Evidence map›Paper›PMID 35146460›Full record

ArticleJTO clinical and research reports2022

A Real-World Study on the Effectiveness and Safety of Pembrolizumab Plus Chemotherapy for Nonsquamous NSCLC.

Daichi Fujimoto, Satoru Miura, Kenichi Yoshimura, Kazushige Wakuda, Yuko Oya, Koji Haratani, Shoichi Itoh, Takehiro Uemura, Ryotaro Morinaga, Takayuki Takahama and 11 more

Open access · goldAbstract read
In one paragraph

Article in JTO clinical and research reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
3.3field-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

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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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

21 authors at 18 institutions in 1 country.

Daichi FujimotoInternal Medicine III, Wakayama Medical University, Wakayama, Japan.
Satoru MiuraDepartment of Internal Medicine, Niigata Cancer Center Hospital, Niigata, Japan.
Kenichi YoshimuraMedical Center for Translational and Clinical Research, Hiroshima University Hospital, Hiroshima University, Hiroshima, Japan.
Kazushige WakudaDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Yuko OyaDepartment of Thoracic Oncology, Aichi Cancer Center Hospital, Nagoya, Japan.
Koji HarataniDepartment of Medical Oncology, Faculty of Medicine, Kindai University, Osaka-Sayama, Japan.
Shoichi ItohDepartment of Thoracic Oncology, Hyogo Cancer Center, Akashi, Japan.
Takehiro UemuraDepartment of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences, Nagoya, Japan.
Ryotaro MorinagaDepartment of Thoracic Medical Oncology, Oita Prefectural Hospital, Oita, Japan.
Takayuki TakahamaDepartment of Medical Oncology, Kindai Nara Hospital, Ikoma, Japan.
Kazuhisa NakashimaDepartment of Internal Medicine, Division of Medical Oncology & Respiratory Medicine, Shimane University Faculty of Medicine.
Motoko TachiharaDivision of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Go SaitoDepartment of Respirology, Chiba University Graduate School of Medicine, Chiba, Japan.
Junko TanizakiDepartment of Medical Oncology, Kishiwada City Hospital, Kishiwada, Japan.
Kohei OtsuboDepartment of Respiratory Medicine, Kitakyushu Municipal Medical Center, Kitakyushu, Japan.
Satoshi IkedaDepartment of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
Hirotaka MatsumotoDepartment of Respiratory Medicine, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
Satoshi HaraDepartment of Respiratory Medicine, Itami City Hospital, Itami, Japan.
Akito HataDepartment of Medical Oncology, Kobe Minimally Invasive Cancer Center, Kobe, Japan.
Takeshi MasudaDepartment of Respiratory Internal Medicine, Hiroshima University Hospital, Hiroshima, Japan.
Nobuyuki YamamotoInternal Medicine III, Wakayama Medical University, Wakayama, Japan.
Hiroshima University Hospital · JPWakayama Medical University · JPAichi Cancer Center · JPChiba University · JPHyogo Prefectural Amagasaki General Medical Center · JPHyogo Prefectural Cancer Center · JPItami City Hospital · JPKanagawa Cardiovascular and Respiratory Center · JPKindai University · JPKishiwada City Hospital · JPKitakyushu Municipal Medical Center · JPKobe Medical Center · JPKobe University · JPNagoya City University · JPNiigata Cancer Center Hospital · JPOita Prefectural Hospital · JPShimane University · JPShizuoka Cancer Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe real-world effectiveness of combination treatment with cytotoxic chemotherapy and programmed cell death protein-1 or programmed death-ligand 1 inhibitor for NSCLC, especially for the elderly (aged ≥75 y) or those with poor performance status (≥2), has not been fully elucidated. We investigated the real-world effectiveness and safety of this combination therapy in these populations.

methodsThis multicenter retrospective study evaluated patients who are chemo-naïve with advanced NSCLC who received a combination of platinum, pemetrexed, and pembrolizumab between December 2018 and June 2019. This was an updated prespecified secondary analysis with the primary objective of investigating the safety and effectiveness in this cohort.

resultsOverall, 299 patients were included. Multivariate analysis identified performance status (0-1) and programmed death-ligand 1 tumor proportion score (≥50%) as significant independent predictors of progression-free survival (

conclusionsCombination treatment with pembrolizumab plus chemotherapy had low real-world effectiveness for poor performance status patients. Severe AEs occurred at a higher rate in the elderly and poor performance status patients, and the AE-related treatment discontinuation rate increased with age. Physicians should be cautious about using this regimen, especially in the elderly and poor performance status patients.

Indexed as

Immune checkpoint inhibitorPembrolizumabPneumonitisProgrammed Death-1Programmed Death-Ligand 1

Identifiers

PMID35146460
PMCPMC8819387
OpenAlexW4200441078

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.