Evidence map›Paper›PMID 38455595›Full record

ArticleJTO clinical and research reports2024

Symptomatic Pneumonitis With Durvalumab After Concurrent Chemoradiotherapy in Unresectable Stage III NSCLC.

Johan F Vansteenkiste, Jarushka Naidoo, Corinne Faivre-Finn, Mustafa Özgüroğlu, Augusto Villegas, Davey Daniel, Shuji Murakami, Rina Hui, Ki Hyeong Lee, Byoung Chul Cho and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JTO clinical and research reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06688422 (Incentive Spirometry for Respiratory Enhancement Pilot Clinical Trial in Lung Cancer Patients Undergoing Concurrent Chemotherapy and Radiation Therapy), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.3field-weighted citation impact, top 3% 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.

NCT06688422 narecruitingnot on this map

Incentive Spirometry for Respiratory Enhancement Pilot Clinical Trial in Lung Cancer Patients Undergoing Concurrent Chemotherapy and Radiation Therapy

TypeinterventionalSponsorThe Cooper Health SystemRan2024 to 2026Enrolled100ConditionsLung Cancer, Pneumonitis, Radiation-Induced Lung Injury, Immunotherapy-Induced PneumonitisArmsincentive spirometry
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 15 citations in OpenAlex.

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  10. Drug-Induced Interstitial Lung Disease in Lung Cancer Patients.Respiration; international review of thoracic diseases · 2026
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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

16 authors at 14 institutions in 11 countries.

Johan F VansteenkisteRespiratory Oncology Unit and Trial Unit, Department of Respiratory Diseases, University Hospitals KU Leuven, Leuven, Belgium.
Jarushka NaidooDepartment of Medicine, Sidney Kimmel Comprehensive Cancer Center and Bloomberg-Kimmel Institute for Cancer Immunotherapy at Johns Hopkins University, Baltimore, Maryland.
Corinne Faivre-FinnDivision of Cancer Sciences, and Clinical Oncology, The University of Manchester and The Christie NHS Foundation Trust, Manchester, United Kingdom.
Mustafa ÖzgüroğluDivision of Medical Oncology, Istanbul University - Cerrahpaşa, Cerrahpaşa School of Medicine, Istanbul, Turkey.
Augusto VillegasHematology and Oncology, Cancer Specialists of North Florida, Jacksonville, Florida.
Davey DanielOncology, Tennessee Oncology, Chattanooga, Tennessee, and Sarah Cannon Research Institute, Nashville, Tennessee.
Shuji MurakamiDepartment of Thoracic Oncology, Kanagawa Cancer Center, Yokohama, Japan.
Rina HuiMedical Oncology, Westmead Hospital and the University of Sydney, Sydney, NSW, Australia.
Ki Hyeong LeeInternal Medicine Department, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Republic of Korea.
Byoung Chul ChoDivision of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Republic of Korea.
Kaoru KubotaDepartment of Pulmonary Medicine and Oncology, Nippon Medical School Hospital, Tokyo, Japan.
Helen BroadhurstStatistics, Plus-Project Ltd., Alderley Park, United Kingdom.
Catherine WadsworthGlobal Medicines Development, AstraZeneca, Alderley Park, United Kingdom.
Michael NewtonLate Development Oncology, AstraZeneca, Gaithersburg, Maryland.
Piruntha ThiyagarajahLate Development Oncology, AstraZeneca, Cambridge, United Kingdom.
Scott J AntoniaDepartment of Thoracic Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.
AstraZeneca (United Kingdom) · GBAstraZeneca (France) · FRBloomberg (United States) · USChungbuk National University Hospital · KRFlorida Cancer Specialists & Research Institute · USIstanbul University-Cerrahpaşa · TRKanagawa Prefectural Hospital Organization · JPKU Leuven · BEMoffitt Cancer Center · USNippon Medical School Hospital · JPSarah Cannon · USThe University of Sydney · AUUniversity of Manchester · GBYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In the placebo-controlled, phase 3 PACIFIC trial, durvalumab significantly prolonged progression-free survival (PFS) ( Methods: Patients with WHO performance status of 0 or 1 were randomized (2:1) to 12 months of durvalumab or placebo, 1 to 42 days after cCRT. Associations between baseline factors and on-study G2+PRP in durvalumab-treated patients were investigated using univariate and multivariate logistic regression. PFS and OS were analyzed using Cox proportional hazards models adjusted for time-dependent G2+PRP plus covariates for randomization stratification factors without and with additional baseline factors. Results: On-study G2+PRP occurred in 94 of 475 (19.8%) and 33 of 234 patients (14.1%) on durvalumab and placebo, respectively (median follow-up, 25.2 mo); grade greater than or equal to 3 PRP was uncommon (4.6% and 4.7%, respectively). Time to onset and resolution of G2+PRP was similar with durvalumab and placebo. Univariate and multivariate analyses identified patients treated in Asia, those with stage IIIA disease, those with performance status of 1, and those who had not received induction chemotherapy as having a higher risk of G2+PRP. PFS and OS benefit favoring durvalumab versus placebo was maintained regardless of time-dependent G2+PRP. Conclusions: Factors associated with higher risk of G2+PRP with durvalumab after cCRT were identified. Clinical benefit was maintained regardless of on-study G2+PRP, suggesting the risk of this event should not deter the use of durvalumab in eligible patients with unresectable stage III NSCLC.

Indexed as

DurvalumabImmunotherapyLocally advanced NSCLCPulmonary toxicityRadiotherapy

Identifiers

PMID38455595
PMCPMC10918565
OpenAlexW4391071296

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.