Evidence map›Paper›PMID 38029024›Full record

ArticleJTO clinical and research reports2023

Pneumonitis During Durvalumab Consolidation Therapy Affects Survival in Stage III NSCLC.

Yuhei Kinehara, Takayuki Shiroyama, Akihiro Tamiya, Motohiro Tamiya, Seigo Minami, Masaki Kanazu, Osamu Morimura, Toshie Niki, Satoshi Tetsumoto, Yoshihiko Taniguchi and 5 more

Open access · goldAbstract read
In one paragraph

Article in JTO clinical and research reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 3 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

15 authors at 10 institutions in 5 countries.

Yuhei KineharaDepartment of Respiratory Medicine and Clinical Immunology, Nippon Life Hospital, Osaka, Japan.
Takayuki ShiroyamaDepartment of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Osaka, Japan.
Akihiro TamiyaDepartment of Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Osaka, Japan.
Motohiro TamiyaDepartment of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Seigo MinamiDepartment of Respiratory Medicine, Osaka Police Hospital, Osaka, Japan.
Masaki KanazuDepartment of Thoracic Oncology, National Hospital Organization Osaka Toneyama Medical Center, Osaka, Japan.
Osamu MorimuraDepartment of Respiratory Medicine, Toyonaka Municipal Hospital, Osaka, Japan.
Toshie NikiDepartment of Respiratory Medicine, Nishinomiya Municipal Central Hospital, Hyogo, Japan.
Satoshi TetsumotoDepartment of Respiratory Medicine and Clinical Immunology, Suita Municipal Hospital, Osaka, Japan.
Yoshihiko TaniguchiDepartment of Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Osaka, Japan.
Tomoki KugeDepartment of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Osaka, Japan.
Kazumi NishinoDepartment of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Izumi NagatomoDepartment of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Osaka, Japan.
Atsushi KumanogohDepartment of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Osaka, Japan.
Isao TachibanaDepartment of Respiratory Medicine and Clinical Immunology, Nippon Life Hospital, Osaka, Japan.
Osaka University · JPNational Kinki Chuo Hospital for Chest Disease · JPOsaka Medical Center for Cancer and Cardiovascular Diseases · JPAbbVie (United States) · USNippon Medical School Hospital · JPNishinomiya Municipal Central Hospital · JPOsaka Police Hospital · JPSuita Municipal Hospital · JPToneyama National Hospital · JPToyonaka Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Durvalumab consolidation therapy is the standard of care after concurrent chemoradiotherapy (CRT) for stage III NSCLC. Immune-related pneumonitis during durvalumab treatment is potentially fatal; however, information is lacking regarding the impact of pneumonitis on patient survival. This study investigates the effect of pulmonary and nonpulmonary immune-related adverse events (irAEs) on the efficacy of durvalumab treatment in patients with stage III NSCLC. Methods: We retrospectively assessed 158 patients who received durvalumab after CRT at nine Japanese institutions between July 2018 and March 2020. Survival outcomes were compared between patients who developed pneumonitis with those who developed irAEs other than pneumonitis. Patients who survived for less than 3 months were excluded to reduce immortal time bias. Results: Among 158 evaluated patients, 76 (48%) experienced grade less than or equal to one irAEs, whereas 82 (52%) experienced grade greater than or equal to two irAEs. Among the patients with grade greater than or equal to two irAEs, those with grade greater than or equal to two pneumonitis (n = 55) were compared with those with grade greater than or equal to two irAEs other than pneumonitis (n = 27). Patients with grade greater than or equal to two pneumonitis exhibited a significantly worse overall survival than those with grade greater than or equal to two irAEs that excluded pneumonitis. Multivariate analysis revealed that grade greater than or equal to two pneumonitis (hazard ratio = 3.71; 95% confidence interval, 1.85-7.45; Conclusions: After minimizing immortal time bias, pneumonitis grade two or greater and squamous histology were poor prognostic factors in patients who received consolidation durvalumab after CRT.

Indexed as

ChemoradiotherapyDurvalumabImmune-related adverse eventPneumonitisStage III

Identifiers

PMID38029024
PMCPMC10679942
OpenAlexW4387580816

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.