Evidence map›Paper›PMID 34307144›Full record

ReviewFrontiers in oncology2021

A Network Meta-Analysis of Cancer Immunotherapies

Roy Herbst, Jacek Jassem, Seye Abogunrin, Daniel James, Rachael McCool, Rossella Belleli, Giuseppe Giaccone, Filippo De Marinis

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
1.9field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  14. Cancers · 2022
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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

8 authors at 6 institutions in 5 countries.

Roy HerbstYale Comprehensive Cancer Center, Yale School of Medicine, New Haven, CT, United States.
Jacek JassemDept. of Oncology and Radiotherapy, Medical University of Gdańsk, Gdańsk, Poland.
Seye AbogunrinAccess Centre of Excellence, Global Access, F. Hoffmann-La Roche, Basel, Switzerland.
Daniel JamesQuantics Biostatistics, Edinburgh, United Kingdom.
Rachael McCoolYork Health Economics Consortium Ltd, University of York, York, United Kingdom.
Rossella BelleliAccess Centre of Excellence, Global Access, F. Hoffmann-La Roche, Basel, Switzerland.
Giuseppe GiacconeSandra and Edward Meyer Cancer Center, Weill-Cornell Medicine, New York, NY, United States.
Filippo De MarinisDivision of Thoracic Oncology, European Institute of Oncology, Milan, Italy.
Roche (Switzerland) · CHCornell University · USEuropean Institute of Oncology · ITGdańsk Medical University · PLUniversity of York · GBYale Cancer Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

In the absence of head-to-head trials of first-line treatments for metastatic non-small cell lung cancer (NSCLC), synthesis of available evidence is needed. We conducted a systematic literature review and network meta-analysis of randomized controlled trials in patients with stage IV NSCLC and high programmed death-ligand 1 (PD-L1) expression. Patients with other-stage NSCLC or without PD-L1 expression and populations with < 80% stage IV NSCLC were excluded. Outcomes included overall survival (OS), progression-free survival (PFS), objective response rate (ORR), and treatment-related adverse events. English records from MEDLINE and Embase published through October 2020 were eligible, supplemented by hand searches of other sources. Three evidence networks were constructed based on histology (mixed, squamous, non-squamous). OS and PFS results were analyzed applying Bayesian fractional polynomial random-effects models. Hazard ratios over time with 95% credible intervals (CrIs) and expected differences in OS and PFS between each cancer immunotherapy regimen and the chemotherapy common comparator were generated. Seventeen clinical trials were included after screening 32,527 records. Heterogeneity and risk of bias were generally low across trials. In the mixed-histology network of PD-L1-high patients, expected OS was significantly longer with atezolizumab (estimated difference: 10.4 months [95% CrI: 1.9, 18.2]), pembrolizumab (7.2 [2.2, 12.3]), and cemiplimab (13.0 [4.2, 21.0])

Indexed as

atezolizumabimmunotherapyipilimumabmeta-analysisnivolumabnon-small cell lung cancerpembrolizumab

Identifiers

PMID34307144
PMCPMC8300186
OpenAlexW3180472136

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.