Evidence map›Paper›PMID 36171009›Full record

Trial reportJournal for immunotherapy of cancer2022

Tumor microenvironment gene expression profiles associated to complete pathological response and disease progression in resectable NSCLC patients treated with neoadjuvant chemoimmunotherapy.

Marta Casarrubios, Mariano Provencio, Ernest Nadal, Amelia Insa, María Del Rosario García-Campelo, Martín Lázaro-Quintela, Manuel Dómine, Margarita Majem, Delvys Rodriguez-Abreu, Alex Martinez-Marti and 15 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Journal for immunotherapy of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06865339 (TRIPL), which is not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% 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.

NCT06865339 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

TRIPL: Thoracic Radiotherapy and Inhibition of PD-1 and LAG-3 for Locally Advanced Non-Small Cell Lung Cancer

TypeinterventionalSponsorMontefiore Medical CenterRan2025 to 2027Enrolled76ConditionsNSCLC, Locally AdvancedArmsCemiplimab, Fianlimab, Radiotherapy, Platinum Doublet Chemotherapy (PDC)
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Decoding B-cell Signatures of Complete Pathologic Response to Perioperative Chemoimmunotherapy in Non-Small Cell Lung Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
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

25 authors at 17 institutions in 1 country.

Marta CasarrubiosMedical Oncology, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Majadahonda-Madrid, Spain.ORCID 0000-0002-2872-9552
Mariano ProvencioMedical Oncology, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Majadahonda-Madrid, Spain.ORCID 0000-0001-6315-7919
Ernest NadalMedical Oncology, Catalan Institute of Oncology, Oncobell Program, IDIBELL, L'Hospitalet de Llobregat, L'Hospitalet, Barcelona, Spain.ORCID 0000-0002-9674-5554
Amelia InsaMedical Oncology, Fundación INCLIVA, Hospital Clínico Universitario de Valencia, Valencia, Spain.ORCID 0000-0002-3438-6170
María Del Rosario García-CampeloMedical Oncology, Hospital Universitario A Coruña, A Coruña, Spain, A Coruña, Spain.ORCID 0000-0003-2113-1504
Martín Lázaro-QuintelaMedical Oncology, Hospital Universitario de Vigo, Pontevedra, Spain.ORCID 0000-0002-0657-4713
Manuel DómineMedical Oncology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.ORCID 0000-0003-1634-9832
Margarita MajemMedical Oncology, Hospital de la Santa Creu i Sant Pau Servei de Oncologia Medica, Barcelona, Spain.ORCID 0000-0002-9919-7485
Delvys Rodriguez-AbreuMedical Oncology, Hospital Universitario Insular de Gran Canaria, Las Palmas, Canarias, Spain.ORCID 0000-0003-0506-1366
Alex Martinez-MartiMedical Oncology, Vall d'Hebron Institute of Oncology (VHIO), Hospital Universitari Vall d'Hebron, Barcelona, Spain, Barcelona, Barcelona, Spain.ORCID 0000-0002-6714-9526
Javier De Castro CarpeñoMedical Oncology, Hospital Universitario La Paz, Madrid, Spain.ORCID 0000-0002-3622-6306
Manuel CoboMedical Oncology Intercenter Unit, Regional and Virgen de la Victoria University Hospitals, IBIMA, Málaga, Spain.ORCID 0000-0003-3402-1144
Guillermo López VivancoMedical Oncology, Hospital Universitario Cruces, Barakaldo, Spain.ORCID 0000-0003-3800-6224
Edel Del BarcoMedical Oncology, Hospital Universitario de Salamanca, Salamanca, Spain.ORCID 0000-0001-6443-0585
Reyes BernabéMedical Oncology, Hospital U. Virgen Rocio, Seville, Spain.ORCID 0000-0003-0312-9195
Nuria ViñolasMedical Oncology, Hospital Clínic, Barcelona, Spain.ORCID 0000-0002-8287-2739
Isidoro Barneto ArandaMedical Oncology, Hospital Universitario Reina Sofia, Cordoba, Spain.ORCID 0000-0001-6302-1034
Bartomeu MassutiMedical Oncology, Hospital General de Alicante, Alicante, Spain.ORCID 0000-0002-6247-4493
Belén Sierra-RoderoMedical Oncology, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Majadahonda-Madrid, Spain.ORCID 0000-0003-0276-6088
Cristina Martinez-ToledoMedical Oncology, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Majadahonda-Madrid, Spain.ORCID 0000-0002-0663-0674
Ismael Fernández-MirandaMedical Oncology, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Majadahonda-Madrid, Spain.ORCID 0000-0002-5136-7270
Roberto Serna-BlancoMedical Oncology, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Majadahonda-Madrid, Spain.ORCID 0000-0002-7563-9613
Atocha RomeroMedical Oncology, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Majadahonda-Madrid, Spain.ORCID 0000-0002-1634-7397
Virginia CalvoMedical Oncology, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Majadahonda-Madrid, Spain.ORCID 0000-0002-3503-4847
Alberto Cruz-BermúdezMedical Oncology, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro-Majadahonda, Majadahonda-Madrid, Spain alberto.cruz.bermudez@gmail.com.ORCID 0000-0001-5136-7011
Hospital Universitario Puerta de Hierro Majadahonda · ESComplejo Hospitalario de Salamanca · ESComplexo Hospitalario Universitario A Coruña · ESHospital Clínic de Barcelona · ESHospital Clínico Universitario de Valencia · ESHospital de Cruces · ESHospital de Sant Pau · ESHospital General Universitario de Alicante Doctor Balmis · ESHospital Universitario Fundación Jiménez Díaz · ESHospital Universitario Insular de Gran Canaria · ESHospital Universitario La Paz · ESHospital Universitario Reina Sofía · ESHospital Universitario Virgen del Rocío · ESInstitut d'Investigació Biomédica de Bellvitge · ESInstituto de Investigación Biomédica de Málaga · ESUniversity Hospital Complex Of Vigo · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoadjuvant chemoimmunotherapy for non-small cell lung cancer (NSCLC) has improved pathological responses and survival rates compared with chemotherapy alone, leading to Food and Drug Administration (FDA) approval of nivolumab plus chemotherapy for resectable stage IB-IIIA NSCLC (AJCC 7th edition) without ALK or EGFR alterations. Unfortunately, a considerable percentage of tumors do not completely respond to therapy, which has been associated with early disease progression. So far, it is impossible to predict these events due to lack of knowledge. In this study, we characterized the gene expression profile of tumor samples to identify new biomarkers and mechanisms behind tumor responses to neoadjuvant chemoimmunotherapy and disease recurrence after surgery.

methodsTumor bulk RNA sequencing was performed in 16 pretreatment and 36 post-treatment tissue samples from 41 patients with resectable stage IIIA NSCLC treated with neoadjuvant chemoimmunotherapy from NADIM trial. A panel targeting 395 genes related to immunological processes was used. Tumors were classified as complete pathological response (CPR) and non-CPR, based on the total absence of viable tumor cells in tumor bed and lymph nodes tested at surgery. Differential-expressed genes between groups and pathway enrichment analysis were assessed using DESeq2 and gene set enrichment analysis. CIBERSORTx was used to estimate the proportions of immune cell subtypes.

resultsCPR tumors had a stronger pre-established immune infiltrate at baseline than non-CPR, characterized by higher levels of

conclusionsOur results reinforce the differences between CPR and non-CPR responses, describing possible response and relapse immune mechanisms, opening the possibility of therapy personalization of immunotherapy-based regimens in the neoadjuvant setting of NSCLC.

Indexed as

Antineoplastic Agents, ImmunologicalCarcinoma, Non-Small-Cell LungInterferon Type ILung NeoplasmsB7-H1 AntigenBiomarkers, TumorDisease ProgressionErbB ReceptorsHumansImmunotherapyNeoadjuvant TherapyNeoplasm Recurrence, LocalNivolumabReceptor Protein-Tyrosine KinasesTranscriptomeTumor MicroenvironmentAntineoplastic Agents, ImmunologicalB7-H1 AntigenBiomarkers, TumorErbB ReceptorsInterferon Type INivolumabReceptor Protein-Tyrosine Kinasesdrug therapy, combinationgene expression profilingimmunotherapylung neoplasmstumor biomarkers

Identifiers

PMID36171009
PMCPMC9528578
OpenAlexW4297497362

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.