Evidence map›Paper›PMID 38468440›Full record

ArticleJournal of cachexia, sarcopenia and muscle2024

The relationship between weight gain during chemotherapy and outcomes in patients with advanced non-small cell lung cancer.

Eric J Roeland, Florian J Fintelmann, Fiona Hilton, Ruoyong Yang, Ed Whalen, Lisa Tarasenko, Roberto A Calle, Philip D Bonomi

3 registry-linked trialsAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

NCT00254891 phase3terminatednot on this map

International, Randomized, Open-Label, Phase 3 Trial of Paclitaxel/Carboplatin Plus PF-3512676 Versus Paclitaxel/Carboplatin Alone as First-Line Treatment of Patients With Advanced Non-Small Cell Lung Cancer

TypeinterventionalSponsorPfizerRan2005 to 2008Enrolled828ConditionsCarcinoma, Non-Small-Cell LungArmsPF-3512676 + Paclitaxel + Carboplatin, Paclitaxel + Carboplatin
NCT00254904 phase3terminatednot on this map

International, Randomized, Open-Label, Phase 3 Trial of Gemcitabine/Cisplatin Plus PF-3512676 Versus Gemcitabine/Cisplatin Alone as First-Line Treatment of Patients With Advanced Non-Small Cell Lung Cancer

TypeinterventionalSponsorPfizerRan2005 to 2008Enrolled839ConditionsCarcinoma, Non-Small-Cell LungArmsCisplatin, Gemcitabine, PF-3512676, Gemcitabine + Cisplatin
NCT00596830 phase3terminatednot on this map

Randomized, Open Label, Phase III Trial Of CP- 751,871 In Combination With Paclitaxel And Carboplatin Versus Paclitaxel And Carboplatin In Patients With Non Small Cell Lung Cancer

TypeinterventionalSponsorPfizerRan2008 to 2012Enrolled681ConditionsCarcinoma, Squamous Cell, Carcinoma, Adenosquamous, Carcinoma, Large Cell, Carcinoma, Non-Small-Cell LungArmsCP-751,871 (Figitumumab), Carboplatin, Paclitaxel
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
  4. Weight Gain Among Cancer Patients Receiving Chemotherapy-Facts and Numbers.Journal of cachexia, sarcopenia and muscle · 2025
    Article
  5. Review
  6. 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

8 authors.

Eric J RoelandKnight Cancer Institute, Oregon Health and Science University, Portland, OR, USA.ORCID 0000-0002-3674-3573
Florian J FintelmannDepartment of Radiology, Massachusetts General Hospital, Boston, MA, USA.
Fiona HiltonPfizer Inc., Groton, CT, USA.
Ruoyong YangPfizer Inc., New York, NY, USA.
Ed WhalenPfizer Inc., New York, NY, USA.
Lisa TarasenkoPfizer Inc., New York, NY, USA.
Roberto A CallePfizer Worldwide Research and Development, Cambridge, MA, USA.
Philip D BonomiRush University Medical Center, Chicago, IL, USA.

Funding

Pfizer
6 · The paper itself

Abstract

backgroundThis post hoc, pooled analysis examined the relationship between different weight gain categories and overall survival (OS) in patients with non-small cell lung cancer (NSCLC) receiving first-line platinum-based chemotherapy.

methodsData were pooled from the control arms of three phase III clinical studies (NCT00596830, NCT00254891, and NCT00254904), and the maximum weight gain in the first 3 months from treatment initiation was categorised as >0%, >2.5%, and >5.0%. Cox proportional hazard modelling of OS was used to estimate hazard ratios (HRs) for each category, including baseline covariates, time to weight gain, and time to confirmed objective response (RECIST Version 1.0).

resultsOf 1030 patients with advanced NSCLC (IIIB 11.5% and IV 88.5%), 453 (44.0%), 252 (24.5%), and 120 (11.7%) experienced weight gain from baseline of >0%, >2.5%, and >5.0%, respectively. The median time to weight gain was 23 (>0%), 43 (>2.5%), and 45 (>5.0%) days. After adjusting for a time-dependent confirmed objective response, the risk of death was reduced for patients with any weight gain (>0% vs. ≤0% [HR 0.71; 95% confidence interval-CI 0.61, 0.82], >2.5% vs. ≤2.5% [HR 0.76; 95% CI 0.64, 0.91] and >5.0% vs. ≤5.0% [HR 0.77; 95% CI 0.60, 0.99]). The median OS was 13.5 versus 8.6 months (weight gain >0% vs. ≤0%), 14.4 versus 9.4 months (weight gain >2.5% vs. ≤2.5%), and 13.4 versus 10.2 months (weight gain >5.0% vs. ≤5.0%).

conclusionsWeight gain during treatment was associated with a reduced risk of death, independent of tumour response. The survival benefit was comparable for weight gain >0%, >2.5%, and >5.0%, suggesting that any weight gain may be an early predictor of survival with implications for the design of interventional cancer cachexia studies.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsWeight GainAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansMaleMiddle AgedNeoplasm StagingProportional Hazards ModelsTreatment Outcomecachexianon‐small cell lung cancersurvivalweightweight gain

Identifiers

PMID38468440
PMCPMC11154746

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.