Evidence map›Paper›PMID 33439693›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2021

Updated Overall Survival and PD-L1 Subgroup Analysis of Patients With Extensive-Stage Small-Cell Lung Cancer Treated With Atezolizumab, Carboplatin, and Etoposide (IMpower133).

Stephen V Liu, Martin Reck, Aaron S Mansfield, Tony Mok, Arnaud Scherpereel, Niels Reinmuth, Marina Chiara Garassino, Javier De Castro Carpeno, Raffaele Califano, Makoto Nishio and 10 more

3 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 573 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
573citing papers in PubMed, 4 pooled it
47.4field-weighted citation impact, top 1% 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.

NCT02763579 phase3completednot on this map

A Phase I/III, Randomized, Double-Blind, Placebo-Controlled Study of Carboplatin Plus Etoposide With or Without Atezolizumab (Anti-PD-L1 Antibody) in Patients With Untreated Extensive-Stage Small Cell Lung Cancer

TypeinterventionalSponsorHoffmann-La RocheRan2016 to 2022Enrolled503ConditionsSmall Cell Lung CarcinomaArmsAtezolizumab (MPDL3280A), an engineered anti-PD-L1 antibody, Carboplatin, Etoposide, Placebo
NCT05703997 phase2not yet recruitingnot on this mapstarted 2023, after this paper: background citation

FASTing-like Approach to Improve the Efficacy of Maintenance IMMunotherapy in Extensive-stage Small Cell Lung Cancer Patients Not Progressing on Chemoimmunotherapy Induction: the FASTIMMUNE Trial

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2023 to 2029Enrolled20ConditionsSmall Cell Lung CarcinomaArmsCyclic, 5-day calorie restriction, Atezolizumab
NCT06663098 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Continued PD-L1 Inhibition With Atezolizumab With Rechallenge Chemotherapy in Patients With Sensitive Relapse SCLC Progressing on First-line Platinum-etoposide Chemotherapy and a PD-L1 Inhibitor: CARRY-ON Study-GOIRC-01-2023

TypeinterventionalSponsorGruppo Oncologico Italiano di Ricerca ClinicaRan2025 to 2029Enrolled142ConditionsExtensive Stage Small Cell Lung Cancer (ES-SCLC)ArmsAtezolizumab, Carboplatin, Etoposide
3 · Its place in the literature

Who cites it

573 citing papers in PubMed, 4 syntheses or guidelines pooled it, 778 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article

513 more citing papers are in PubMed but not listed here.

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

20 authors at 9 institutions in 13 countries.

Stephen V LiuLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC.ORCID 0000-0002-4852-3914
Martin ReckLung Clinic Grosshansdorf, Airway Research Center North, German Center of Lung Research, Grosshansdorf, Germany.ORCID 0000-0002-5336-9739
Aaron S MansfieldDivision of Medical Oncology, Mayo Clinic, Rochester, MN.ORCID 0000-0002-9483-6903
Tony MokState Key Laboratory of Translational Oncology, The Chinese University of Hong Kong, Hong Kong, PR China.
Arnaud ScherpereelUniversity of Lille, CHU Lille, Inserm, Lille, France.ORCID 0000-0002-7607-1863
Niels ReinmuthThoracic Oncology, Asklepios Clinics Munich-Gauting, Gauting, Germany.
Marina Chiara GarassinoThoracic Oncology Unit, Instituto Nazionale dei Tumori, Milan, Italy.
Javier De Castro CarpenoHospital Universitario La Paz, IDIPAZ, Madrid, Spain.ORCID 0000-0002-3622-6306
Raffaele CalifanoDepartment of Medical Oncology, Christie NHS Foundation Trust, Manchester, UK Division of Cancer Sciences, University of Manchester, Manchester, UK.
Makoto NishioThe Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.ORCID 0000-0003-4969-4165
Francisco OrlandiInstituto Nacional del Tórax, Prosalud Oncología, Santiago, Chile.
Jorge Alatorre-AlexanderHealth Pharma Professional Research, Mexico City, Mexico.
Ticiana LealUniversity of Wisconsin Carbone Cancer Center, Madison, WI.ORCID 0000-0002-3735-9063
Ying ChengJilin Cancer Hospital, Jilin, China.ORCID 0000-0001-9908-597X
Jong-Seok LeeSeoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Sivuonthanh LamGenentech, Inc., South San Francisco, CA.
Mark McClelandGenentech, Inc., South San Francisco, CA.
Yu DengGenentech, Inc., South San Francisco, CA.
See PhanGenentech, Inc., South San Francisco, CA.
Leora HornVanderbilt University Medical Center, Nashville, TN.ORCID 0000-0003-2070-2547
Bayer (United States) · USFondazione IRCCS Istituto Nazionale dei Tumori · ITInstituto Nacional del Tórax · CLJilin Province Tumor Hospital · CNSeoul National University Bundang Hospital · KRThe Cancer Institute Hospital · JPUniversity of Manchester · GBUniversity of Wisconsin Carbone Cancer Center · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIMpower133 (ClinicalTrials.gov identifier: NCT02763579), a randomized, double-blind, phase I/III study, demonstrated that adding atezolizumab (anti-programmed death-ligand 1 [PD-L1]) to carboplatin plus etoposide (CP/ET) for first-line (1L) treatment of extensive-stage small-cell lung cancer (ES-SCLC) resulted in significant improvement in overall survival (OS) and progression-free survival (PFS) versus placebo plus CP/ET. Updated OS, disease progression patterns, safety, and exploratory biomarkers (PD-L1, blood-based tumor mutational burden [bTMB]) are reported. PATIENTS AND

methodsPatients with untreated ES-SCLC were randomly assigned 1:1 to receive four 21-day cycles of CP (area under the curve 5 mg per mL/min intravenously [IV], day 1) plus ET (100 mg/m

resultsPatients received atezolizumab plus CP/ET (n = 201) or placebo plus CP/ET (n = 202). At the updated analysis, median follow-up for OS was 22.9 months; 302 deaths had occurred. Median OS was 12.3 and 10.3 months with atezolizumab plus CP/ET and placebo plus CP/ET, respectively (hazard ratio, 0.76; 95% CI, 0.60 to 0.95; descriptive

conclusionAdding atezolizumab to CP/ET as 1L treatment for ES-SCLC continued to demonstrate improved OS and a tolerable safety profile at the updated analysis, confirming the regimen as a new standard of care. Exploratory analyses demonstrated treatment benefit independent of biomarker status.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsB7-H1 AntigenCarboplatinDisease ProgressionDouble-Blind MethodEtoposideFemaleHumansLung NeoplasmsMaleMiddle AgedNeoplasm StagingSmall Cell Lung CarcinomaSurvival AnalysisAntibodies, Monoclonal, HumanizedatezolizumabB7-H1 AntigenCarboplatinCD274 protein, humanEtoposide

Identifiers

PMID33439693
PMCPMC8078320
OpenAlexW3118711697

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.