Evidence map›Paper›PMID 38679627›Full record

ArticleInternational journal of clinical oncology2024

The real-world data of immune-checkpoint inhibitor combination therapy for unresectable or metastatic esophageal cancer: a multi-institutional cohort study.

Sho Sato, Takashi Ssuzuki, Takashi Chinen, Hironori Yamaguchi, Yusuke Suzuki, Nobukazu Hokamura, Zenichiro Saze, Koji Kono, Keita Takahashi, Fumiaki Yano and 7 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International journal of clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Conversion surgery for esophageal and esophagogastric junction cancer.International journal of clinical oncology · 2024
    Review
  11. 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

17 authors.

Sho SatoDepartment of Surgery, Yokohama City University Gastroenterological Center, Yokohama, Japan.
Takashi SsuzukiDepartment of Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-Ku, Tokyo, 143-8541, Japan.
Takashi ChinenDepartment of Clinical Oncology, Jichi Medical University Hospital, Tochigi, Japan.
Hironori YamaguchiDepartment of Clinical Oncology, Jichi Medical University Hospital, Tochigi, Japan.
Yusuke SuzukiDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Nobukazu HokamuraDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Zenichiro SazeDepartment of Gastrointestinal Tract Surgery, Fukushima Medical University, Fukushima, Japan.
Koji KonoDepartment of Gastrointestinal Tract Surgery, Fukushima Medical University, Fukushima, Japan.
Keita TakahashiDepartment of Surgery, Jikei University School of Medicine, Tokyo, Japan.
Fumiaki YanoDepartment of Surgery, Jikei University School of Medicine, Tokyo, Japan.
Chikara KunisakiDepartment of Surgery, Yokohama City University Gastroenterological Center, Yokohama, Japan.
Takashi KosakaDepartment of Gastroenterological Surgery, Yokohama City University School of Medicine, Yokohama, Japan.
Itaru EndoDepartment of Gastroenterological Surgery, Yokohama City University School of Medicine, Yokohama, Japan.
Yasushi IchikawaDepartment of Clinical Oncology, Yokohama City University School of Medicine, Yokohama, Japan.
Yutaka MiyawakiDepartment of Gastroenterological Surgery, Saitama Medical University International Medical Center, Saitama, Japan.
Hiroshi SatoDepartment of Gastroenterological Surgery, Saitama Medical University International Medical Center, Saitama, Japan.
Hideaki ShimadaDepartment of Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-Ku, Tokyo, 143-8541, Japan. hideaki.shimada@med.toho-u.ac.jp.ORCID http://orcid.org/0000-0002-1990-8217

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe real-world efficacy, feasibility, and prognostic factors of immune-checkpoint inhibitor combination therapy for unresectable or metastatic esophageal cancer are not fully established.

methodsThis multi-institutional retrospective cohort study evaluated 71 consecutive patients treated with immune-checkpoint inhibitor combination therapy for esophageal cancer between March 2021 and December 2022. We assessed tumor response, safety, and long-term survival.

resultsIn patients with measurable lesions, the response rate was 58%, and the disease control rate for all enrolled patients was 80%. Five patients (7.0%) underwent successful conversion surgery. Grade 3 or higher immune-related adverse events occurred in 13% of patients, and one patient (1.4%) died due to cholangitis. Median progression-free survival was 9.7 (95% confidence interval: 6.5-not reached). C-reactive protein levels and performance status were identified as significant predictors of progression-free survival through Cox proportional hazards analysis.

conclusionsImmune-checkpoint inhibitor combination therapy for esophageal cancer demonstrated comparable tumor response, safety, and long-term survival to previous randomized clinical trials. Patients with good performance status and low C-reactive protein levels may be suitable candidates for this treatment.

Indexed as

Esophageal NeoplasmsImmune Checkpoint InhibitorsAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsC-Reactive ProteinFemaleHumansMaleMiddle AgedProgression-Free SurvivalRetrospective StudiesC-Reactive ProteinImmune Checkpoint InhibitorsAntineoplastic agentsClinical malignantEsophageal neoplasmsImmunotherapy

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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.