Evidence map›Paper›PMID 34532362›Full record

ArticleAnnals of translational medicine2021

Survival benefit of immune checkpoint inhibitor monotherapy in patients with non-small cell lung cancer recurrence after completely pulmonary resection.

Hiroaki Kuroda, Yusuke Takahashi, Suguru Shirai, Hirotomo Takahara, Takeo Nakada, Noriaki Sakakura, Hirokazu Matsushita

Abstract read
In one paragraph

Article in Annals of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

7 authors.

Hiroaki KurodaDepartment of Thoracic Surgery, Aichi Cancer Center Hospital, Nagoya, Japan.
Yusuke TakahashiDepartment of Thoracic Surgery, Aichi Cancer Center Hospital, Nagoya, Japan.
Suguru ShiraiDepartment of Thoracic Surgery, Aichi Cancer Center Hospital, Nagoya, Japan.
Hirotomo TakaharaDepartment of Thoracic Surgery, Aichi Cancer Center Hospital, Nagoya, Japan.
Takeo NakadaDepartment of Thoracic Surgery, Aichi Cancer Center Hospital, Nagoya, Japan.
Noriaki SakakuraDepartment of Thoracic Surgery, Aichi Cancer Center Hospital, Nagoya, Japan.
Hirokazu MatsushitaDivision of Translational Oncoimmunology, Aichi Cancer Research Institute, Nagoya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelected patients in non-small cell lung cancer (NSCLC) responded to the treatment of immune checkpoint inhibitors (ICIs) have the survival benefit for advanced stages or metastatic status.

methodsWe investigated whether a response to ICI monotherapy since 2016 influences the survival of NSCLC patients with recurrence after completely pulmonary resection between 2009 and 2017. Disease control rate (DCR) was calculated as complete plus partial response plus stable disease during more than 6 months.

resultsThirty-five patients (mean age 67 years, range 46-79 years, 60% male) were included in the study. The most frequent histology and pathological stage were adenocarcinoma (60%) and IIB (45.7%), respectively. ICI was used at a median of second-line treatment. The DCR and median progression-free survival were 42.8% and 2.5 (95% CI: 1.6-3.4) months, respectively. The therapeutic outcome from recurrence was 47.5%. Multivariate analysis revealed a significant impact of DCR on favorable therapeutic outcome (P=0.04). A serial increase (pre- to post-surgery to ICI initiation) of C-reactive protein (CRP) and prognostic nutritional index (PNI) was associated with treatment response (both P=0.01).

conclusionsThese results suggest that a response to ICI monotherapy significantly contributes to a survival benefit regardless of therapeutic lines in NSCLC patients with recurrence after completely pulmonary resection, and the therapeutic response is strongly associated with a serial increase in CRP or decrease in prognostic nutritional index.

Indexed as

C-reactive protein (CRP)Immune checkpoint inhibitor (ICI)non-small cell lung cancer (NSCLC)prognostic nutritional index

Identifiers

PMID34532362
PMCPMC8421933

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.