Evidence map›Paper›PMID 36175621›Full record

ArticleBritish journal of cancer2022

Longitudinal liquid biopsy anticipates hyperprogression and early death in advanced non-small cell lung cancer patients treated with immune checkpoint inhibitors.

Elisabetta Zulato, Paola Del Bianco, Giorgia Nardo, Ilaria Attili, Alberto Pavan, Andrea Boscolo Bragadin, Ludovica Marra, Giulia Pasello, Matteo Fassan, Fiorella Calabrese and 4 more

Abstract read
In one paragraph

Article in British journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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

20 citing papers in PubMed.

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  20. Hyperprogression of buccal squamous cell carcinoma accompanied by carotid sinus syndrome: A case report.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences
    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

14 authors.

Elisabetta ZulatoBasic and Translational Oncology Unit, Istituto Oncologico Veneto IOV IRCCS, Padova, Italy.
Paola Del BiancoClinical Research Unit, Istituto Oncologico Veneto IOV IRCCS, Padova, Italy.
Giorgia NardoBasic and Translational Oncology Unit, Istituto Oncologico Veneto IOV IRCCS, Padova, Italy.
Ilaria AttiliDepartment of Surgery, Oncology and Gastroeneterology, Università degli Studi di Padova, Padova, Italy.
Alberto PavanDepartment of Surgery, Oncology and Gastroeneterology, Università degli Studi di Padova, Padova, Italy.
Andrea Boscolo BragadinImmunology and Molecular Oncology Diagnostics Unit, Istituto Oncologico Veneto IOV IRCCS, Padova, Italy.
Ludovica MarraImmunology and Molecular Oncology Diagnostics Unit, Istituto Oncologico Veneto IOV IRCCS, Padova, Italy.
Giulia PaselloDepartment of Surgery, Oncology and Gastroeneterology, Università degli Studi di Padova, Padova, Italy.
Matteo FassanSurgical Pathology Unit, Department of Medicine, Università degli Studi di Padova, Padova, Italy.
Fiorella CalabreseSurgical Pathology Unit, Department of Medicine, Università degli Studi di Padova, Padova, Italy.
Valentina GuarneriDepartment of Surgery, Oncology and Gastroeneterology, Università degli Studi di Padova, Padova, Italy.
Pier Franco ConteDepartment of Surgery, Oncology and Gastroeneterology, Università degli Studi di Padova, Padova, Italy.
Stefano Indraccolo *Basic and Translational Oncology Unit, Istituto Oncologico Veneto IOV IRCCS, Padova, Italy.ORCID http://orcid.org/0000-0002-4810-7136
Laura Bonanno *Medical Oncology 2, Istituto Oncologico Veneto IOV IRCSS, Padova, Italy. laura.bonanno@iov.veneto.it.ORCID http://orcid.org/0000-0001-5218-4970

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICIs) have revolutionised treatment of advanced non-small cell lung cancer (aNSCLC), but a proportion of patients had no clinical benefit and even experienced detrimental effects. This study aims to characterise patients experiencing hyperprogression (HPD) and early death (ED) by longitudinal liquid biopsy.

methodsaNSCLC receiving ICIs were prospectively enrolled. Plasma was collected at baseline (T1) and after 3/4 weeks of treatment, according to the treatment schedule (T2). Cell-free DNA (cfDNA) was quantified and analysed by NGS. cfDNA quantification and variant allele fraction (VAF) of tumour-associated genetic alterations were evaluated for their potential impact on outcome. The genetic alteration with the highest VAF (maxVAF) at baseline was considered as a reference.

resultsFrom March 2017 to August 2019, 171 patients were enrolled. Five cases matched criteria for HPD and 31 ED were recorded; one overlapped. Quantification of cfDNA at T2 and its absolute and relative variation (T2-T1) were significantly associated with the risk of ED (P = 0.012, P = 0.005, P = 0.009). MaxVAF relative change (T2-T1/T1) was significantly associated with the risk of HPD (P = 0.02). After identifying optimal cut-off values, a two-step risk assessment model was proposed. DISCUSSION: Liquid biopsy performed early during treatment has the potential to identify patients at high risk of ED and HPD.

Indexed as

Carcinoma, Non-Small-Cell LungCell-Free Nucleic AcidsLung NeoplasmsDisease ProgressionHumansImmune Checkpoint InhibitorsLiquid BiopsyCell-Free Nucleic AcidsImmune Checkpoint Inhibitors

Identifiers

PMID36175621
PMCPMC9681746

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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.