Evidence map›Paper›PMID 36884079›Full record

ArticleCancer immunology, immunotherapy : CII2023

Efficacy and safety of immune checkpoint inhibitors in elderly patients with primary liver cancer: a retrospective, multicenter, real-world cohort study.

Lushan Xiao, Yanxia Liao, Jiaren Wang, Qimei Li, Hongbo Zhu, Chang Hong, Ruining Li, Jingzhe He, Hao Cui, Hanzhi Dong and 2 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
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  5. Article
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  7. 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

12 authors at 4 institutions in 1 country.

Lushan Xiao *Big Data Center, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Yanxia Liao *Big Data Center, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Jiaren Wang *Big Data Center, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Qimei Li *Big Data Center, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Hongbo Zhu *Department of Medical Oncology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, 421001, Hunan Province, China.
Chang HongDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Ruining LiDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Jingzhe HeDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Hao CuiBig Data Center, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. haocui2021@163.com.
Hanzhi DongDepartment of Medical Oncology, Jiangxi Cancer Hospital, The Second Affiliated Hospital of Nanchang Medical College, Jiangxi Clinical Research Center for Cancer, Nanchang, 330029, China. ndzhlyy1394@ncu.edu.cn.
Lin ZengBig Data Center, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. lin_zeng1126@163.com.
Li LiuBig Data Center, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. liuli@i.smu.edu.cn.
Southern Medical University · CNNanfang Hospital · CNJiangxi Provincial Cancer Hospital · CNUniversity of South China · CN

Funding

China Postdoctoral Science Foundation No.2021M701629Guangdong Natural Science Foundation No.2022A1515110656Guangzhou Science and Technology Project No.202201011183National Nature Science Foundation of China No.81972897, 82172751
6 · The paper itself

Abstract

backgroundThere is still no specific real-world data regarding the clinical activity of immune checkpoint inhibitors in the elderly with liver cancer. Our study aimed to compare the efficacy and safety of immune checkpoint inhibitors between patients aged ≥ 65 years and the younger group, while exploring their differences in genomic background and tumor microenvironment.

methodsThis retrospective study was conducted at two hospitals in China and included 540 patients treated with immune checkpoint inhibitors for primary liver cancer between January 2018 and December 2021. Patients' medical records were reviewed for clinical and radiological data and oncologic outcomes. The genomic and clinical data of patients with primary liver cancer were extracted and analyzed from TCGA-LIHC, GSE14520, and GSE140901 datasets.

resultsNinety-two patients were classified as elderly and showed better progression-free survival (P = 0.027) and disease control rate (P = 0.014). No difference was observed in overall survival (P = 0.69) or objective response rate (P = 0.423) between the two age groups. No significant difference was reported concerning the number (P = 0.824) and severity (P = 0.421) of adverse events. The enrichment analyses indicated that the elderly group was linked to lower expression of oncogenic pathways, such as PI3K-Akt, Wnt, and IL-17. The elderly had a higher tumor mutation burden than younger patients.

conclusionsOur results indicated that immune checkpoint inhibitors might exhibit better efficacy in the elderly with primary liver cancer, with no increased adverse events. Differences in genomic characteristics and tumor mutation burden may partially explain these results.

Indexed as

Antineoplastic Agents, ImmunologicalLiver NeoplasmsAgedCohort StudiesHumansImmune Checkpoint InhibitorsPhosphatidylinositol 3-KinasesRetrospective StudiesTumor MicroenvironmentAntineoplastic Agents, ImmunologicalImmune Checkpoint InhibitorsPhosphatidylinositol 3-KinasesEfficacyElderlyImmune checkpoint inhibitorsPrimary liver cancerSafety

Identifiers

PMID36884079
PMCPMC10991115
OpenAlexW4323531535

What OpenQuestion holds

Textmetadata
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.