Evidence map›Paper›PMID 36330681›Full record

Trial reportMolecular oncology2023

Atezolizumab and stereotactic body radiotherapy in patients with advanced non-small cell lung cancer: safety, clinical activity and ctDNA responses-the ComIT-1 trial.

Henrik Horndalsveen, Tine Norman Alver, Astrid Marie Dalsgaard, Lotte Victoria Rogg, Nina Helbekkmo, Bjørn Henning Grønberg, Tarje Onsøien Halvorsen, Christina Ramberg, Vilde Drageset Haakensen, Åsa Kristina Öjlert and 2 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Molecular oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
–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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

12 authors.

Henrik HorndalsveenDepartment of Oncology, Oslo University Hospital, Norway.ORCID 0000-0002-6806-6116
Tine Norman AlverDepartment of Cancer Genetics, Institute for Cancer Research, Oslo University Hospital, Norway.ORCID 0000-0002-3681-4511
Astrid Marie DalsgaardDepartment of Cancer Genetics, Institute for Cancer Research, Oslo University Hospital, Norway.
Lotte Victoria RoggDepartment of Oncology, Oslo University Hospital, Norway.
Nina HelbekkmoDepartment of Pulmonology, University Hospital of North Norway, Tromsø, Norway.ORCID 0000-0003-4748-4914
Bjørn Henning GrønbergDepartment of Clinical and Molecular Medicine, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.ORCID 0000-0001-5744-1534
Tarje Onsøien HalvorsenDepartment of Clinical and Molecular Medicine, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.ORCID 0000-0002-1181-921X
Christina RambergDepartment of Medical Physics, Oslo University Hospital, Norway.
Vilde Drageset HaakensenDepartment of Oncology, Oslo University Hospital, Norway.ORCID 0000-0003-0864-3628
Åsa Kristina ÖjlertDepartment of Oncology, Oslo University Hospital, Norway.ORCID 0000-0002-2888-8406
Maria Moksnes BjaanaesDepartment of Oncology, Oslo University Hospital, Norway.ORCID 0000-0001-7126-9064
Åslaug HellandDepartment of Oncology, Oslo University Hospital, Norway.ORCID 0000-0002-5520-0275

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The introduction of immune checkpoint inhibitors has transformed the treatment landscape of metastatic non-small cell lung cancer. However, challenges remain to increase the fraction of patients achieving durable clinical responses to these drugs and to help monitor the treatment effect. In this phase II trial, we investigated the toxicity, systemic responses and circulating tumour DNA responses in patients (n = 21) with advanced non-small-cell lung cancer treated with atezolizumab and stereotactic body radiotherapy in the second or later line. We found the combined treatment to be safe with grade 3 toxicity reported in three patients. As the best overall response, four patients had a partial response, eight had stable disease and five had progressive disease. Median overall survival time was still not reached after a median follow-up of 26.5 months and 10/15 patients with programmed death-ligand 1 negative tumours were alive >18 months after the start of the study treatment. ctDNA was detectable at baseline in 11 patients. A rapid decline in ctDNA to <30% of baseline levels was seen in three patients, two of which were radiographic responders and one was considered clinically benefiting from therapy for almost 1 year.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsRadiosurgeryAntibodies, Monoclonal, HumanizedHumansAntibodies, Monoclonal, Humanizedatezolizumabcirculating tumour DNAimmunotherapyliquid biopsyNSCLCradiotherapy

Identifiers

PMID36330681
PMCPMC9980306

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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.