Evidence map›Paper›PMID 35629102›Full record

ArticleJournal of personalized medicine2022

Clinical and Biological Variables Influencing Outcome in Patients with Advanced Non-Small Cell Lung Cancer (NSCLC) Treated with Anti-PD-1/PD-L1 Antibodies: A Prospective Multicentre Study.

Erica Quaquarini, Federico Sottotetti, Francesco Agustoni, Emma Pozzi, Alberto Malovini, Cristina Maria Teragni, Raffaella Palumbo, Giuseppe Saltalamacchia, Barbara Tagliaferri, Emanuela Balletti and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
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

14 authors at 4 institutions in 1 country.

Erica QuaquariniMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy.ORCID 0000-0001-9099-5352
Federico SottotettiMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy.
Francesco AgustoniMedical Oncology Unit, IRCCS San Matteo Hospital Foundation, 27100 Pavia, Italy.ORCID 0000-0002-4334-1230
Emma PozziOncology Unit, Ospedale Civile, 27058 Voghera, Italy.
Alberto MaloviniLaboratory of Informatics and System Engineering for Clinical Research, ICS Maugeri-IRCCS SpA SB, Via Maugeri 10, 27100 Pavia, Italy.
Cristina Maria TeragniMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy.ORCID 0000-0001-7982-1124
Raffaella PalumboMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy.
Giuseppe SaltalamacchiaMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy.ORCID 0000-0002-0247-3835
Barbara TagliaferriMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy.
Emanuela BallettiMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy.
Pietro RinaldiUnit of Thoracic Surgery, IRCCS San Matteo Hospital Foundation, 27100 Pavia, Italy.
Costanza CaninoMedical Oncology Unit, IRCCS San Matteo Hospital Foundation, 27100 Pavia, Italy.
Paolo PedrazzoliMedical Oncology Unit, IRCCS San Matteo Hospital Foundation, 27100 Pavia, Italy.ORCID 0000-0002-9419-7160
Antonio BernardoMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy.
Istituti Clinici Scientifici Maugeri · ITUniversity of Pavia · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITOspedale Civile di Voghera · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImmune checkpoint inhibitors (ICIs) have become the standard of treatment for patients with non-small cell lung cancer (NSCLC). However, there are still many uncertainties regarding the selection of the patient who could benefit more from this treatment. This study aims to evaluate the prognostic and predictive role of clinical and biological variables in unselected patients with advanced NSCLC candidates to receive ICIs.

methodsThis is an observational and prospective study. The primary objective is the evaluation of the relationship between clinical and biological variables and the response to ICIs. Secondary objectives included: safety; assessment of the relationship between clinical and biological parameters/concomitant treatments and progression-free survival at 6 months and overall survival at 6 and 12 months. Nomograms to predict these outcomes have been generated.

resultsA total of 166 patients were included. An association with response was found in the presence of the high immunohistochemical PD-L1 expression, squamous cell histotype, and early line of treatment, whereas a higher probability of progression was seen in the presence of anemia, high LDH values and neutrophil/lymphocyte ratio (NLR), pleural involvement, and thrombosis before treatment. The nomogram showed that anemia, PD-L1 expression, NLR, and LDH represented the most informative predictor as regards the three parameters of interest.

conclusionsIn the era of personalized medicine, the results are useful for stratifying the patients and tailoring the treatments, considering both the histological findings and the clinical features of the patients.

Indexed as

advance stageanemiaimmune checkpoint inhibitorsnon-small cell lung cancer

Identifiers

PMID35629102
PMCPMC9144987
OpenAlexW4224310768

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.