Evidence map›Paper›PMID 33591635›Full record

ArticleCancer medicine2021

A real-world data of Immune checkpoint inhibitors in solid tumors from India.

Vanita Noronha, George Abraham, Vijay Patil, Amit Joshi, Nandini Menon, Abhishek Mahajan, Amit Janu, Srushti Jain, Vikas T Talreja, Akhil Kapoor and 8 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.4field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 36 citations in OpenAlex.

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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

18 authors at 1 institution in 1 country.

Vanita NoronhaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
George AbrahamDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.ORCID 0000-0001-9425-1262
Vijay PatilDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Amit JoshiDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Nandini MenonDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.ORCID 0000-0002-4214-5799
Abhishek MahajanDepartment of Radiodiagnosis, Tata Memorial Hospital, Mumbai, India.
Amit JanuDepartment of Radiodiagnosis, Tata Memorial Hospital, Mumbai, India.
Srushti JainDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Vikas T TalrejaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Akhil KapoorDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Gunjesh Kumar SinghDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Satvik KhaddarDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Kushal GuptaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Narmadha RathinasamyDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Sujay SrinivasDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Amit AgrawalDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Pradeep VentrapatiDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Kumar PrabhashDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Tata Memorial Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCheckpoint inhibitors (Nivolumab and Pembrolizumab) are approved for multiple indications in solid tumors. However access to these therapies is limited in low and middle income countries. Hence we performed an audit to identify accessibility, adverse event rates, compliance, progression free survival and overall survival in solid tumors.

methodsThis was a single center retrospective analysis of prospective data base of patients with non-melanoma solid tumors who were treated with immunotherapy from August 2015 to November 2018. Adverse events during immunotherapy were documented and graded using CTCAE (Common terminology criteria for adverse events), v. 4.02. The response rates to immunotherapy, toxicities and the time to onset and resolution of toxicities were also evaluated as secondary endpoints.

resultsOut of 9610 patients, only 155 patients (1.61%) could receive immunotherapy. The most common malignancies included metastatic non-small cell lung cancer, metastatic renal cell carcinoma, metastatic urothelial carcinoma and relapsed/recurrent head and neck squamous cell carcinoma. Median overall survival in patients who received immunotherapy in non-melanoma solid malignancies was 5.37 months (95% CI, 3.73-9.73). Poor performance status at baseline was the only adverse prognostic factor. The median progression free survival was 2.57 months (95% CI, 1.73-3.83). Immunotherapy was well tolerated with most common side effects being fatigue 14.8% and anorexia 5.8%. The cumulative incidence of immune related adverse events like hepatitis, pneumonitis, colitis and nephritis was less than 10%.

conclusionReal-world data in Indian setting confirms the benefit of immunotherapy in patients with advanced non-melanoma solid tumors.

Indexed as

AdultAgedAged, 80 and overAnorexiaAntibodies, Monoclonal, HumanizedCarcinoma, Non-Small-Cell LungCarcinoma, Renal CellFatigueFemaleHead and Neck NeoplasmsHumansImmune Checkpoint InhibitorsImmunotherapy, AdoptiveIndiaKidney NeoplasmsLung NeoplasmsAntibodies, Monoclonal, HumanizedImmune Checkpoint InhibitorsNivolumabpembrolizumabcheckpoint inhibitorsCPIhepatitisImmunotherapyIndiairAENivolumabPembrolizumabpneumonitis

Identifiers

PMID33591635
PMCPMC7940210
OpenAlexW3132444966

What OpenQuestion holds

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LicenceCC BY
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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.