Evidence map›Paper›PMID 35595158›Full record

Observational studyInternational journal of radiation oncology, biology, physics2022

Combination of SABR With Anti-PD-1 in Oligoprogressive Non-Small Cell Lung Cancer and Melanoma: Results of a Prospective Multicenter Observational Study.

Rodolfo Chicas-Sett, Juan Zafra, Delvys Rodriguez-Abreu, Juan Castilla-Martinez, Gretel Benitez, Barbara Salas, Samuel Hernandez, Marta Lloret, Juan Luis Onieva, Isabel Barragan and 1 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in International journal of radiation oncology, biology, physics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

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  7. Feasibility, safety, and clinical outcomes analysis of dense-lattice radiation therapy in palliative care for cancer patients´.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Rodolfo Chicas-SettDepartment of Radiation Oncology, Dr Negrin University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain; Department of Radiation Oncology, ASCIRES Grupo Biomedico, Valencia, Spain; Faculty of Medicine, University of Malaga (UMA), Malaga, Spain. Electronic address: rchicas@ufm.edu.
Juan ZafraDepartment of Radiation Oncology, Dr Negrin University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain; Faculty of Medicine, University of Malaga (UMA), Malaga, Spain; Group of Translational Research in Cancer Immunotherapy, Health and Medical Research Centre (CIMES), University of Malaga (UMA), Malaga, Spain; Department of Radiation Oncology, Virgen de la Victoria University Hospital, Malaga, Spain; Institute of Biomedical Research in Malaga (IBIMA), Malaga, Spain.
Delvys Rodriguez-AbreuDepartment of Medical Oncology, Insular University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain.
Juan Castilla-MartinezDepartment of Radiation Oncology, Dr Negrin University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain; Department of Radiation Oncology, ASCIRES Grupo Biomedico, Elche, Spain.
Gretel BenitezInstitute of Biomedical Research in Malaga (IBIMA), Malaga, Spain.
Barbara SalasDepartment of Radiation Oncology, Dr Negrin University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain.
Samuel HernandezDepartment of Medical Oncology, General Hospital of Fuerteventura, Puerto del Rosario, Spain.
Marta LloretDepartment of Radiation Oncology, Dr Negrin University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain.
Juan Luis OnievaFaculty of Medicine, University of Malaga (UMA), Malaga, Spain; Group of Translational Research in Cancer Immunotherapy, Health and Medical Research Centre (CIMES), University of Malaga (UMA), Malaga, Spain; Institute of Biomedical Research in Malaga (IBIMA), Malaga, Spain; Medical Oncology Intercenter Unit, Regional and Virgen de la Victoria University Hospitals, IBIMA, Malaga, Spain.
Isabel BarraganFaculty of Medicine, University of Malaga (UMA), Malaga, Spain; Group of Translational Research in Cancer Immunotherapy, Health and Medical Research Centre (CIMES), University of Malaga (UMA), Malaga, Spain; Institute of Biomedical Research in Malaga (IBIMA), Malaga, Spain; Medical Oncology Intercenter Unit, Regional and Virgen de la Victoria University Hospitals, IBIMA, Malaga, Spain; Group of Pharmacoepigenetics, Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
Pedro C LaraCentro Oncologico Integral Canario, San Roque University Hospital, Las Palmas de Gran Canaria, Spain; Universidad Fernando Pessoa Canarias, Las Palmas, Spain.
Hospital Universitario de Gran Canaria Doctor Negrín · ESInstituto de Investigación Biomédica de Málaga · ESUniversidad de Málaga · ESHospital Universitario Insular de Gran Canaria · ESUniversidad Fernando Pessoa Canarias · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe percentage of patients with metastatic non-small cell lung cancer (NSCLC) and melanoma who benefit from anti-programmed cell death protein 1 (anti-PD-1) is low owing to resistance mechanisms. SABR has a role in oligoprogressive disease and can improve responses to anti-PD-1. This multicenter prospective observational study aimed to determine whether concomitant anti-PD-1 and SABR to oligoprogressive sites enhance tumor response in metastatic NSCLC and melanoma. METHODS AND MATERIALS: Patients with metastatic NSCLC or melanoma in progression to anti-PD-1 but continuing the same line owing to clinical benefit were referred for palliative SABR. All patients received concomitant pembrolizumab or nivolumab and SABR to 1 to 5 lesions, maintaining anti-PD-1 until further progression, unacceptable toxicity, or medical/patient decision. Objective response rate-complete responses and partial responses-was evaluated during all follow-up according to Response Evaluation Criteria in Solid Tumors 1.1. The abscopal response was evaluated 8 weeks after SABR as a ≥30% reduction in 1 to 2 predefined nonirradiated lesions.

resultsOf the 61 patients enrolled, 50 could be analyzed. With a median follow-up of 32.8 months, objective response rate was 42% (30% complete responses and 12% partial responses). Median progression-free survival was 14.2 months (95% confidence interval, 6.9-29 months). Median overall survival since SABR was 37.4 months (95% confidence interval, 22.9 months-not reached). Abscopal response was 65%, evaluated in 40 patients who fulfilled the criteria.

conclusionsCombined anti-PD-1 and SABR in oligoprogressive metastatic NSCLC or melanoma can achieve high rates of response and extend the clinical benefit of immunotherapy by delaying further progression and a new systemic therapy. This approach should be assessed in larger randomized trials.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsMelanomaHumansNivolumabProspective StudiesTreatment OutcomeNivolumab

Identifiers

PMID35595158
OpenAlexW4280646733

What OpenQuestion holds

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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.