Evidence map›Paper›PMID 36627112›Full record

Trial reportThoracic cancer2023

Use of durvalumab in stage III non-small-cell lung cancer based on eligibility for the PACIFIC study.

Emma Boys, Bo Gao, Rina Hui, Inês da Silva, Eric Hau, Harriet Gee, Adnan Nagrial

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Thoracic cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Treatment of non-small cell lung cancer: advances following the introduction of PET-CT and IMRT/VMAT.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Article
  4. Article
  5. Review
  6. 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

7 authors at 1 institution in 1 country.

Emma BoysDepartment of Medical Oncology, Crown Princess Mary Cancer Centre, Westmead, New South Wales, Australia.ORCID 0000-0002-8078-6941
Bo GaoDepartment of Medical Oncology, Crown Princess Mary Cancer Centre, Westmead, New South Wales, Australia.
Rina HuiDepartment of Medical Oncology, Crown Princess Mary Cancer Centre, Westmead, New South Wales, Australia.
Inês da SilvaDepartment of Medical Oncology, Crown Princess Mary Cancer Centre, Westmead, New South Wales, Australia.
Eric HauDepartment of Medical Oncology, Crown Princess Mary Cancer Centre, Westmead, New South Wales, Australia.
Harriet GeeDepartment of Medical Oncology, Crown Princess Mary Cancer Centre, Westmead, New South Wales, Australia.
Adnan NagrialDepartment of Medical Oncology, Crown Princess Mary Cancer Centre, Westmead, New South Wales, Australia.
The University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDurvalumab following concurrent chemoradiotherapy is standard treatment for unresectable stage III non-small-cell lung cancer based on the results of the PACIFIC trial. Based on trial criteria, not all patients are eligible for durvalumab in routine clinical practice.

methodsWe evaluated eligibility for durvalumab in a real-world clinical setting and the impact of eligibility on outcomes. Consecutive patients treated with concurrent chemoradiotherapy at two tertiary centers between January 2015 and June 2022 were assessed. Clinical characteristics and outcomes were evaluated based on eligibility criteria for the PACIFIC trial.

resultsA total of 126 patients were included. Seventy patients (56%) were eligible for durvalumab. Ineligibility was associated with shorter progression-free survival of 9.7 months versus 18.4 months (hazard ratio [HR] 0.61, 95% confidence interval [CI] 0.39-0.95, p = 0.029) and overall survival of 26.4 months versus 58.7 months (HR 0.47, 95% CI 0.28-0.80, p = 0.005). Common reasons for ineligibility were history of previous malignancy (32%) and progressive disease or death during chemoradiotherapy (25%). Ineligible patients who received durvalumab had similar outcomes to eligible patients who received durvalumab.

conclusionsIn a real-world cohort, adjuvant durvalumab is safe and beneficial in a substantial proportion of patients who would not have been eligible for the PACIFIC trial.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAntibodies, MonoclonalChemoradiotherapyHumansNeoplasm StagingAntibodies, Monoclonaldurvalumabchemoradiotherapyclinical trial eligibilityconsolidation therapyreal-world populationtreatment utilization

Identifiers

PMID36627112
PMCPMC9968599
OpenAlexW4315434612

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.