Evidence map›Paper›PMID 33144881›Full record

ArticleEcancermedicalscience2020

Metronomic oral vinorelbine in patients with advanced non-small cell lung cancer progressing after nivolumab immunotherapy: a retrospective analysis.

Vittorio Gebbia, Marco Maria Aiello, Giuseppe Banna, Giusi Blanco, Livio Blasi, Nicolò Borsellino, Dario Giuffrida, Mario Lo Mauro, Gianfranco Mancuso, Dario Piazza and 5 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Ecancermedicalscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

15 authors at 7 institutions in 1 country.

Vittorio GebbiaMedical Oncology Unit, La Maddalena Clinic for Cancer Medical Oncology, Palermo 90100, Italy.
Marco Maria AielloPoliclinico-Vittorio Emanuele, Università di Catania, Catania 95100, Italy.
Giuseppe BannaMedical Oncology Unit, Ospedale Cannizzaro, Catania 95100, Italy.
Giusi BlancoMedical Oncology Unit, IOM, Catania 95100, Italy.
Livio BlasiMedical Oncology Unit, ARNAS Civico, Palermo 90100, Italy.
Nicolò BorsellinoMedical Oncology Unit, Ospedale Buccheri La Ferla, Palermo 90100, Italy.
Dario GiuffridaMedical Oncology Unit, IOM, Catania 95100, Italy.
Mario Lo MauroMedical Oncology Unit, Ospedale Buccheri La Ferla, Palermo 90100, Italy.
Gianfranco MancusoMedical Oncology Unit, La Maddalena Clinic for Cancer Medical Oncology, Palermo 90100, Italy.
Dario PiazzaFondazione GSTU, Palermo 90100, Italy.
Giuseppina SavioMedical Oncology Unit, ARNAS Civico, Palermo 90100, Italy.
Hector Soto ParraPoliclinico-Vittorio Emanuele, Università di Catania, Catania 95100, Italy.
Maria Rosaria ValerioMedical Oncology Unit, AOUP P. Giaccone, Palermo 90100, Italy.
Francesco VerderameMedical Oncology Unit, Ospedale Cervello/Villa Sofia, Palermo 90100, Italy.
Paolo VigneriMedical Oncology Unit, La Maddalena Clinic for Cancer Medical Oncology, Palermo 90100, Italy.
Azienda Ospedaliero-Universitaria Policlinico - Vittorio Emanuele · ITLa Maddalena · ITOspedale Buccheri la Ferla Fatebenefratelli · ITAzienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo · ITOspedale Cannizzaro · ITOspedale Vincenzo Cervello · ITUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe availability of immune checkpoint inhibitors has deeply changed the therapeutic scenario of patients with advanced non-small cell lung cancer (NSCLC). Up until now, chemotherapy still represents the first-line treatment for patients with advanced NSCLC not harbouring genetic mutations or lacking high expression of programmed death ligand even if the addition of immunotherapy to first-line chemotherapy has recently been shown to improve clinical outcome. We carried out a multi-institutional retrospective analysis on third-line chemotherapy with metronomic oral vinorelbine (VNR) in a series of patients with metastatic NSCLC pre-treated with first-line chemotherapy and second-line immunotherapy. PATIENTS AND

methodsThirty patients with metastatic NSCLC with progressive disease after first-line chemotherapy and subsequent immunotherapy were treated with metronomic oral VNR continuously at the fixed dose of 30 mg three times per week.

resultsA partial response was achieved in 4 patients (13.3%), while 10 patients (33.3%) displayed disease stabilisation for an overall disease control rate of 46.7%. Median progression-free survival was 3.9 months (range 1-13 months) and median OS reached 8.1 months (range 4.0-24.0+ months) with a 12-month survival rate of 22%.

conclusionOral metronomic VNR appears to be active and safe in patients with metastatic NSCLC in progression after first-line chemotherapy and second-line immunotherapy. The results reported, although from a limited sample, may suggest its use for long-term stabilisation of the disease with good patient compliance.

Indexed as

metronomic therapynivolumabnon-small cell lung canceroral vinorelbine

Identifiers

PMID33144881
PMCPMC7581333
OpenAlexW3090664821

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.