Evidence map›Paper›PMID 34786889›Full record

ArticleCancer medicine2022

Effect of targeted therapy and immunotherapy on advanced nonsmall-cell lung cancer outcomes in the real world.

Aria Shokoohi, Zamzam Al-Hashami, Sara Moore, Alexandra Pender, Selina K Wong, Ying Wang, Bonnie Leung, Jonn Wu, Cheryl Ho

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
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  8. The Health Inequality Impact of Liquid Biopsy to Inform First-Line Treatment of Advanced Non-Small Cell Lung Cancer: A Distributional Cost-Effectiveness Analysis.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2023
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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

9 authors at 2 institutions in 1 country.

Aria ShokoohiDepartment of Medical Oncology, BC Cancer, Vancouver, British Columbia, Canada.ORCID 0000-0002-2093-7381
Zamzam Al-HashamiDepartment of Medical Oncology, BC Cancer, Vancouver, British Columbia, Canada.
Sara MooreDivision of Medical Oncology, The Ottawa Hospital, Ottawa, Ontario, Canada.
Alexandra PenderDepartment of Medical Oncology, BC Cancer, Vancouver, British Columbia, Canada.
Selina K WongDepartment of Medical Oncology, BC Cancer, Vancouver, British Columbia, Canada.
Ying WangDepartment of Medical Oncology, BC Cancer, Vancouver, British Columbia, Canada.
Bonnie LeungDepartment of Medical Oncology, BC Cancer, Vancouver, British Columbia, Canada.
Jonn WuFaculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Cheryl HoDepartment of Medical Oncology, BC Cancer, Vancouver, British Columbia, Canada.
BC Cancer Agency · CAOttawa Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The evolution of diagnosis and treatment of advanced nonsmall-cell lung cancer (NSCLC) has led to increasing the use of targeted therapy and immune checkpoint inhibitors. The study goal was to assess the effect of molecular testing and the introduction of new therapies on overall survival (OS). All patients with stage IV NSCLC referred to BC Cancer were included in the study. Four 1-year time cohorts were created based on molecular testing implementation and funded drug availability: C1 baseline (2009), C2 EGFR TKI access (2011), C3 ALK inhibitor access (2015), C4 immunotherapy availability (2017). Baseline demographics, disease characteristics, and systemic therapy details were collected retrospectively. OS was calculated using the Kaplan-Meier method and compared using the log-rank test. There were 3421 patients identified with stage IV NSCLC and 1319 (39%) received systemic therapy. In the four 1-year time cohorts C1/C2/C3/C4: driver mutation-targeted treatment increased 1/17/27/34% (of total systemic therapy), as did treatment with any line immunotherapy <1/1/9/38%. Median OS with best supportive care (BSC) was 3.4/3.1/3.2/2.9 m (p = 0.16) and with systemic treatment 9.9/10.9/13.9/15.0 m (p < 0.001). Median OS by treatment exposure was BSC 3.1 m, chemotherapy only 7.3 m, targeted therapy 17.5 m, and immunotherapy 20.7 m. In our real-world study, following the introduction of targeted therapy and immune checkpoint inhibitors, there was a significant improvement in OS in each successive time cohort concordant with advancements in therapeutic options.

Indexed as

Molecular Targeted TherapyAgedAntibodies, Monoclonal, HumanizedAntineoplastic AgentsCarcinoma, Non-Small-Cell LungCrizotinibDNA Mutational AnalysisFemaleGefitinibHumansImmune Checkpoint InhibitorsLung NeoplasmsMaleMiddle AgedNivolumabRetrospective StudiesAntibodies, Monoclonal, HumanizedAntineoplastic AgentsCrizotinibGefitinibImmune Checkpoint InhibitorsNivolumabpembrolizumabchemotherapyimmunotherapymedical oncologynonsmall-cell lung cancertargeted therapy

Identifiers

PMID34786889
PMCPMC8704182
OpenAlexW3211473910

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.