Evidence map›Paper›PMID 35429394›Full record

ArticleThe oncologist2022

Multicenter Real-World Study on Effectiveness and Early Discontinuation Predictors in Patients With Non-small Cell Lung Cancer Receiving Nivolumab.

Giulia Pasello, Martina Lorenzi, Lorenzo Calvetti, Cristina Oliani, Alberto Pavan, Adolfo Favaretto, Giovanni Palazzolo, Petros Giovanis, Fable Zustovich, Andrea Bonetti and 12 more

Erratum issuedOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in The oncologist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 32% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Nivolumab Safety in Renal Cell Carcinoma: A Case Report.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2024
    Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 10 institutions in 1 country.

Giulia PaselloDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-8741-6038
Martina LorenziDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Lorenzo CalvettiDepartment of Oncology, San Bortolo General Hospital, AULSS8 Berica, Vicenza, Italy.
Cristina OlianiUOC Oncologia Medica, ULSS 5 Polesana, Rovigo, Italy.
Alberto PavanMedical Oncology Department, ULSS 3 Serenissima, Sant'Angelo General Hospital, Mestre and SS Giovanni e Paolo General Hospital, Venezia, Italy.ORCID 0000-0003-4695-0100
Adolfo FavarettoDepartment of Medical Oncology, AULSS 2 Marca Trevigiana, Ca'Foncello Hospital, Treviso, Italy.
Giovanni PalazzoloMedical Oncology, AULSS 6 Euganea, Cittadella - Camposampiero Hospital, Camposampiero, Italy.
Petros GiovanisDepartment of Oncology, Unit of Oncology, Santa Maria del Prato Hospital, Azienda ULSS 1 Dolomiti, Feltre, Italy.
Fable ZustovichClinical Oncology Department, AULSS 1 Dolomiti, San Martino Hospital, Belluno, Italy.
Andrea BonettiDepartment of Oncology, AULSS 9 of the Veneto Region, Mater Salutis Hospital, Legnago, Italy.
Daniele BernardiMedical Oncology, ULSS 4 "Veneto Orientale", San Donà di Piave (VE), Italy.
Marta MandaràDepartment of Medical Oncology, AULSS 9 Scaligera, Verona, Italy.
Giuseppe AprileDepartment of Oncology, San Bortolo General Hospital, AULSS8 Berica, Vicenza, Italy.
Giovanna CrivellaroRete Oncologica Veneta (ROV), Istituto Oncologico Veneto, IRCCS, Padova, Italy.
Giusy SinigagliaUOC Oncologia Medica, ULSS 5 Polesana, Rovigo, Italy.
Sandro TognazzoRete Oncologica Veneta (ROV), Istituto Oncologico Veneto, IRCCS, Padova, Italy.
Paolo MorandiMedical Oncology Department, ULSS 3 Serenissima, Sant'Angelo General Hospital, Mestre and SS Giovanni e Paolo General Hospital, Venezia, Italy.
Alberto BortolamiRete Oncologica Veneta (ROV), Istituto Oncologico Veneto, IRCCS, Padova, Italy.
Valentina MarinoDepartment of Medical Oncology, AULSS 2 Marca Trevigiana, Ca'Foncello Hospital, Treviso, Italy.
Laura BonannoMedical Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, Italy.
Valentina GuarneriDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
PierFranco ConteDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-5210-5344
Istituto Oncologico Veneto · ITUniversity of Padua · ITAssociazione Italiana Di Oncologia Medica · ITCa' Foncello Hospital · ITOspedale dell' Angelo · ITOspedale San Bortolo · ITCTO Hospital · ITHospital of Prato · ITOspedale di San Donà di Piave · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReal-world (RW) evidence on nivolumab in pretreated patients with non-small cell lung cancer (NSCLC) by matching data from administrative health flows (AHFs) and clinical records (CRs) may close the gap between pivotal trials and clinical practice.

methodsThis multicenter RW study aims at investigating median time to treatment discontinuation (mTTD), overall survival (mOS) of nivolumab in pretreated patients with NSCLC both from AHF and CR; clinical-pathological features predictive of early treatment discontinuation (etd), budget impact (BI), and cost-effectiveness analysis were investigated; mOS in patients receiving nivolumab and docetaxel was assessed.

resultsOverall, 237 patients with NSCLC treated with nivolumab were identified from AHFs; mTTD and mOS were 4.2 and 9.8 months, respectively; 141 (59%) received at least 6 treatment cycles, 96 (41%) received < 6 (etd). Median overall survival in patients with and without etd were 3.3 and 19.6 months, respectively (P < .0001). Higher number, longer duration, and higher cost of hospitalizations were observed in etd cases. Clinical records were available for 162 patients treated with nivolumab (cohort 1) and 83 with docetaxel (cohort 2). Median time to treatment discontinuation was 4.8 and 2.6 months, respectively (P < .0001); risk of death was significantly higher in cohort 2 or cohort 1 with etd compared with cohort 1 without etd (P < .0001). Predictors of etd were body mass index <25, Eastern Cooperative Oncology Group performance status >1, neutrophile-to-lymphocyte ratio >2.91, and concomitant treatment with antibiotics and glucocorticoids. The incremental cost-effectiveness ratio of nivolumab was 3323.64 euros ($3757.37) in all patients and 2805.75 euros ($3171.47) for patients without etd. Finally, the BI gap (real-theoretical) was 857 188 euros ($969 050.18).

conclusionWe defined predictors and prognostic-economic impact of nivolumab in etd patients.

Indexed as

Antineoplastic Agents, ImmunologicalCarcinoma, Non-Small-Cell LungLung NeoplasmsDocetaxelHumansNivolumabRetrospective StudiesAntineoplastic Agents, ImmunologicalDocetaxelNivolumabcost-effectivenessimmune-checkpoint inhibitorsNSCLCreal-world evidence

Identifiers

PMID35429394
PMCPMC9177098
OpenAlexW4214650464

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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.