Evidence map›Paper›PMID 38674117›Full record

Observational studyInternational journal of molecular sciences2024

Novel Blood Biomarkers for Response Prediction and Monitoring of Stereotactic Ablative Radiotherapy and Immunotherapy in Metastatic Oligoprogressive Lung Cancer.

Juan Zafra, Juan Luis Onieva, Javier Oliver, María Garrido-Barros, Andrea González-Hernández, Beatriz Martínez-Gálvez, Alicia Román, Rafael Ordóñez-Marmolejo, Elisabeth Pérez-Ruiz, José Carlos Benítez and 5 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in International journal of molecular sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Observational
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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 5 institutions in 2 countries.

Juan ZafraGroup of Translational Research in Cancer Immunotherapy (CIMO2), Department of Radiation Oncology, Virgen de la Victoria University Hospital, Institute of Biomedical Research in Malaga (IBIMA), 29010 Málaga, Spain.ORCID 0000-0003-4778-4271
Juan Luis OnievaFaculty of Medicine, University of Malaga (UMA), 29071 Málaga, Spain.ORCID 0000-0001-8976-8099
Javier OliverGroup of Translational Research in Cancer Immunotherapy (CIMO2), Medical Oncology Intercenter Unit, Regional and Virgen de la Victoria Hospitals, Institute of Biomedical Research in Malaga (IBIMA), 29010 Málaga, Spain.ORCID 0000-0002-8073-4711
María Garrido-BarrosFaculty of Medicine, University of Malaga (UMA), 29071 Málaga, Spain.
Andrea González-HernándezFaculty of Medicine, University of Malaga (UMA), 29071 Málaga, Spain.
Beatriz Martínez-GálvezGroup of Translational Research in Cancer Immunotherapy (CIMO2), Medical Oncology Intercenter Unit, Regional and Virgen de la Victoria Hospitals, Institute of Biomedical Research in Malaga (IBIMA), 29010 Málaga, Spain.
Alicia RománDepartment of Radiation Oncology, Virgen de la Victoria University Hospital, Institute of Biomedical Research in Malaga (IBIMA), 29010 Málaga, Spain.
Rafael Ordóñez-MarmolejoDepartment of Radiation Oncology, Virgen de la Victoria University Hospital, Institute of Biomedical Research in Malaga (IBIMA), 29010 Málaga, Spain.
Elisabeth Pérez-RuizGroup of Translational Research in Cancer Immunotherapy (CIMO2), Medical Oncology Intercenter Unit, Regional and Virgen de la Victoria Hospitals, Institute of Biomedical Research in Malaga (IBIMA), 29010 Málaga, Spain.ORCID 0000-0001-7204-0800
José Carlos BenítezGroup of Translational Research in Cancer Immunotherapy (CIMO2), Medical Oncology Intercenter Unit, Regional and Virgen de la Victoria Hospitals, Institute of Biomedical Research in Malaga (IBIMA), 29010 Málaga, Spain.ORCID 0000-0002-8776-9132
Andrés MesasMedical Oncology Intercenter Unit, Regional and Virgen de la Victoria Hospitals, 29010 Málaga, Spain.
Andrés VeraDepartment of Radiation Oncology, Dr Negrín University Hospital, 35010 Las Palmas de Gran Canaria, Spain.
Rodolfo Chicas-SettDepartment of Radiation Oncology, La Fe University Hospital, 46026 Valencia, Spain.ORCID 0000-0001-8127-2523
Antonio Rueda-DomínguezGroup of Translational Research in Cancer Immunotherapy (CIMO2), Medical Oncology Intercenter Unit, Regional and Virgen de la Victoria Hospitals, Institute of Biomedical Research in Malaga (IBIMA), 29010 Málaga, Spain.
Isabel BarragánGroup of Translational Research in Cancer Immunotherapy (CIMO2), Medical Oncology Intercenter Unit, Regional and Virgen de la Victoria Hospitals, Institute of Biomedical Research in Malaga (IBIMA), 29010 Málaga, Spain.ORCID 0000-0002-8586-6502
Instituto de Investigación Biomédica de Málaga · ESHospital Clínico Universitario Virgen de la Victoria · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario de Gran Canaria Doctor Negrín · ESKarolinska Institutet · SE

Funding

Andalusian Health Service SA 0263/2017, Nicolás Monardes, PI-0135-2018, PI-0121-2020 and RH-0090-2020Andalusia-Roche Network Mixed Alliance in Precision Medical Oncology Andalusia-Roche Network Mixed Alliance in Precision Medical OncologyAsociación Española Contra el Cáncer CLJUN211613ZAFRConsejería de Transformación económica, Industria, Conocimiento y Universidades CV20-62050 and ProyExcel_01002Fundación Bancaria Unicaja C19048Grupo Español Multidisciplinar de Melanoma Award for Best Research Project 2020 and 2023Instituto de Salud Carlos III PI22/01816", "DTS23/00114" and "PI18/01592Sociedad Española de Oncología Médica SEOM21, SEOM23University of Malaga Research Plan B1-2022_28
6 · The paper itself

Abstract

Up to 80% of patients under immune checkpoint inhibitors (ICI) face resistance. In this context, stereotactic ablative radiotherapy (SABR) can induce an immune or abscopal response. However, its molecular determinants remain unknown. We present early results of a translational study assessing biomarkers of response to combined ICI and SABR (I-SABR) in liquid biopsy from oligoprogressive patients in a prospective observational multicenter study. Cohort A includes metastatic patients in oligoprogression to ICI maintaining the same ICI due to clinical benefit and who receive concomitant SABR. B is a comparative group of oligometastatic patients receiving only SABR. Blood samples are extracted at baseline (T1), after the first (T2) and last (T3) fraction, two months post-SABR (T4) and at further progression (TP). Response is evaluated by iRECIST and defined by the objective response rate (ORR)-complete and partial responses. We assess peripheral blood mononuclear cells (PBMCs), circulating cell-free DNA (cfDNA) and small RNA from extracellular vesicles. Twenty-seven patients could be analyzed (cohort A: n = 19; B: n = 8). Most were males with non-small cell lung cancer and one progressing lesion. With a median follow-up of 6 months, the last ORR was 63% (26% complete and 37% partial response). A decrease in cfDNA from T2 to T3 correlated with a good response. At T2, CD8+PD1+ and CD8+PDL1+ cells were increased in non-responders and responders, respectively. At T2, 27 microRNAs were differentially expressed. These are potential biomarkers of response to I-SABR in oligoprogressive disease.

Indexed as

Biomarkers, TumorImmune Checkpoint InhibitorsLung NeoplasmsRadiosurgeryAgedAged, 80 and overCarcinoma, Non-Small-Cell LungCell-Free Nucleic AcidsDisease ProgressionFemaleHumansImmunotherapyLeukocytes, MononuclearLiquid BiopsyMaleMiddle AgedBiomarkers, TumorCell-Free Nucleic AcidsImmune Checkpoint Inhibitorsbiomarkerscell-free DNAimmunotherapyoligoprogressionsmall RNAstereotactic ablative radiotherapy

Identifiers

PMID38674117
PMCPMC11050102
OpenAlexW4395011426

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.