Evidence map›Paper›PMID 33101774›Full record

ArticleOncoimmunology2020

Association of baseline systemic corticosteroid use with overall survival and time to next treatment in patients receiving immune checkpoint inhibitor therapy in real-world US oncology practice for advanced non-small cell lung cancer, melanoma, or urothelial carcinoma.

Alexandra Drakaki, Preet K Dhillon, Heather Wakelee, Stephen Y Chui, Jinjoo Shim, Matthew Kent, Viraj Degaonkar, Tien Hoang, Virginia McNally, Patricia Luhn 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 46 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 5 pooled it
2.8field-weighted citation impact, top 7% 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

46 citing papers in PubMed, 5 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Clinical Outcomes of Immunosuppressant Drugs in Patients Treated with Immune Checkpoint Inhibitors: A Systematic Review and Meta-Analysis.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
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  17. Corticosteroids in lung cancer.Frontiers in drug safety and regulation · 2025
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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 6 institutions in 5 countries.

Alexandra DrakakiDivision of Hematology/Oncology, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Preet K DhillonPersonalized Healthcare, Product Developmen, Genentech, Inc, South San Francisco, CA, USA.
Heather WakeleeThoracic Oncology, Stanford Medical School, Stanford, CA, USA.
Stephen Y ChuiProduct Development Oncology, Genentech, Inc, South San Francisco, CA, USA.
Jinjoo ShimPersonalized Healthcare, Product Development, F. Hoffmann-La Roche Ltd, Basel, Switzerland.
Matthew KentReal World Evidence Solutions, Genesis Research, Hoboken, NJ, USA.
Viraj DegaonkarProduct Development Oncology, Genentech, Inc, South San Francisco, CA, USA.
Tien HoangProduct Development Oncology, Genentech, Inc, South San Francisco, CA, USA.
Virginia McNallyClinical Development, Roche Products Ltd, Welwyn Garden City, UK.
Patricia LuhnPersonalized Healthcare, Product Developmen, Genentech, Inc, South San Francisco, CA, USA.
Ralf GutzmerClinic for Dermatology, Allergology und Venerology, Hannover Medical School, Hannover, Germany.
Genesis Research Institute · JPMedizinische Hochschule Hannover · DERoche (Switzerland) · CHRoche (United Kingdom) · GBStanford Medicine · USUniversity of California System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (CPIs) have expanded treatment options for patients with solid tumors. Systemic corticosteroids (CSs) have an indispensable role in cancer care, but CS-related immunosuppression may counteract the CPI-driven antitumor immune response. This retrospective study investigated the association between baseline CS use (bCS; ≤14 days before, ≤30 days after CPI initiation) and clinical outcomes in patients with advanced non-small cell lung cancer (aNSCLC), melanoma (aMel), or urothelial carcinoma (aUC). We analyzed data from the Flatiron Health electronic health record-derived de-identified database for adults diagnosed with aNSCLC, aMel, or aUC between January 2011 and June 2017 who received ≥1 CPI monotherapy in any treatment line. Associations of bCS use with overall survival (OS) and time to next treatment (TTNT) were estimated using multivariable Cox proportional hazards models adjusting for demographic and clinical characteristics (i.e., ECOG performance status, site of metastases). In total, 2,213 patients were diagnosed with aNSCLC (n = 862), aMel (n = 742), or aUC (n = 609) and received ≥1 CPI administration. Most patients (67%-95%) received CSs, many during the baseline period (19%-30%). Patients with bCS use had shorter median OS than those with no bCS use for aNSCLC (6.6 vs 10.6 months;

Indexed as

Carcinoma, Non-Small-Cell LungCarcinoma, Transitional CellLung NeoplasmsMelanomaUrinary Bladder NeoplasmsAdrenal Cortex HormonesAdultHumansImmune Checkpoint InhibitorsRetrospective StudiesAdrenal Cortex HormonesImmune Checkpoint InhibitorsCheckpoint inhibitorscorticosteroidsmelanomanon-small cell lung cancerurothelial cancer

Identifiers

PMID33101774
PMCPMC7553559
OpenAlexW3092023433

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.