Evidence map›Paper›PMID 37754526›Full record

ArticleCurrent oncology (Toronto, Ont.)2023

Durvalumab Treatment Patterns for Patients with Unresectable Stage III Non-Small Cell Lung Cancer in the Veterans Health Administration (VHA): A Nationwide, Real-World Study.

Amanda M Moore, Zohra Nooruddin, Kelly R Reveles, Paromita Datta, Jennifer M Whitehead, Kathleen Franklin, Munaf Alkadimi, Madison H Williams, Ryan A Williams, Sarah Smith and 9 more

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
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

19 authors at 6 institutions in 1 country.

Amanda M MooreCollege of Pharmacy, The University of Texas at Austin, Austin, TX 78712, USA.
Zohra NooruddinLong School of Medicine, University of Texas Health San Antonio, San Antonio, TX 78229, USA.
Kelly R RevelesCollege of Pharmacy, The University of Texas at Austin, Austin, TX 78712, USA.ORCID 0000-0001-8880-4879
Paromita DattaLong School of Medicine, University of Texas Health San Antonio, San Antonio, TX 78229, USA.
Jennifer M WhiteheadLong School of Medicine, University of Texas Health San Antonio, San Antonio, TX 78229, USA.
Kathleen FranklinLong School of Medicine, University of Texas Health San Antonio, San Antonio, TX 78229, USA.
Munaf AlkadimiLong School of Medicine, University of Texas Health San Antonio, San Antonio, TX 78229, USA.
Madison H WilliamsMD Anderson Cancer Center, Houston, TX 77030, USA.
Ryan A WilliamsMD Anderson Cancer Center, Houston, TX 77030, USA.
Sarah SmithLong School of Medicine, University of Texas Health San Antonio, San Antonio, TX 78229, USA.
Renee ReichelderferAudie L. Murphy Veterans Hospital, South Texas Veterans Health Care System, San Antonio, TX 78229, USA.
Ion CotarlaAstraZeneca US Medical Affairs, Gaithersburg, MD 20878, USA.
Lance BrannmanCollege of Pharmacy, University of Utah, Salt Lake City, UT 84112, USA.
Andrew FrankartDepartment of Radiation Oncology, University of Cincinnati, Cincinnati, OH 45267, USA.
Tiernan MulrooneyAstraZeneca US Medical Affairs, Gaithersburg, MD 20878, USA.
Kristin HsiehAstraZeneca US Medical Affairs, Gaithersburg, MD 20878, USA.ORCID 0000-0003-4100-473X
Daniel J SimmonsAstraZeneca US Medical Affairs, Gaithersburg, MD 20878, USA.
Xavier JonesCollege of Pharmacy, The University of Texas at Austin, Austin, TX 78712, USA.
Christopher R FreiCollege of Pharmacy, The University of Texas at Austin, Austin, TX 78712, USA.ORCID 0000-0002-0692-4787
The University of Texas Health Science Center at San Antonio · USAstraZeneca (United States) · USMurphy Oil Corporation (United States) · USThe University of Texas MD Anderson Cancer Center · USUniversity of Cincinnati · USUniversity of Utah · US

Funding

AstraZeneca (USA) None
6 · The paper itself

Abstract

backgroundDurvalumab is approved for the treatment of adults with unresectable stage III non-small cell lung cancer (NSCLC) post-chemoradiotherapy (CRT). This real-world study describes patient characteristics and durvalumab treatment patterns (number of doses and therapy duration; treatment initiation delays, interruptions, discontinuations, and associated reasons) among VHA-treated patients.

methodsThis was a retrospective cohort study of adults with unresectable stage III NSCLC receiving durvalumab at the VHA between 1 January 2017 and 30 June 2020. Patient characteristics and treatment patterns were presented descriptively.

resultsA total of 935 patients were included (median age: 69 years; 95% males; 21% Blacks; 46% current smokers; 16% ECOG performance scores ≥ 2; 50% squamous histology). Durvalumab initiation was delayed in 39% of patients (

conclusionsThese real-world analyses corroborate PACIFIC study results in terms of the main reasons for treatment discontinuation in a VHA population with worse prognostic factors, including older age, predominantly male sex, and poorer performance score. One of the main reasons for durvalumab initiation delays, treatment interruptions, or discontinuations was due to toxicities. Patients could benefit from improved strategies to prevent, identify, and manage CRT and durvalumab toxicities timely and effectively.

Indexed as

Antibodies, MonoclonalAntineoplastic Agents, ImmunologicalCarcinoma, Non-Small-Cell LungLung NeoplasmsAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm StagingRetrospective StudiesUnited StatesUnited States Department of Veterans AffairsAntibodies, MonoclonalAntineoplastic Agents, Immunologicaldurvalumabchemoradiotherapychemotherapydurvalumabimmunotherapylung cancerpharmacoepidemiologyradiotherapystage III NSCLC

Identifiers

PMID37754526
PMCPMC10529719
OpenAlexW4386742277

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.