Evidence map›Paper›PMID 35677321›Full record

ArticleTherapeutic advances in medical oncology2022

Clinical predictors of survival in patients with relapsed/refractory small-cell lung cancer treated with checkpoint inhibitors: a German multicentric real-world analysis.

Jan A Stratmann, Radha Timalsina, Akin Atmaca, Vivian Rosery, Nikolaj Frost, Jürgen Alt, Cornelius F Waller, Niels Reinmuth, Gernot Rohde, Felix C Saalfeld and 5 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 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

15 authors at 9 institutions in 1 country.

Jan A StratmannDepartment of Internal Medicine, Hematology/Oncology, Goethe University, Theodor Stern Kai 7, 60596 Frankfurt am Main, Germany.
Radha TimalsinaDepartment of Internal Medicine, Hematology/Oncology, Goethe University, Frankfurt, Germany.
Akin AtmacaDepartment of Oncology and Hematology, Krankenhaus Nordwest, UCT-University Cancer Center, Frankfurt, Germany.
Vivian RoseryDepartment of Medical Oncology, West German Cancer Center, University Medicine Essen, Essen, Germany.
Nikolaj FrostCharité - Universitätsmedizin Berlin, Berlin, GermanyHumboldt-Universität zu Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0001-7452-7129
Jürgen AltDepartment of Internal Medicine III (Hematology, Oncology, Pneumology), University Medical Center Mainz, Mainz, Germany.
Cornelius F WallerInternal Medicine I, Haematology, Oncology and Stem Cell Transplantation, Faculty of Medicine, Freiburg University Medical Center, Freiburg, Germany.ORCID https://orcid.org/0000-0002-5777-0212
Niels ReinmuthDepartment of Oncology, Asklepios Clinic München-Gauting, Gauting, Germany.
Gernot RohdeDepartment of Respiratory Medicine, Medical Clinic 1, University Hospital, Frankfurt, Germany.
Felix C SaalfeldDepartment for Internal Medicine I, University Hospital Carl Gustav Carus Dresden, TU Dresden, Dresden, Germany.
Aaron Becker von RoseDepartment of Internal Medicine III, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Fabian AckerDepartment of Internal Medicine, Hematology/Oncology, Goethe University, Frankfurt, Germany.
Lukas AspacherDepartment of Internal Medicine, Hematology/Oncology, Goethe University, Frankfurt, Germany.
Miriam MöllerDepartment of Oncology, Martha-Maria Hospital Halle, Halle, Germany.
Martin SebastianDepartment of Internal Medicine, Hematology/Oncology, Goethe University, Frankfurt, Germany.
Goethe University Frankfurt · DEAsklepios Fachkliniken München-Gauting · DEHumboldt-Universität zu Berlin · DEJohannes Gutenberg University Mainz · DEMartha-Maria Hospital · DETUM Klinikum · DEUniversity Hospital Carl Gustav Carus · DEUniversity Medical Center Freiburg · DEWest German Heart and Vascular Center Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Small-cell lung cancer (SCLC) is a lung malignancy with high relapse rates and poor survival outcomes. Treatment-resistant disease relapse occurs frequently and effective salvage therapies are urgently needed. Materials and Methods: We aimed to define efficacy and safety of checkpoint inhibitors (CPIs) in a heterogeneous population of relapsed and refractory SCLC patients in a large retrospective multicentric real-world cohort across German tertiary care centers. Results: A total of 111 patients from 11 treatment centers were included. Median age of all patients was 64 years, and 63% were male. Approximately one-third of all patients had poor performance status [Eastern Cooperative Oncology Group (ECOG) ⩾ 2], and 37% had known brain metastases. Patients were heavily pretreated with a median number of prior therapy lines of 2 (range, 1-8). Median follow-up of the entire cohort was 21.7 months. Nivolumab and Nivolumab/Ipilimumab were the most common regimens. Overall disease control rate was 27.2% in all patients and was numerically higher in CPI combination regimens compared with single-agent CPI (31.8% Conclusion: CPI in patients with relapsed or refractory (R/R) SCLC is of limited value in an overall patient cohort; however, long-term survival, in particular with CPI combination strategies, is possible. Clinical characteristics allow a more differentiated subgroup selection, in particular patients with low NLR showed less benefit from CPI in R/R SCLC.

Indexed as

checkpoint inhibitorimmunotherapymetastasisprognostic biomarkersmall-cell lung cancer

Identifiers

PMID35677321
PMCPMC9168937
OpenAlexW4285207206

What OpenQuestion holds

Textmetadata
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.