Evidence map›Paper›PMID 34696229›Full record

ArticleVaccines2021

Durvalumab as Consolidation Therapy in Post-Concurrent Chemoradiation (CCRT) in Unresectable Stage III Non-Small Cell Lung Cancer Patients: A Multicenter Observational Study.

Chin-Chou Wang, Li-Chung Chiu, Jia-Shiuan Ju, Yu-Ching Lin, Yueh-Fu Fang, Cheng-Ta Yang, Ping-Chih Hsu

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% 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, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Observational
  10. 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

7 authors at 3 institutions in 1 country.

Chin-Chou WangDivision of Pulmonary & Critical Care Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City 83301, Taiwan.
Li-Chung ChiuDepartment of Medicine, College of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan.ORCID 0000-0003-1660-7715
Jia-Shiuan JuDivision of Thoracic Medicine, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.
Yu-Ching LinDepartment of Medicine, College of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan.ORCID 0000-0002-0702-5169
Yueh-Fu FangDivision of Thoracic Medicine, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.ORCID 0000-0003-2211-3076
Cheng-Ta YangDivision of Thoracic Medicine, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.ORCID 0000-0003-1846-1027
Ping-Chih HsuDepartment of Medicine, College of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan.ORCID 0000-0003-0173-7509
Chang Gung University · TWLinkou Chang Gung Memorial Hospital · TWChang Gung University of Science and Technology · TW

Funding

Chang Gung Medical Foundation CMRPG3K1561Chang Gung Medical Foundation CMRPG5H0141Kaohsiung Chang Gung Memorial Hospital CMRPG8E1661-3Kaohsiung Chang Gung Memorial Hospital CMRPG8F1351Kaohsiung Chang Gung Memorial Hospital CMRPG8F1441Kaohsiung Chang Gung Memorial Hospital CMRPG8H1201Kaohsiung Chang Gung Memorial Hospital CORPG8F1491-3Ministry of Science and Technology, Taiwan 109-2628-B-182A-009
6 · The paper itself

Abstract

backgroundThe experience of using consolidation durvalumab in post-concurrent chemoradiation (CCRT) unresectable stage III non-small cell lung cancer (NSCLC) is rare in real-world clinical practice, and the factors associated with its efficacy are also unclear. We sought to analyze the efficacy of consolidation durvalumab and the factors associated with its efficacy using a multicenter observational study.

methodsThe data for 61 patients with post-CCR unresectable stage III NSCLC receiving consolidation durvalumab at the Chang Gung Memorial Hospitals in Linkou, Keelung, Chiayi, and Kaohsiung from November 2017 to March 2020 were analyzed. (3) Results: The median post-CCRT progression-free survival (PFS) and time to metastatic disease or death (TMDD) for consolidation durvalumab were 14.0 months and 16.7 months, respectively. In multiple variant factors analysis, we found that an epidermal growth factor receptor (EGFR) mutation was an independently unfavorable predictive factor for consolidation durvalumab therapy regarding PFS. The median post-CCRT PFS was 6.50 months for EGFR-mutated patients and 33.63 months for EGFR wild-type and unknown patients (HR = 10.47; 95% CI, 4.55-24.07;

conclusionsConsolidation durvalumab is effective and safe for post-CCRT unresectable stage III NSCLC in clinical practice, but EGFR mutation is an unfavorable factor for consolidation durvalumab. Thus, searching for a better consolidation therapy for EGFR-mutated patients is warranted.

Indexed as

concurrent chemoradiation (CCRT)durvalumabepidermal growth factor receptor (EGFR) mutationimmune checkpoint inhibitors (ICIs)programmed death-ligand 1 (PD-L1)stage III non-small cell lung cancer (NSCLC)

Identifiers

PMID34696229
PMCPMC8541274
OpenAlexW3203228606

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.