Evidence map›Paper›PMID 33403011›Full record

ArticleTherapeutic advances in medical oncology2020

Nivolumab treatment in advanced non-small cell lung cancer: real-world long-term outcomes within overall and special populations (the UNIVOC study).

Jean-Baptiste Assié, Romain Corre, Matteo Giaj Levra, Christophe Yannick Calvet, Anne-Françoise Gaudin, Valentine Grumberg, Baptiste Jouaneton, François-Emery Cotté, Christos Chouaïd

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Article
  4. Review
  5. Impact of Early Access Reform on Oncology Innovation in France: Approvals, Patients, and Costs.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Immunotherapy in NSCLC Patients with Brain Metastases.International journal of molecular sciences · 2022
    Review
  11. Observational
  12. Article
  13. Review
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

9 authors at 5 institutions in 2 countries.

Jean-Baptiste AssiéService de Pneumologie, CHI Créteil, UPEC, Créteil, France.
Romain CorreService de Pneumologie, Centre Hospitalier Intercommunal de Quimper, Quimper, France.
Matteo Giaj LevraThoracic Oncology Unit, Centre Hospitalier Universitaire Grenoble Alpes (CHUGA), Grenoble, France.
Christophe Yannick CalvetBristol Myers Squibb France, Rueil-Malmaison, France.
Anne-Françoise GaudinBristol Myers Squibb France, Rueil-Malmaison, France.
Valentine GrumbergPharmacy Faculty Université Grenoble Alpes, Grenoble, France.
Baptiste JouanetonHEVA, Lyon, France.
François-Emery CottéBristol Myers Squibb, Rueil-Malmaison, France.
Christos ChouaïdService de Pneumologie, CHI Créteil, UPEC, Créteil, France.ORCID https://orcid.org/0000-0002-4290-5524
Bristol-Myers Squibb (United States) · USInserm · FRCentre Hospitalier de Cornouaille · FRCentre National de la Recherche Scientifique · FRUniversité Grenoble Alpes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe long-term outcomes of patients treated with nivolumab for advanced non-small cell lung cancer (aNSCLC) in everyday clinical practice in France, with a focus on patients aged ⩾80 years, patients with renal impairment and patients with brain metastases.

methodsThe study included all patients with aNSCLC recorded in the French national hospital database, starting nivolumab in 2015-2016 and followed until December 2018. Patients were stratified by age, the presence of renal impairment and brain metastasis, as documented in the hospital discharge summaries. Information was retrieved on demographics, comorbidities and treatment history at baseline. Time to discontinuation of nivolumab treatment and overall survival were estimated using Kaplan-Meier survival analysis.

resultsOverall, 10,452 patients were included, of whom 514 were octogenarians, 479 had renal impairment and 1800 had brain metastases at baseline. Median duration of nivolumab treatment was 2.8 months in the overall population and in both the octogenarian and renally impaired subgroups, and 2.3 months in patients with brain metastases. Median overall survival in these patient groups was 11.7 months (95% confidence interval: 11.3-12.2), 11.7 months (11.3-12.1), 11.7 months (11.3-12.2) and 9.9 months (9.0-10.9) respectively. Three-year overall survival rates were 19.1% (18.1-20.2) in the overall population, 16.5% (11.6-23.4) in octogenarians, 15.9% (11.8-21.4) in patients with renal impairment and 21.7% (19.4-24.2) in those with brain metastases.

conclusionThis large nationwide retrospective real-life cohort provided narrow estimates of long-term overall survival, which reached 19% at 3 years, consistent with data from phase III trials of nivolumab. Survival rates were comparable in the three special populations of interest and the overall population.

Indexed as

brain metastaseselderlyimmunotherapynivolumabnon-small cell lung cancerrenal impairmentSNDS

Identifiers

PMID33403011
PMCPMC7745546
OpenAlexW3095628655

What OpenQuestion holds

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Registered trials

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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.