Evidence map›Paper›PMID 37652490›Full record

ArticleIn vivo (Athens, Greece)

Serious Immune-related Adverse Events Are Associated With Greater Efficacy of Nivolumab Therapy Against Non-small Cell Lung Cancer.

Jiri Blazek, Petr Hosek, Karolina Hrabcova, Monika Bratova, Juraj Kultan, Michal Hrnciarik, Marketa Cernovska, Petra Zemanova, Jana Krejci, Leona Koubkova and 2 more

Open access · diamondAbstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 14% 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, 7 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

12 authors at 5 institutions in 1 country.

Jiri BlazekDepartment of Pneumology and Phthisiology, Charles University, Faculty of Medicine in Pilsen, University Hospital in Pilsen, Pilsen, Czech Republic.
Petr HosekLaboratory of Cancer Treatment and Tissue Regeneration, Biomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Karolina HrabcovaInstitute of Biostatistics and Analyses, Ltd., Brno, Czech Republic.
Monika BratovaDepartment of Respiratory Diseases, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Juraj KultanDepartment of Respiratory Medicine, Faculty of Medicine, Palacky University, Olomouc, Czech Republic.
Michal HrnciarikDepartment of Pneumology, Faculty of Medicine in Hradec Kralove, Charles University, Hradec Kralove, Czech Republic.
Marketa CernovskaDepartment of Respiratory Medicine, Thomayer Hospital, Prague, Czech Republic.
Petra ZemanovaDepartment of Oncology, First Faculty of Medicine in Prague, Charles University, Prague, Czech Republic.
Jana KrejciDepartment of Pneumology, Third Faculty of Medicine and Bulovka University Hospital, Charles University, Prague, Czech Republic.
Leona KoubkovaDepartment of Pneumology, Second Faculty of Medicine and Motol University Hospital, Charles University, Prague, Czech Republic.
Marek StastnyBMS Czech Republic, Prague, Czech Republic.
Martin SvatonDepartment of Pneumology and Phthisiology, Charles University, Faculty of Medicine in Pilsen, University Hospital in Pilsen, Pilsen, Czech Republic; svatonm@fnplzen.cz.
Charles University · CZMasaryk University · CZPalacký University Olomouc · CZThomayer University Hospital · CZUniversity of Hradec Králové · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimThe aim of this study was to investigate possible association between adverse events of nivolumab therapy and the effectiveness of treatment in patients with non-small cell lung cancer (NSCLC). Focusing on serious adverse events (i.e., those of grade ≥3), we evaluated overall survival (OS), progression-free survival (PFS), as well as objective response rate (ORR) to treatment. PATIENTS AND

methodsWe retrospectively analyzed a set of patients from the TULUNG database of NSCLC treated with nivolumab in eight oncology centers. We evaluated OS data based upon this set. To reduce possible bias, we further evaluated a subgroup of patients treated at the University Hospital in Pilsen, where the occurrence of adverse events, PFS, and ORR were independently examined by two experienced physicians. Survival statistics were evaluated using the Kaplan-Meier method and Cox analysis.

resultsWe observed significantly greater OS, PFS, and ORR in the group of patients experiencing adverse events upon nivolumab treatment versus in those patients without such events. Although the univariable model analyzing the data set of all patients demonstrated higher OS in patients with serious adverse events, only a nonsignificant trend was observed in the Cox multivariable model. In a subgroup of patients with PFS and ORR evaluation, we did observe significant, favorable effects for patients having had serious adverse effects.

conclusionPatients experiencing severe adverse events show a tendency toward better OS, PFS, and ORR compared to patients without or having only mild adverse events with nivolumab treatment.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsHumansNivolumabProgression-Free SurvivalRetrospective StudiesNivolumabadverse eventsLung cancernivolumaboverall survival

Identifiers

PMID37652490
PMCPMC10500521
OpenAlexW4386337424

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.