Evidence map›Paper›PMID 37488229›Full record

ReviewNature reviews. Clinical oncology2023

Immune-checkpoint inhibition for resectable non-small-cell lung cancer - opportunities and challenges.

Giannis Mountzios, Jordi Remon, Lizza E L Hendriks, Rosario García-Campelo, Christian Rolfo, Paul Van Schil, Patrick M Forde, Benjamin Besse, Vivek Subbiah, Martin Reck and 2 more

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 128 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 8 pooled it
40.5field-weighted citation impact, top 1% 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

128 citing papers in PubMed, 8 syntheses or guidelines pooled it, 170 citations in OpenAlex.

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  4. The efficacy and safety of neoadjuvant immunochemotherapy in resectable stage I-III non-small cell lung cancer: a systematic review and network meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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68 more citing papers are in PubMed but not listed here.

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 11 institutions in 8 countries.

Giannis Mountzios *Fourth Department of Medical Oncology and Clinical Trials Unit, Henry Dunant Hospital Center, Athens, Greece. gmountzios@gmail.com.ORCID 0000-0002-7780-7836
Jordi Remon *Department of Cancer Medicine, Gustave Roussy, Villejuif, France.
Lizza E L HendriksDepartment of Respiratory Medicine, Maastricht University Medical Centre, GROW School for Oncology and Reproduction, Maastricht, Netherlands.ORCID 0000-0002-3521-2535
Rosario García-CampeloDepartment of Medical Oncology, Hospital Universitario A Coruña, A Coruña, Spain.
Christian RolfoCenter for Thoracic Oncology, The Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-5109-0267
Paul Van SchilDepartment of Thoracic and Vascular Surgery, University Hospital of Antwerp, Antwerp, Belgium.
Patrick M FordeBloomberg~Kimmel Institute for Cancer Immunotherapy, Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD, USA.ORCID 0000-0001-6925-6344
Benjamin BesseDepartment of Cancer Medicine, Gustave Roussy, Villejuif, France.
Vivek SubbiahDepartment of Cancer Medicine, Sarah Cannon Research Institute, Nashville, TN, USA.ORCID 0000-0002-6064-6837
Martin ReckDepartment of Thoracic Oncology, Airway Research Center North, German Center of Lung Research, Lung Clinic, Grosshansdorf, Germany.ORCID 0000-0002-5348-4462
Jean-Charles SoriaDepartment of Cancer Medicine, Université Paris-Saclay, Orsay, France.
Solange PetersOncology Department, CHUV, Lausanne University, Lausanne, Switzerland.
Université Paris-Saclay · FRAntwerp University Hospital · BEBloomberg (United States) · USComplexo Hospitalario Universitario A Coruña · ESGerman Center for Lung Research · DEHenry Dunant Hospital · GRInstitut Gustave Roussy · FRMaastricht University Medical Centre · NLSarah Cannon · USTisch Hospital · USUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Therapeutic strategies harnessing the immune system to eliminate tumour cells have been successfully used for several cancer types, including in patients with advanced-stage non-small-cell lung cancer (NSCLC). In these patients, immune-checkpoint inhibitors (ICIs) can provide durable responses and improve overall survival either as monotherapy, or combined with chemotherapy or other immunotherapeutic agents. However, the implementation of ICIs in early stage NSCLC has been hampered by the continuous struggle to develop robust end points to assess their efficacy in this setting, especially those enabling a fast and reproducible evaluation of the clinical activity of neoadjuvant strategies. Several trials are testing ICIs, alone or in combination with chemotherapy, in early stage NSCLC as an adjuvant, neoadjuvant or perioperative approach. As a novelty, most trials in the neoadjuvant setting have adopted pathological response as a primary end point. ICIs have been approved for use in the neoadjuvant and adjuvant settings on the basis of event-free survival and disease-free survival benefit, respectively; however, the correlation of these end points with overall survival remains unclear in these settings. Unresolved challenges for the optimal use of ICIs with curative intent include concerns about their applicability in daily clinical practice and about improving patient selection based on predictive biomarkers or assessment of pathological response and minimal residual disease. In this Review, we discuss the rationale, available strategies and current trial landscape for the implementation of ICIs in patients with resectable NSCLC, and we further elaborate on future approaches to optimize their clinical benefit.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsSmall Cell Lung CarcinomaDisease-Free SurvivalHumansImmune Checkpoint InhibitorsProgression-Free SurvivalImmune Checkpoint Inhibitors

Identifiers

PMID37488229
OpenAlexW4385199630

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.