Evidence map›Paper›PMID 34064720›Full record

ArticleCancers2021

Longitudinal Evaluation of PD-L1 Expression on Circulating Tumor Cells in Non-Small Cell Lung Cancer Patients Treated with Nivolumab.

Mio Ikeda, Yasuhiro Koh, Shunsuke Teraoka, Koichi Sato, Jun Oyanagi, Atsushi Hayata, Nahomi Tokudome, Hiroaki Akamatsu, Yuichi Ozawa, Katsuya Endo and 4 more

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Towards liquid biopsy-based analysis of antitumour immunity.Nature reviews. Clinical oncology · 2026
    Review
  5. From Tumour to Bloodstream: Advancing PD-L1 Testing With Liquid Biopsies in Non-Small Cell Lung Cancer.Cytopathology : official journal of the British Society for Clinical Cytology · 2026
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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

14 authors.

Mio IkedaInternal Medicine III, Wakayama Medical University, Wakayama 641-8509, Japan.
Yasuhiro KohInternal Medicine III, Wakayama Medical University, Wakayama 641-8509, Japan.ORCID 0000-0002-8758-8980
Shunsuke TeraokaInternal Medicine III, Wakayama Medical University, Wakayama 641-8509, Japan.
Koichi SatoInternal Medicine III, Wakayama Medical University, Wakayama 641-8509, Japan.
Jun OyanagiInternal Medicine III, Wakayama Medical University, Wakayama 641-8509, Japan.
Atsushi HayataInternal Medicine III, Wakayama Medical University, Wakayama 641-8509, Japan.
Nahomi TokudomeInternal Medicine III, Wakayama Medical University, Wakayama 641-8509, Japan.
Hiroaki AkamatsuInternal Medicine III, Wakayama Medical University, Wakayama 641-8509, Japan.
Yuichi OzawaInternal Medicine III, Wakayama Medical University, Wakayama 641-8509, Japan.ORCID 0000-0003-3798-3488
Katsuya EndoMedical Business Sector, Hitachi Chemical Co., Ltd., Chikusei 308-0861, Japan.
Masayuki HiguchiMedical Business Sector, Hitachi Chemical Co., Ltd., Chikusei 308-0861, Japan.
Masanori NakanishiInternal Medicine III, Wakayama Medical University, Wakayama 641-8509, Japan.
Hiroki UedaInternal Medicine III, Wakayama Medical University, Wakayama 641-8509, Japan.
Nobuyuki YamamotoInternal Medicine III, Wakayama Medical University, Wakayama 641-8509, Japan.ORCID 0000-0002-7342-0853

Funding

the Japan Agency for Medical Research and Development, AMED 15cm0106130h0002the Japan Agency for Medical Research and Development, AMED 16cm0106418h0001
6 · The paper itself

Abstract

Although programmed death-ligand 1 (PD-L1) expression on tumor tissue is a validated predictive biomarker for a PD-1 pathway blockade in non-small cell lung cancer (NSCLC), longitudinal changes in its expression during treatment remains elusive. Circulating tumor cells (CTCs) are assumed to reflect the transition of characteristics of the primary tumor undergoing anticancer treatment. Here, we sequentially evaluated the PD-L1 expression on CTCs in NSCLC patients treated with nivolumab. Forty-five patients were enrolled, and CTCs were enriched from 3 mL of peripheral blood using a microcavity array system at baseline and weeks 4, 8, 12, and 24 or until progressive disease. The effective responses to therapy were compared between patients without progressive disease (PD) at week 8 (i.e., non-PD patients) and in those with PD between weeks 4 and 8 (PD patients) in terms of increased vs. decreased or equal CTC status at week 8 (for non-PD patients) or at the point of PD (for PD patients) compared to the baseline. Significantly more non-PD patients were classified as decreased or equal in number and proportion to PD-L1-positive CTCs among the detected CTCs (PD-L1 positivity rates) (

Indexed as

circulating tumor cellsliquid biopsylung cancernivolumabPD-L1

Identifiers

PMID34064720
PMCPMC8150706

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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.