Evidence map›Paper›PMID 37115272›Full record

ArticleJournal of cancer research and clinical oncology2023

Promising efficacy of immune checkpoint inhibitor plus chemotherapy for thoracic SMARCA4-deficient undifferentiated tumor.

Ying Lin, Bo Yu, Haifeng Sun, Hongyu Zhang, Zhihuang Hu, Yao Zhang, Zhenhua Wu, Si Sun, Xinmin Zhao, Hui Yu and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
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  3. ThoracicJournal of thoracic disease · 2026
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  20. Translational lung cancer research · 2025
    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

14 authors at 3 institutions in 1 country.

Ying Lin *Department of Thoracic Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Bo Yu *Department of Thoracic Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Haifeng Sun *Third Department of Medical Oncology, Shaanxi Provincial Cancer Hospital Affiliated to Medical College of Xi'an Jiaotong University, Xi'an, 710065, Shaanxi, China.
Hongyu ZhangDepartment of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Zhihuang HuDepartment of Thoracic Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Yao ZhangDepartment of Thoracic Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Zhenhua WuDepartment of Thoracic Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Si SunDepartment of Thoracic Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Xinmin ZhaoDepartment of Thoracic Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Hui YuDepartment of Thoracic Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Xianghua WuDepartment of Thoracic Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Yuan LiDepartment of Oncology, Shanghai Medical College, Fudan University, No. 270, Dong'an Road, Shanghai, 20032, China.
Jialei WangDepartment of Thoracic Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Huijie WangDepartment of Thoracic Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China. wanghj98@hotmail.com.
Shanghai Medical College of Fudan University · CNFudan University · CNShaanxi Provincial People's Hospital · CN

Funding

Beijing Xisike Clinical Oncology Research Foundation Y-QL202101-0175Huilan Public Welfare Fund Project HL-HS2020-45Shaanxi Cancer Hospital Project SC222712Shanghai Anticancer Association EYAS Project SACA-CY1B03
6 · The paper itself

Abstract

purposeThoracic SMARCA4-deficient undifferentiated tumor (SD-UT) is a highly aggressive disease that is nosologically related to but distinct from SMARCA4-deficient non-small cell lung cancer (SD-NSCLC). No standard treatment guidelines were established for SD-UT. This research explored the efficacy of different treatments in SD-UT, and the prognostic, clinicopathologic and genomic difference between SD-UT and SD-NSCLC. MATERIALS AND

methodsInformation of 25 SD-UT and 22 SD-NSCLC patients diagnosed and treated in Fudan University Shanghai Cancer Center from January, 2017 to September, 2022 was analyzed.

resultsSD-UT was similar to SD-NSCLC in characteristics of onset age, male prevalence, heavy smoking history and metastatic pattern. SD-UT showed a rapid relapse pattern after radical therapy. For Stage IV SD-UT patients, immune checkpoint inhibitor (ICI) plus chemotherapy significantly improved median progression-free survival (PFS) compared to traditional chemotherapy as first-line treatment (26.8 vs. 2.73 months, p = 0.0437), while objective response rates of two arms were comparable (71.4% vs. 66.7%). No significant survival differences were observed between SD-UT and SD-NSCLC under similar treatment settings. SD-UT or SD-NSCLC patients receiving ICI in the first line had significantly prolonged OS than those with ICI in the latter lines or without ICI treatment throughout clinical courses. Genetic study found frequent SMARCA4, TP53 and LRP1B mutations in SD-UT.

conclusionTo the best of our knowledge, this is the largest series to date to compare the efficacy of ICI-based treatment to chemotherapy and document frequent mutations of LRP1B in SD-UT. ICI plus chemotherapy is an effective strategy for Stage IV SD-UT.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsChinaDNA HelicasesGenomicsHumansImmune Checkpoint InhibitorsMaleNuclear ProteinsTranscription FactorsDNA HelicasesImmune Checkpoint InhibitorsNuclear ProteinsSMARCA4 protein, humanTranscription FactorsImmune checkpoint inhibitorLRP1BSMARCA4-deficient thoracic sarcomaSMARCA4-deficient thoracic sarcomatoid tumorThoracic SMARCA4-deficient undifferentiated tumor

Identifiers

PMID37115272
PMCPMC10374696
OpenAlexW4367311417

What OpenQuestion holds

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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.