Evidence map›Paper›PMID 34589927›Full record

ArticleJTO clinical and research reports2020

Desensitizing Effect of Cancer Cachexia on Immune Checkpoint Inhibitors in Patients With Advanced NSCLC.

Taichi Miyawaki, Tateaki Naito, Akihro Kodama, Naoya Nishioka, Eriko Miyawaki, Nobuaki Mamesaya, Takahisa Kawamura, Haruki Kobayashi, Shota Omori, Kazushige Wakuda and 9 more

Open access · goldAbstract 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. Cited by 47 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 8% 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

47 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. 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

19 authors at 2 institutions in 1 country.

Taichi MiyawakiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Tateaki NaitoDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Akihro KodamaDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Naoya NishiokaDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Eriko MiyawakiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Nobuaki MamesayaDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Takahisa KawamuraDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Haruki KobayashiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Shota OmoriDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Kazushige WakudaDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Akira OnoDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Hirotsugu KenmotsuDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Haruyasu MurakamiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Akifumi NotsuDivision of Clinical Research Promotion Unit, Shizuoka Cancer Center, Shizuoka, Japan.
Keita MoriDivision of Clinical Research Promotion Unit, Shizuoka Cancer Center, Shizuoka, Japan.
Hideyuki HaradaRadiation and Proton Therapy Center, Shizuoka Cancer Center, Shizuoka, Japan.
Masahiro EndoDivision of Diagnostic Radiology, Shizuoka Cancer Center, Shizuoka, Japan.
Kazuhisa TakahashiDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Toshiaki TakahashiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Shizuoka Cancer Center · JPJuntendo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProgrammed cell death 1 (PD-1) inhibitors have become standard treatment for patients with advanced NSCLC. However, few studies have focused on the impact of cancer cachexia on the efficacy of PD-1 or programmed death-ligand 1 (PD-L1) inhibitors among patients with NSCLC.

methodsWe retrospectively reviewed medical records of patients with advanced NSCLC who received PD-1 or PD-L1 inhibitor monotherapy from May 2016 to December 2018. We defined cancer cachexia as unintentional weight loss greater than 5% over 6 months and high PD-L1 as greater than 50% expression on tumor cells. We evaluated the objective response rates (ORRs) and progression-free survival (PFS).

resultsAmong 108 patients, 52 had cancer cachexia. Patients with cachexia had a lower ORR (15% versus 57%,

conclusionsOur findings indicate that cancer cachexia might be a negative predictor of the efficacy of PD-1 or PD-L1 inhibitors and reduce the impact of PD-L1 expression on the effect of PD-1 or PD-L1 inhibitors in patients with advanced NSCLC. Further clinical and basic studies are needed.

Indexed as

Cancer cachexiaNon–small cell lung cancerPD-L1 tumor proportion scoreProgrammed death 1 inhibitorsProgrammed death-ligand 1 inhibitors

Identifiers

PMID34589927
PMCPMC8474252
OpenAlexW3009252808

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.