKR Sapporo Medical Center, Sapporo, Japan.
Makoto MaemondoDivision of Pulmonary Medicine, Department of Internal Medicine, Iwate Medical University School of Medicine, Iwate, Japan.
Koichi GotoDivision of Thoracic Oncology, National Cancer Center Hospital East, Chiba, Japan.
Tomonori HirashimaDepartment of Thoracic Oncology, Osaka Habikino Medical Center, Osaka, Japan.
Koichi MinatoDivision of Respiratory Medicine, Gunma Prefectural Cancer Center, Gunma, Japan.
Nobumichi YadaMedical Affairs, Ono Pharmaceutical Co., Ltd, Osaka, Japan.
Tomohide TamuraThoracic Center, St. Luke's International Hospital, Tokyo, Japan.
Aichi Cancer Center · JPGunma Prefectural Cardiovascular Center · JPHyogo Prefectural Cancer Center · JPIwate Medical University · JPKindai University · JPKobe City Medical Center General Hospital · JPMatsunami General Hospital · JPNational Cancer Center · USNational Cancer Center Hospital East · JPNational Hospital Organization Kyushu Cancer Center · JPNHO Kinki Chuo Chest Medical Center · JPNiigata Cancer Center Hospital · JPNTT Medical Center · JPOno Pharmaceutical (Japan) · JPOsaka City General Hospital · JPSaitama Cancer Center · JPShikoku Cancer Center · JPShizuoka Cancer Center · JPSt. Luke's International Hospital · JPThe Cancer Institute Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTwo phase II studies in Japan examined the efficacy and safety of nivolumab, a programmed cell death 1 receptor inhibitor, in patients with advanced squamous and non-squamous non-small cell lung cancer (ONO-4538-05 and ONO-4538-06). We examined the long-term efficacy and safety of nivolumab in these patients treated for up to 5 years.

methodsPatients with squamous (N = 35) or non-squamous (N = 76) non-small cell lung cancer received nivolumab (3 mg/kg every 2 weeks) until disease progression/death. Overall survival and progression-free survival were assessed at 5 years after starting treatment in separate and pooled analyses. Safety was evaluated in terms of treatment-related adverse events.

resultsA total of 17 patients were alive at the database lock (26 July 2019). The median overall survival (95% confidence interval) and 5-year survival rate were 16.3 (12.4-25.2) months and 14.3% in squamous patients, 17.1 (13.3-23.0) months and 19.4% in non-squamous patients and 17.1 (14.2-20.6) months and 17.8% in the pooled analysis, respectively. Programmed death ligand-1 expression tended to be greater among 5-year survivors than in non-survivors (P = 0.0703). Overall survival prolonged with increasing programmed death ligand-1 expression, with 5-year survival rates of 11.8, 21.8 and 41.7% in patients with programmed death ligand-1 expression of <1, ≥1-<50 and ≥50%, respectively. Treatment-related adverse events in ≥10% of patients (pooled analysis) included rash (15.3%), malaise (14.4%), decreased appetite (14.4%), pyrexia (14.4%) and nausea (10.8%).

conclusionsLong-term survival with nivolumab was observed in patients with squamous or non-squamous non-small cell lung cancer. No new safety signals were reported after ≥5 years of follow-up.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Non-Small-Cell LungClinical Trials, Phase II as TopicFemaleFollow-Up StudiesHumansImmune Checkpoint InhibitorsLung NeoplasmsMaleMiddle AgedNivolumabImmune Checkpoint InhibitorsNivolumabnivolumabnon-small cell lung cancersafetysurvival

Identifiers

PMID33020837
PMCPMC7767981
OpenAlexW3091613183

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.