Evidence map›Paper›PMID 34589918›Full record

ArticleJTO clinical and research reports2020

Development and Validation of a Simplified Prognostic Score in SCLC.

Elodie Negre, Amandine Coffy, Alexandra Langlais, Jean-Pierre Daures, Armelle Lavole, Elisabeth Quoix, Olivier Molinier, Laurent Greillier, Clarisse Audigier-Valette, Denis Moro-Sibilot and 4 more

2 registry-linked trialsAbstract read
In one paragraph

Article in JTO clinical and research reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this 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.

NCT00930891 phase2 / phase3completednot on this map

Randomized Phase II-III Study of Bevacizumab 7,5 mg/kg in Combination With Chemotherapy Versus Chemotherapy in Extensive-Disease Small-Cell Lung Cancer After Response to Chemotherapy : PCDE (cisPlatin - Cyclophosphamide - epiDoxorubicin - Etoposide) or PE (cisPlatin - Etoposide)

TypeinterventionalSponsorIntergroupe Francophone de Cancerologie ThoraciqueRan2009 to 2013Enrolled143ConditionsSmall Cell Lung CancerArmsStandard Chemotherapy (PCDE or PE), Experimental Treatment (PCDE or PE + bevacizumab), Prerandomization Chemotherapy (PCDE or PE)
NCT03059667 phase2completednot on this map

A Randomized Non-comparative Phase II Study of Anti-PDL1 ATEZOLIZUMAB (MPDL3280A) or Chemotherapy as Second-line Therapy in Patients With Small Cell Lung Cancer (SCLC)

TypeinterventionalSponsorIntergroupe Francophone de Cancerologie ThoraciqueRan2017 to 2020Enrolled73ConditionsSmall Cell Lung Cancer, Small Cell Lung Cancer Limited Stage, Small Cell Lung Cancer Extensive StageArmsAtezolizumab, Topotecan, Carboplatin, Etoposide
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

14 authors.

Elodie NegreDepartment of Thoracic Oncology, Montpellier Regional University Hospital, Montpellier, France.
Amandine CoffyLaboratory of Biostatistics and Epidemiology, University Institute for Clinical Research, Montpellier University, Montpellier, France.
Alexandra LanglaisFrench Cooperative Thoracic Intergroup (IFCT), Paris, France.
Jean-Pierre DauresLaboratory of Biostatistics and Epidemiology, University Institute for Clinical Research, Montpellier University, Montpellier, France.
Armelle LavoleDepartment of Pneumology, Hôpital Tenon, Paris, France.
Elisabeth QuoixDepartment of Pneumology, University Hospital, Strasbourg, France.
Olivier MolinierDepartment of Pneumology, Centre Hospitalier Le Mans, Le Mans, France.
Laurent GreillierDepartment of Multidisciplinary Oncology and Therapeutic Innovations, Assistance Publique-Hôpitaux de Marseille, Aix Marseille University, Marseille, France.
Clarisse Audigier-ValetteDepartment of Thoracic Oncology, CHITS CH Sainte Musse, Toulon, France.
Denis Moro-SibilotThoracic Oncology Unit, CHU Grenoble Alpes, Grenoble, France.
Virginie WesteelDepartment of pneumology, Hopital Universitaire, Besançon, France.
Franck MorinFrench Cooperative Thoracic Intergroup (IFCT), Paris, France.
Benoît RochDepartment of Thoracic Oncology, Montpellier Regional University Hospital, Montpellier, France.
Jean-Louis PujolDepartment of Thoracic Oncology, Montpellier Regional University Hospital, Montpellier, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed at generating a new simplified prognostic score (SPS) using common clinical and biological variables to discriminate a limited number of subgroups of patients with SCLC differing by their overall survival (OS).

methodsThe SPS was developed exploring the Montpellier University Hospital retrospective database of 401 patients over a 16-year period. All patients had received etoposide - platinum-based chemotherapy as first-line treatment. The SPS development took into account significant determinants of OS in the Cox model, weighted by their regression β coefficients. Validation of the consequent SPS has been done separately in a combined population of 213 patients accrued from two different published trials (NCT03059667 and NCT00930891).

resultsThe significant independent determinants of OS included the following: (1) American Joint Committee on Cancer TNM stage IV (hazard ratio [HR]: 2.52; 95% confidence interval [CI]: 1.91-3.33); (2) Eastern Cooperative Oncology Group performance status greater than 1 (HR: 2.27; 95% CI: 1.79-2.87); (3) the presence of liver metastases (HR: 1.66; 95% CI: 1.29-2.15); and (4) neutrophil-to-lymphocyte ratio greater than 4 (HR: 1.39; 95% CI: 1.11-1.92). The SPS generated with these four variables, segregated three groups (good, intermediate, and poor prognosis) with respective median OS of 26.9 months (95% CI: 20.1-38.9), 11.5 months (95% CI: 9.8-13.0), and 6.8 months (95% CI: 5.8-8.3; log-rank

conclusionsThe SPS is easy to calculate in real-life practice and efficiently discriminates three populations with different prognoses. This study deserves further validation of this score in patients with SCLC receiving immunochemotherapy.

Indexed as

ChemotherapyPrognosisPrognostic scoreSerum markersSmall cell lung cancer

Identifiers

PMID34589918
PMCPMC8474253

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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.