Evidence map›Paper›PMID 36713546›Full record

ArticleFrontiers in oncology2022

Efficacy and safety evaluation of neoadjuvant immunotherapy plus chemotherapy for resectable non-small cell lung cancer in real world.

Min Fang, Qingqing Hang, Haitao Jiang, Lei Cai, Jinlin Hu, Hangjie Ying, Qing Gu, Xiaofu Yu, Jinshi Liu, Xiaojing Lai

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. 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

10 authors at 3 institutions in 1 country.

Min FangDepartment of Thoracic Radiotherapy, Zhejiang Cancer Hospital, Hangzhou, China.
Qingqing HangThe Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China.
Haitao JiangInstitute of Cancer and Basic Medicine (IBMC), Chinese Academy of Sciences, Hangzhou, China.
Lei CaiInstitute of Cancer and Basic Medicine (IBMC), Chinese Academy of Sciences, Hangzhou, China.
Jinlin HuInstitute of Cancer and Basic Medicine (IBMC), Chinese Academy of Sciences, Hangzhou, China.
Hangjie YingInstitute of Cancer and Basic Medicine (IBMC), Chinese Academy of Sciences, Hangzhou, China.
Qing GuDepartment of Thoracic Radiotherapy, Zhejiang Cancer Hospital, Hangzhou, China.
Xiaofu YuDepartment of Thoracic Radiotherapy, Zhejiang Cancer Hospital, Hangzhou, China.
Jinshi LiuInstitute of Cancer and Basic Medicine (IBMC), Chinese Academy of Sciences, Hangzhou, China.
Xiaojing LaiDepartment of Thoracic Radiotherapy, Zhejiang Cancer Hospital, Hangzhou, China.
Zhejiang Cancer Hospital · CNChinese Academy of Sciences · CNZhejiang Chinese Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The combination of immunotherapy and chemotherapy has shown great efficacy in stage IV non-small cell lung cancer (NSCLC) and is now widely used in clinical treatment strategy. This study retrospectively analyzed the efficacy and safety of neoadjuvant immunotherapy plus chemotherapy for resectable NSCLC in real world. Methods: We retrospectively analyzed patients with NSCLC who received neoadjuvant immunotherapy plus chemotherapy and underwent complete tumor resection in Zhejiang Cancer Hospital between January 2019 and January 2021. Tumor staging was based on the eighth TNM classification system of the American Joint Committee on Cancer staging criteria. The safety and toxicity (including operative and postoperative complications) and the efficacy [including objective response rate (ORR), disease control rate (DCR), tumor major pathological remission (MPR), and pathological complete response (pCR)] were evaluated. Results: In total, 368 patients with NSCLC were administered with neoadjuvant immunotherapy. Of them, 211 patients were included in this retrospective study. Most patients had stage II-III disease, with 75 (35.5%) and 88 (41.7%) patients diagnosed with clinical stages IIB and IIIA, respectively. A total of 206 patients (97.6%) received at least two doses of neoadjuvant immunotherapy plus chemotherapy. In addition, 121 patients (57.3%) have achieved MPR, and 80 patients (37.9%) have achieved pCR, with ORR at 69.2% and DCR at 97.7%. Treatment-related adverse events occurred in 46.4% of patients, and the incidence rate of grade 3 or 4 treatment-related adverse events was 13.3% (13/98). Moreover, adverse events of any grade of surgical complication occurred in 15.6% of patients. One-year disease-free survival was 80.6% (170/211). Conclusions: Neoadjuvant immunotherapy plus chemotherapy has significant efficacy with a high pCR and tolerable adverse effects for patients with resectable stage II-III NSCLC in real world.

Indexed as

chemotherapyimmunotherapyneoadjuvantNSCLCsurgery

Identifiers

PMID36713546
PMCPMC9877512
OpenAlexW4315641264

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.