Evidence map›Paper›PMID 34376534›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2021

Pretreatment Tissue TCR Repertoire Evenness Is Associated with Complete Pathologic Response in Patients with NSCLC Receiving Neoadjuvant Chemoimmunotherapy.

Marta Casarrubios, Alberto Cruz-Bermúdez, Ernest Nadal, Amelia Insa, María Del Rosario García Campelo, Martín Lázaro, Manuel Dómine, Margarita Majem, Delvys Rodríguez-Abreu, Alex Martínez-Martí and 20 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03081689 (Neo - Adjuvant Chemo / Immunotherapy for the Treatment of Resectable Stage IIIA Non Small Cell Lung Cancer), which is not on this map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 4% 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.

NCT03081689 phase2completednot on this map

Neo - Adjuvant Chemo / Immunotherapy for the Treatment of Resectable Stage IIIA Non Small Cell Lung Cancer (NSCLC): A Phase II Multicenter Exploratory Study

TypeinterventionalSponsorSpanish Lung Cancer GroupRan2017 to 2023Enrolled46ConditionsNon Small Cell Lung CancerArmsNivolumab 360 mg, Paclitaxel 200mg/m2, Carboplatin AUC 6
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Decoding B-cell Signatures of Complete Pathologic Response to Perioperative Chemoimmunotherapy in Non-Small Cell Lung Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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  9. Image-based PD-L1 scoring and tumor-infiltrating lymphocytes as predictors for the response to neoadjuvant chemoimmunotherapy in non-small cell lung cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  20. QuantitativeEuropean journal of nuclear medicine and molecular imaging · 2025
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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

30 authors at 19 institutions in 2 countries.

Marta Casarrubios *Servicio de Oncología Médica, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.ORCID 0000-0002-2872-9552
Alberto Cruz-Bermúdez *Servicio de Oncología Médica, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain. alberto.cruz.bermudez@gmail.com mprovenciop@gmail.com.ORCID 0000-0001-5136-7011
Ernest NadalInstitut Català d'Oncologia, L'Hospitalet de Llobregat, L'Hospitalet De Llobregat, Barcelona, Spain.ORCID 0000-0002-9674-5554
Amelia InsaFundación INCLIVA, Hospital Clínico Universitario de Valencia, Valencia, Spain.ORCID 0000-0002-3438-6170
María Del Rosario García CampeloHospital Universitario A Coruña, A Coruña, Spain.
Martín LázaroHospital Universitario de Vigo, Pontevedra, Spain.ORCID 0000-0002-0657-4713
Manuel DómineHospital Universitario Fundación Jiménez Díaz, Madrid, Spain.ORCID 0000-0002-1128-434X
Margarita MajemHospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Delvys Rodríguez-AbreuHospital Insular de Gran Canaria, Las Palmas, Spain.
Alex Martínez-MartíHospital Universitario e Instituto de Oncología Vall d'Hebron (VHIO), Barcelona, Spain.ORCID 0000-0002-6714-9526
Javier de Castro-CarpeñoHospital Universitario La Paz, Madrid, Spain.ORCID 0000-0002-3622-6306
Manuel CoboHospital Universitario Regional de Málaga, Málaga, Spain.ORCID 0000-0003-3402-1144
Guillermo López-VivancoHospital Universitario Cruces, Barakaldo, Spain.ORCID 0000-0003-3800-6224
Edel Del BarcoHospital Universitario de Salamanca, Salamanca, Spain.ORCID 0000-0001-6443-0585
Reyes Bernabé CaroHospital Universitario Virgen del Rocio, Sevilla, Spain.
Nuria ViñolasHospital Clínic, Barcelona, Spain.
Isidoro Barneto ArandaHospital Universitario Reina Sofia, Córdoba, Spain.
Santiago ViteriInstituto Oncológico Dr. Rosell. Hospital Universitario Quiron Dexeus, Grupo QuironSalud, Barcelona, Spain.ORCID 0000-0002-7572-1123
Bartomeu MassutiHospital General de Alicante, Alicante, Spain.
Miguel BarquínServicio de Oncología Médica, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.
Raquel Laza-BriviescaServicio de Oncología Médica, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.
Belén Sierra-RoderoServicio de Oncología Médica, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.ORCID 0000-0003-0276-6088
Edwin R ParraDepartment of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-9068-1636
Beatriz Sanchez-EspiridionDepartment of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Pedro RochaDepartment of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Humam KadaraDepartment of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Ignacio I WistubaDepartment of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Atocha RomeroServicio de Oncología Médica, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.ORCID 0000-0002-1634-7397
Virginia CalvoServicio de Oncología Médica, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.ORCID 0000-0002-3503-4847
Mariano ProvencioServicio de Oncología Médica, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain. alberto.cruz.bermudez@gmail.com mprovenciop@gmail.com.
Hospital Universitario Puerta de Hierro Majadahonda · ESThe University of Texas MD Anderson Cancer Center · USAjuntament de L’Hospitalet · ESComplejo Hospitalario de Salamanca · ESHospital Clínic de Barcelona · ESHospital Clínico Universitario de Valencia · ESHospital de Cruces · ESHospital de Sant Pau · ESHospital General Universitario de Alicante Doctor Balmis · ESHospital Regional Universitario de Málaga · ESHospital Universitario Fundación Jiménez Díaz · ESHospital Universitario Insular de Gran Canaria · ESHospital Universitario La Paz · ESHospital Universitario Reina Sofía · ESHospital Universitario Virgen del Rocío · ESInstituto Oncológico Dr. Rosell · ESUniversidade da Coruña · ESUniversity Hospital Complex Of Vigo · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCharacterization of the T-cell receptor (TCR) repertoire may be a promising source for predictive biomarkers of pathologic response to immunotherapy in locally advanced non-small cell lung cancer (NSCLC). EXPERIMENTAL

designIn this study, next-generation TCR sequencing was performed in peripheral blood and tissue samples of 40 patients with NSCLC, before and after neoadjuvant chemoimmunotherapy (NADIM clinical trial, NCT03081689), considering their complete pathologic response (CPR) or non-CPR. Beyond TCR metrics, tissue clones were ranked by their frequency and spatiotemporal evolution of top 1% clones was determined.

resultsWe have found a positive association between an uneven TCR repertoire in tissue samples at diagnosis and CPR at surgery. Moreover, TCR most frequently ranked clones (top 1%) present in diagnostic biopsies occupied greater frequency in the total clonal space of CPR patients, achieving an AUC ROC to identify CPR patients of 0.967 (95% confidence interval, 0.897-1.000;

conclusionsWe have identified two parameters derived from TCR repertoire analysis that could outperform PD-L1 TPS and TMB as predictive biomarkers of CPR after neoadjuvant chemoimmunotherapy, and unraveled possible mechanisms of CPR involving enhanced tumor immunogenicity and peripheral immunosurveillance.

Indexed as

High-Throughput Nucleotide SequencingImmunotherapyNeoadjuvant TherapyAgedCarcinoma, Non-Small-Cell LungFemaleHumansLung NeoplasmsMaleMiddle AgedProspective StudiesReceptors, Antigen, T-CellTreatment OutcomeReceptors, Antigen, T-Cell

Identifiers

PMID34376534
PMCPMC9401519
OpenAlexW3189520376

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.