Evidence map›Paper›PMID 38581687›Full record

Observational studyThe oncologist2024

Tumor Response Predicts Survival Time of Nivolumab Monotherapy for Advanced Gastric Cancer: A Subgroup Analysis of the DELIVER Trial (JACCRO GC-08).

Yu Sunakawa, Yasuhiro Sakamoto, Ryohei Kawabata, Atsushi Ishiguro, Yusuke Akamaru, Yosuke Kito, Masazumi Takahashi, Jin Matsuyama, Hiroshi Yabusaki, Akitaka Makiyama and 8 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in The oncologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

18 authors at 18 institutions in 1 country.

Yu SunakawaDepartment of Clinical Oncology, St. Marianna University School of Medicine, Kawasaki, Japan.ORCID 0000-0002-0163-7543
Yasuhiro SakamotoDepartment of Medical Oncology, Osaki Citizen Hospital, Osaki, Japan.
Ryohei KawabataDepartment of Surgery, Sakai City Medical Center, Sakai, Japan.
Atsushi IshiguroDepartment of Medical Oncology, Teine Keijinkai Hospital, Sapporo, Japan.
Yusuke AkamaruDepartment of Gastrointestinal Surgery, Ikeda City Hospital, Ikeda, Japan.
Yosuke KitoDepartment of Medical Oncology, Ishikawa Prefectural Central Hospital, Kanazawa, Japan.ORCID 0000-0003-3677-9880
Masazumi TakahashiDivision of Gastroenterological Surgery, Yokohama Municipal Citizen's Hospital, Yokohama, Japan.
Jin MatsuyamaDepartment of Gastroenterological Surgery, Higashi-Osaka City Medical Center, Higashi-Osaka, Japan.
Hiroshi YabusakiDepartment of Gastroenterological Surgery, Niigata Cancer Center Hospital, Niigata, Japan.
Akitaka MakiyamaCancer Center, Gifu University Hospital, Gifu, Japan.
Takahisa SuzukiDepartment of Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan.
Masahiro TsudaDepartment of Gastroenterolgical Oncology, Hyogo Cancer Center, Akashi, Japan.
Hisateru YasuiDeparment of Medical Oncology, Kobe City Medical Center General Hospital, Kobe, Japan.
Jun HiharaDepartment of Surgery, Hiroshima City North Medical Center Asa Citizens Hospital, Hiroshima, Japan.
Atsushi TakenoDepartment of Surgery, Kansai Rosai Hospital, Amagasaki, Japan.
Eisuke InoueShowa University Research Administration Center, Showa University, Tokyo, Japan.
Wataru IchikawaDivision of Medical Oncology, Showa University Fujigaoka Hospital, Yokohama, Japan.
Masashi FujiiJapan Clinical Cancer Research Organization (JACCRO), Tokyo, Japan.
Gifu University Hospital · JPHigashi Osaka City General Hospital · JPHiroshima City Asa Citizens Hospital · JPHyogo Prefectural Cancer Center · JPIkeda Municipal Hospital · JPIshikawa Prefectural Central Hospital · JPJapan Clinical Cancer Research Organization · JPKansai Rosai Hospital · JPKobe City Medical Center General Hospital · JPNational Hospital Organization · JPNiigata Cancer Center Hospital · JPOsaki Citizen Hospital · JPSakai Municipal Hospital · JPShowa University Fujigaoka Hospital · JPShowa University Hospital · JPSt. Marianna University School of Medicine · JPTeine Keijinkai Hospital · JPYokohama Municipal Citizen's Hospital · JP

Funding

Japan Clinical Cancer Research Organization
6 · The paper itself

Abstract

backgroundThis prospective observational study evaluated the real-world effectiveness of nivolumab monotherapy in previously treated advanced gastric cancer (GC). A preplanned 2-year final analysis was performed to confirm survival and tumor behavior with nivolumab monotherapy. PATIENTS AND

methodsThe primary endpoint was overall survival (OS). The data regarding tumor size were prospectively collected and evaluated using the RECIST criteria. Exploratory analyses were performed for survival according to the tumor response and depth of response (DpR) in patients with measurable lesions who were receiving nivolumab monotherapy as third- or later-line therapy.

resultsIn 487 patients, the median OS and progression-free survival (PFS) were 5.8 (95% CI 5.3-6.9) months and 1.8 (95% CI 1.7-2.0) months, respectively. The response rate (RR) was 14.5% in 282 patients with measurable lesions. In 234 patients treated with third- or later-line, the DpR was found to be associated with PFS and OS in the Spearman analysis (r = 0.55 and 0.44, respectively) as well as using a discrete variable. When the DpR was divided into 5 groups (-20%≥DpR; -20%<DpR ≤ 0%; 0%<DpR ≤ 30%; 30%<DpR ≤ 50%; 50%<DpR) according to tumor shrinkage, clinically meaningful differences in PFS, and OS were noted. Patients with DpR of ≥30% had favorable survival time in nivolumab monotherapy as a later-line treatment.

conclusionThe final analysis confirmed the efficacy of nivolumab monotherapy for patients with advanced GC in routine clinical practice. The exploratory analysis indicated that increasing DpR was associated with longer median PFS and OS in nivolumab treatment at a later-line setting.

Indexed as

NivolumabStomach NeoplasmsAdultAgedAged, 80 and overAntineoplastic Agents, ImmunologicalFemaleHumansMaleMiddle AgedProgression-Free SurvivalProspective StudiesSurvival RateAntineoplastic Agents, ImmunologicalNivolumabgastric cancernivolumabreal-world datatumor response

Identifiers

PMID38581687
PMCPMC11299930
OpenAlexW4394014211

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.