Evidence map›Paper›PMID 36825549›Full record

ArticleCancer medicine2023

The impact of peroxisome proliferator-activated receptor-γ activating angiotensin receptor blocker on outcomes of patients receiving immunotherapy.

Cho-Han Chiang, Yu-Cheng Chang, Shih-Syuan Wang, Yuan-Jen Chen, Xin Ya See, Chun-Yu Peng, Yuan Ping Hsia, Cho-Hsien Chiang, Cho-Hung Chiang, Cheng-Ming Peng

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
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 5 institutions in 3 countries.

Cho-Han ChiangDepartment of Medicine, Mount Auburn Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Yu-Cheng ChangDa Vinci Minimally Invasive Surgery Center, Chung Shan Medical University Hospital, Taichung, Taiwan.
Shih-Syuan WangDa Vinci Minimally Invasive Surgery Center, Chung Shan Medical University Hospital, Taichung, Taiwan.
Yuan-Jen ChenDepartment of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Xin Ya SeeDepartment of Medicine, Unity Hospital, Rochester Regional Health, Rochester, New York, USA.
Chun-Yu PengDepartment of Medicine, Danbury Hospital, Danbury, Connecticut, USA.
Yuan Ping HsiaDepartment of Family Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan.
Cho-Hsien ChiangDepartment of Medical Education, Kuang Tien General Hospital, Taichung, Taiwan.ORCID 0000-0002-1744-9141
Cho-Hung ChiangDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Cheng-Ming PengDa Vinci Minimally Invasive Surgery Center, Chung Shan Medical University Hospital, Taichung, Taiwan.
Mount Auburn Hospital · USDanbury Hospital · USTaipei Veterans General Hospital · TWChung Shan Medical University Hospital · TWTaipei Tzu Chi Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCertain angiotensin receptor blockers (ARBs) have peroxisome proliferator-activated receptor-γ (PPAR-γ) activation property, which has been associated with improved programmed cell death ligand 1 blockade and cytotoxic T lymphocyte-mediated antitumor activity.

methodsWe conducted a retrospective cohort study to investigate the impact of PPAR-γ-activating ARBs on patient survival in patients treated with immune checkpoint inhibitors (ICIs) across all types of cancers.

resultsA total of 167 patients receiving both angiotensin receptor blockers (ARBs) and immune checkpoint inhibitors (ICIs) were included. Compared with non-PPAR-γ-ARB users (n = 102), PPAR-γ-ARB users (n = 65) had a longer median overall survival (not reached [IQR, 16.0-not reached] vs. 18.6 [IQR, 6.1-38.6] months) and progression-free survival (17.3 [IQR, 5.1-not reached] vs. 8.2 [IQR, 2.4-18.6] months). In Cox regression analysis, the use of PPAR-γ-activating ARBs had an approximately 50% reduction in all-cause mortality and disease progression. Patients who received PPAR-γ-activating ARBs also had higher clinical benefit rates than non-PPAR-γ-ARB users (82% vs. 61%, p = 0.005).

conclusionThe use of ARBs with PPAR-γ-activating property is linked with better survival among patients receiving ICIs.

Indexed as

Angiotensin II Type 1 Receptor BlockersAngiotensin Receptor AntagonistsAngiotensin-Converting Enzyme InhibitorsHumansImmune Checkpoint InhibitorsImmunotherapyPPAR gammaRetrospective StudiesAngiotensin-Converting Enzyme InhibitorsAngiotensin II Type 1 Receptor BlockersAngiotensin Receptor AntagonistsImmune Checkpoint InhibitorsPPAR gammaangiotensin receptor blockersimmune checkpoint inhibitorsperoxisome proliferator-activated receptor-γrenin-angiotensin-aldosterone system inhibitors

Identifiers

PMID36825549
PMCPMC10166924
OpenAlexW4321749494

What OpenQuestion holds

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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.