Evidence map›Paper›PMID 34430357›Full record

ArticleTranslational lung cancer research2021

Association of hepatitis B virus infection status with outcomes of non-small cell lung cancer patients undergoing anti-PD-1/PD-L1 therapy.

Xuanye Zhang, Dan Tian, Yue Chen, Chen Chen, Li-Na He, Yixin Zhou, Haifeng Li, Zuan Lin, Tao Chen, Yuhong Wang and 10 more

Open access · diamondAbstract read
In one paragraph

Article in Translational lung cancer research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
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 10 institutions in 6 countries.

Xuanye ZhangState Key Laboratory of Oncology in South China, Guangzhou, China.
Dan TianDepartment of Thoracic Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Yue ChenDepartments of Dermatology, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, China.
Chen ChenState Key Laboratory of Oncology in South China, Guangzhou, China.
Li-Na HeState Key Laboratory of Oncology in South China, Guangzhou, China.
Yixin ZhouState Key Laboratory of Oncology in South China, Guangzhou, China.
Haifeng LiState Key Laboratory of Oncology in South China, Guangzhou, China.
Zuan LinState Key Laboratory of Oncology in South China, Guangzhou, China.
Tao ChenState Key Laboratory of Oncology in South China, Guangzhou, China.
Yuhong WangState Key Laboratory of Oncology in South China, Guangzhou, China.
Alessandro RussoMedical Oncology Unit, A.O. Papardo, Messina, Italy.
Ernest NadalDepartment of Medical Oncology, Catalan Institute of Oncology, IDIBELL, L'Hospitalet (Barcelona), Spain.
Francesco PassigliaDepartment of Oncology, University of Turin, S. Luigi Gonzaga Hospital, Orbassano, Italy.
Ross Andrew SooDepartment of Haematology-Oncology, National University Cancer Institute Singapore, National University Health System, Singapore, Singapore.
Satoshi WatanabeDepartment of Respiratory Medicine and Infectious Diseases, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Teresa MoranMedical Oncology Department, Catalan Institute of Oncology, Hospital Universitari Germans Trias i Pujol, Badalona Applied Research Group in Oncology. Department of Medicine. Universitat Autònoma de Barcelona (UAB), Campus Can Ruti, Badalona, Spain.
In-Jae OhDepartment of Internal Medicine, Chonnam National University Medical School and Hwasun Hospital, Jeonnam, Korea.
Sha FuGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Pathology Department, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Shaodong HongState Key Laboratory of Oncology in South China, Guangzhou, China.
Li ZhangState Key Laboratory of Oncology in South China, Guangzhou, China.
Sun Yat-sen University Cancer Center · CNState Key Laboratory of Oncology in South ChinaSun Yat-sen University · CNChonnam National University Hwasun Hospital · KRGuangdong Academy of Medical Sciences · CNInstitut Català d'Oncologia · ESNational University Health System · SGNiigata University · JPSun Yat-sen Memorial Hospital · CNUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the safety and survival outcomes of anti-programmed cell death (PD)-1/programmed cell death-ligand 1 (PD-L1) monotherapy in patients with advanced non-small cell lung cancer (NSCLC) and different hepatitis B virus (HBV) infection status.

methodsPatients with advanced NSCLC and both chronic and/or resolved HBV infection who were treated with anti-PD-(L)1 monotherapy were retrospectively enrolled. The primary endpoint was the safety of PD-1/PD-L1 monotherapy, while the secondary endpoints included the survival outcomes.

resultsOf the 62 eligible patients, 10 (16.1%) were hepatitis B surface antigen (HBsAg) positive [chronic hepatitis B (CHB) infection] and 52 (83.9%) were HBsAg negative and HBcAb positive [resolved hepatitis B (RHB) infection]; 42 (67.7%) patients had at least 1 treatment-related adverse event (AE), with 4 patients (6.5%) developing grade 3 AEs and 6 (9.7%) developing hepatic AEs. One CHB patient experienced HBV reactivation during anti-PD-1 immunotherapy due to the interruption of antiviral prophylaxis. The objective response rate and durable clinical benefit (DCB) rate were 17.7% and 29.0%, respectively. Median overall survival (OS) and progression-free survival (PFS) were 23.6 months [95% confidence interval (CI): 14.4-32.8] and 2.1 months (95% CI: 1.2-3.0), respectively. The DCB rate was significantly higher in the CHB group than in the RHB group (60%

conclusionsAnti-PD-(L)1 monotherapy was safe and effective in patients with NSCLC and HBV infection. This population should not be excluded from receiving immunotherapy in routine clinical practice or within clinical trials if HBV biomarkers are monitored and antiviral prophylaxis is properly used.

Indexed as

hepatitis B virus infection (HBV infection)immunotherapyNon-small cell lung cancer (NSCLC)programmed cell death 1 (PD-1)programmed cell death-ligand 1 (PD-L1)

Identifiers

PMID34430357
PMCPMC8350074
OpenAlexW3182405385

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.