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ArticleWiener klinische Wochenschrift2021

Real-world experience with anti-PD-1/PD-L1 monotherapy in patients with non-small cell lung cancer : A retrospective Austrian multicenter study.

Sabine Geiger-Gritsch, Horst Olschewski, Florian Kocher, Robert Wurm, Gudrun Absenger, Martin Flicker, André Hermann, Peter Heininger, Michael Fiegl, Melanie Zechmeister and 3 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Wiener klinische Wochenschrift, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Observational
  6. 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

13 authors.

Sabine Geiger-GritschHTA Austria-Austrian Institute for Health Technology Assessment GmbH, Garnisongasse 7/20, 1090, Vienna, Austria. sabine.geiger-gritsch@aihta.at.ORCID http://orcid.org/0000-0001-5901-4421
Horst OlschewskiDepartment of Internal Medicine, Division of Pulmonology, Medical University Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
Florian KocherDepartment of Internal Medicine V, Hematology and Oncology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.
Robert WurmDepartment of Internal Medicine, Division of Pulmonology, Medical University Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
Gudrun AbsengerDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
Martin FlickerDepartment of Lung Diseases, Landeskrankenhaus Hochsteiermark, Vordernberger Straße 42, 8700, Leoben, Austria.
André HermannDepartment of Internal Medicine, Division of Gastroenterology, Infectiology & Pneumology, Landeskrankenhaus Graz II West, Göstinger Straße 22, 8020, Graz, Austria.
Peter HeiningerMedical Directorate, District Hospital Schwaz, Swarovskistraße 1-3, 6130, Schwaz, Austria.
Michael FieglInternal Medicine, Privatklinik Hochrum, Lärchenstraße 41, 6063, Rum, Austria.
Melanie ZechmeisterVerein DEXHELPP, Neustiftgasse 57-59, 1070, Vienna, Austria.
Florian EndelVerein DEXHELPP, Neustiftgasse 57-59, 1070, Vienna, Austria.
Claudia WildHTA Austria-Austrian Institute for Health Technology Assessment GmbH, Garnisongasse 7/20, 1090, Vienna, Austria.
Georg PallDepartment of Internal Medicine V, Hematology and Oncology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAs real-world data regarding immunotherapy for non-small cell lung cancer are lacking for Austria, we conducted a retrospective study in six hospitals to present data from real-world practice.

methodsPatients with metastatic non-small cell lung cancer were stratified into two groups, either patients with first-line pembrolizumab monotherapy (cohort 1) or patients with second-line nivolumab, pembrolizumab or atezolizumab monotherapy (cohort 2). Primary outcome measures were objective response rate and overall survival. A matched-pair analysis was performed to compare overall survival to patients from the Tyrolean Lung Cancer Project as a historical control group.

resultsIn total, 89 patients were identified, 42 patients in cohort 1 and 47 patients in cohort 2. The objective response rates were 43.3% and 31.4%, respectively. The median overall survival was 17.0 months (95% CI 11.7-21.5 months) in cohort 1 and 18.7 months (95% CI 9.5-23.4 months) in cohort 2. Treatment-related adverse events grades 3 and 4 were reported in 11.2% of patients. The matched-pair analysis showed a median overall survival of 15.2 months (95% CI 7.6-20.4 months) for first-line pembrolizumab monotherapy compared to 9.8 months (95% CI 7.8-11.6 months) for the historical control (p = 0.43). In cohort 2, a median overall survival of 20.3 months (95% CI 6.9-26.2 months) for second-line immunotherapy compared to 5.4 months (95% CI 3.2-11.7 months) for the historical control (p = 0.18) was shown.

conclusionThe results are comparable with other real-world studies and, when matched to historical controls, support the improvement in outcomes made possible by these agents.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAustriaB7-H1 AntigenHumansRetrospective StudiesB7-H1 AntigenAtezolizumabImmune checkpoint inhibitorsNivolumabNon-small cell lung cancerPembrolizumab

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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.