Evidence map›Paper›PMID 35808895›Full record

ArticleThoracic cancer2022

Association of thyroid transcription factor-1 with the efficacy of immune-checkpoint inhibitors in patients with advanced lung adenocarcinoma.

Kenji Nakahama, Hiroyasu Kaneda, Masahiko Osawa, Motohiro Izumi, Naoki Yoshimoto, Akira Sugimoto, Hiroaki Nagamine, Koichi Ogawa, Yoshiya Matsumoto, Kenji Sawa and 5 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Thoracic cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 25 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 4 institutions in 1 country.

Kenji NakahamaDepartment of Respiratory Medicine, Graduate School of Medicine, Osaka City University, Osaka, Japan.ORCID 0000-0001-7423-6153
Hiroyasu KanedaDepartment of Clinical Oncology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Masahiko OsawaDepartment of Diagnostic Pathology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Motohiro IzumiDepartment of Pulmonary Medicine, Bell land General Hospital, Sakai, Japan.
Naoki YoshimotoDepartment of Pulmonary Medicine, Ishikiriseiki Hospital, Higashiosaka, Japan.
Akira SugimotoDepartment of Respiratory Medicine, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Hiroaki NagamineDepartment of Respiratory Medicine, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Koichi OgawaDepartment of Respiratory Medicine, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Yoshiya MatsumotoDepartment of Respiratory Medicine, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Kenji SawaDepartment of Respiratory Medicine, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Yoko TaniDepartment of Clinical Oncology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Shigeki MitsuokaDepartment of Clinical Oncology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Tetsuya WatanabeDepartment of Respiratory Medicine, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Kazuhisa AsaiDepartment of Respiratory Medicine, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Tomoya KawaguchiDepartment of Clinical Oncology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Osaka Metropolitan University · JPOsaka City University · JPBerurando General Hospital · JPIshikiriseiki Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to identify the relationship between thyroid transcription factor-1 (TTF-1) expression of lung adenocarcinoma and the efficacy of immune-checkpoint inhibitor (ICI) therapy.

methodsThis retrospective multicenter study comprised patients with advanced lung adenocarcinoma treated with ICI monotherapy. We collected clinical medical records including data on TTF-1 expression and analyzed the relationship between TTF-1 expression and programmed death-ligand 1 tumor proportion score (PD-L1 TPS), objective response rate (ORR), progression-free survival (PFS), and overall survival (OS).

resultsIn total, 108 patients with lung adenocarcinoma were analyzed. The rate of TPS ≥1% and ≥50% in patients with positive TTF-1 expression was significantly higher than that in patients with negative TTF-1 expression (88% vs. 60%, p < 0.001; 65% vs. 24%, p < 0.001). The ORR was significantly higher in TTF-1 positive patients than in TTF-1-negative patients (38% vs. 8%, p = 0.003). Among patients with TPS ≥50% and 1%-49%, the ORR in TTF-1 positive and negative patients was 48% (26/54) versus 17% (1/6) (p = 0.21), and 32% (6/19) versus 11% (1/9) (p = 0.37), respectively. The ORR for patients with TPS <1% was 0% in both the TTF-1 negative and positive cases. The median PFS and OS was significantly longer in TTF-1-positive patients than in TTF-1-negative patients (5.4 vs. 1.6 months, p < 0.001; 18.2 vs. 8.0 months, p = 0.041). Multivariate analysis revealed that TTF-1-negative status was an independent unfavorable prognostic factor for PFS.

conclusionPatients with TTF-1-positive status receiving ICI monotherapy showed better outcomes than those with TTF-1-negative lung adenocarcinoma.

Indexed as

Adenocarcinoma of LungLung NeoplasmsB7-H1 AntigenHumansImmune Checkpoint InhibitorsProgression-Free SurvivalRetrospective StudiesThyroid GlandThyroid Nuclear Factor 1B7-H1 AntigenImmune Checkpoint InhibitorsNKX2-1 protein, humanThyroid Nuclear Factor 1adenocarcinomaimmunotherapynon-small cell lung cancerprogrammed death-ligand 1thyroid transcription factor-1

Identifiers

PMID35808895
PMCPMC9376174
OpenAlexW4284988234

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.