Evidence map›Paper›PMID 37365145›Full record

ArticleThoracic cancer2023

Relationship between immune-related adverse events and treatment effectiveness in extensive disease small cell lung cancer.

Keiki Yokoo, Yauo Kitamura, Keito Suzuki, Kohei Morikawa, Takeo Sawai, Hiroyuki Honda, Sayaka Kudo, Gen Yamada

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 13% 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, 8 citations in OpenAlex.

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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

8 authors at 5 institutions in 1 country.

Keiki YokooDepartment of Respiratory Medicine, Teine Keijinkai Hospital, Sapporo, Japan.ORCID 0009-0008-8576-4750
Yauo KitamuraDepartment of Respiratory Medicine, Kushiro City General Hospital, Kushiro, Japan.
Keito SuzukiDepartment of Respiratory Medicine, Hakodate Goryoukaku Hospital, Hakodate, Japan.
Kohei MorikawaDepartment of Pulmonary Medicine, Steel Memorial Muroran Hospital, Muroran, Japan.
Takeo SawaiDepartment of Respiratory Medicine, Kushiro City General Hospital, Kushiro, Japan.
Hiroyuki HondaNagasaki University Hospital Infectious Diseases Experts Training Center, Nagasaki, Japan.
Sayaka KudoDepartment of Respiratory Medicine, Kushiro City General Hospital, Kushiro, Japan.
Gen YamadaDepartment of Respiratory Medicine, Teine Keijinkai Hospital, Sapporo, Japan.
Kushiro City General Hospital · JPTeine Keijinkai Hospital · JPHakodate National Hospital · JPMuroran Institute of Technology · JPNagasaki University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to assess the relationship between immune response adverse events (irAEs) and treatment efficacy in patients with extensive disease small cell lung cancer (ED-SCLC).

methodsWe retrospectively evaluated the clinical effects in 40 ED-SCLC patients who had received immune-checkpoint inhibitors (ICIs), platinum agents, and etoposide between September 2019 and September 2021. We identified and compared patients belonging to two groups: irAE and non-irAE.

resultsFifteen patients experienced irAEs, and 25 did not. The median progression-free survival in patients with irAE was longer than that in patients without irAE (12.6 months [95% CI: 6.3-19.3 months] vs. 7.2 months [95% CI: 5.8-7.9 months], p = 0.0108). However, the median overall survival (OS) was similar between irAE and non-irAE groups (27.6 months [95% CI: 15.4-NA] vs. 24.9 months [95% CI: 13.7-NA], p = 0.268). Seven (46.7%) in the irAE group and 20 (80%) in the non-irAE group received sequential therapy. The median OS was prolonged in patients who received first- and second-line therapy than in those who received first-line therapy alone (27.6 months [95% CI: 19.2-NA] vs. 6.6 months [95% CI: 0.3-NA], p = 0.053). Grade ≧ 3 irAEs occurred in five (12.5%) patients. Among them, grade 5 irAEs were observed in two patients, including exacerbation of polymyositis and pulmonary arterial embolism.

conclusionIn this study, the development of irAEs did not affect OS in patients with ED-SCLC who received platinum-based agents, etoposide, or ICI therapy. We determined that managing irAEs and administering first- and second-line therapies could contribute to prolonged OS.

Indexed as

Antineoplastic Agents, ImmunologicalCarcinoma, Non-Small-Cell LungLung NeoplasmsSmall Cell Lung CarcinomaEtoposideHumansNivolumabProgression-Free SurvivalRetrospective StudiesAntineoplastic Agents, ImmunologicalEtoposideNivolumabextensive disease small cell lung cancerimmune checkpoint inhibitorsimmune-related adverse eventsirAEs

Identifiers

PMID37365145
PMCPMC10423651
OpenAlexW4382044747

What OpenQuestion holds

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LicenceCC BY
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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.