Evidence map›Paper›PMID 35225483›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2022

Identifying Early Predictive Markers for Immune-Related Adverse Events in Nivolumab-Treated Patients with Renal Cell Carcinoma and Gastric Cancer.

Shinya Takada, Hidetaka Murooka, Kanae Tahatsu, Maki Yanase, Kengo Umehara, Hirokazu Hashishita, Harabayashi Toru, Maruyama Satoru, Tamotsu Sagawa, Koshi Fujikawa and 2 more

Open access · goldAbstract read
In one paragraph

Article in Asian Pacific journal of cancer prevention : APJCP, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 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

12 authors at 3 institutions in 1 country.

Shinya TakadaDepartment of Pharmacy, National Hospital Organization Hokkaido Cancer Center, Sapporo, Hokkaido, Japan.ORCID 0000-0002-6845-5533
Hidetaka MurookaDepartment of Pharmacy, National Hospital Organization Hokkaido Cancer Center, Sapporo, Hokkaido, Japan.
Kanae TahatsuDepartment of Pharmacy, National Hospital Organization Hokkaido Cancer Center, Sapporo, Hokkaido, Japan.
Maki YanaseDepartment of Pharmacy, National Hospital Organization Hokkaido Cancer Center, Sapporo, Hokkaido, Japan.
Kengo UmeharaDepartment of Pharmacy, National Hospital Organization Hokkaido Cancer Center, Sapporo, Hokkaido, Japan.
Hirokazu HashishitaDepartment of Pharmacy, National Hospital Organization Hokkaido Cancer Center, Sapporo, Hokkaido, Japan.
Harabayashi ToruDepartment of Urology, National Hospital Organization Hokkaido Cancer Center, Japan.
Maruyama SatoruDepartment of Urology, National Hospital Organization Hokkaido Cancer Center, Japan.
Tamotsu SagawaDepartment of Gastroenterology, National Hospital Organization Hokkaido Cancer Center, Sapporo, Hokkaido, Japan.
Koshi FujikawaDepartment of Gastroenterology, National Hospital Organization Hokkaido Cancer Center, Sapporo, Hokkaido, Japan.
Hideki SatoFaculty of Pharmaceutical Sciences, Hokkaido University of Science, Hokkaido Japan.
Kozo MinoDepartment of Pharmacy, National Hospital Organization Hokkaido Cancer Center, Sapporo, Hokkaido, Japan.
National Hospital Organization Hokkaido Medical Center · JPHokkaido Pharmaceutical University · JPSapporo National Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeutrophil-to-lymphocyte (NLR) and platelet-to-lymphocyte (PLR) ratios can indicate poor disease prognosis and are inflammation markers. We investigated the role of NLR and PLR as effective predictive markers of immune-related adverse event (irAE) onset in patients treated with nivolumab.

methodsWe retrospectively analysed 73 gastric and renal cancer patients treated with nivolumab at the Hokkaido Cancer Centre from January 2017 to June 2020. NLR and PLR were calculated at the initiation of nivolumab treatment and irAE onset. We identified the risk factors for Grade 3-4 irAE onset using NLR, PLR, sex, cancer type, and age. Overall survival (OS) and progression free survival (PFS) were calculated from the initiation of nivolumab treatment to the date of death or censored at last follow-up.

resultsAmong the 73 patients included, 17 (18%) had at least one grade3-4 irAE. Multivariable logistic regression analyses revealed that pretreatment NLR<4.3 was significantly associated with a reduced risk for onset of grade3-4 irAEs, whereas rate of NLR change after treatment, ΔNLR>120% was significantly associated with an increased risk.

conclusionsNLR is an effective marker for prognosis and onset of grade 3-4 irAEs.

Indexed as

Blood Cell CountAdultAgedAged, 80 and overAntineoplastic Agents, ImmunologicalBiomarkers, TumorBlood PlateletsCarcinoma, Renal CellFemaleHumansKidney NeoplasmsLogistic ModelsLymphocytesMaleMiddle AgedNeoplasm GradingAntineoplastic Agents, ImmunologicalBiomarkers, TumorNivolumabImmune checkpoint inhibitorsimmune-related adverse eventNeutrophils to lymphocytesplatelet to lymphocytes

Identifiers

PMID35225483
PMCPMC9272606
OpenAlexW4214497075

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.