Evidence map›Paper›PMID 38886555›Full record

ArticleBritish journal of cancer2024

Hit it hard: qualitative patient perspectives on the optimisation of immune checkpoint inhibition.

Sophie Merrick, Hannah L Rush, Susanna Daniels, Alison Fielding, Sharon Deveson Kell, Lisa Pickering, Ruth E Langley, Annabelle South, Duncan C Gilbert

Abstract read
In one paragraph

Article in British journal of cancer, 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
–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

2 citing papers in PubMed.

  1. Patient-reported quality-of-life outcomes in immune checkpoint inhibitor therapy: addressing gaps, capturing patient experience, and advancing the field.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  2. Observational
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

9 authors.

Sophie MerrickMRC Clinical Trials Unit at UCL, Institute of Clinical Trials & Methodology, 2nd Floor 90 High Holborn, London, WC1V 6LJ, UK.
Hannah L RushMRC Clinical Trials Unit at UCL, Institute of Clinical Trials & Methodology, 2nd Floor 90 High Holborn, London, WC1V 6LJ, UK.
Susanna DanielsMelanoma Focus, Salisbury House, Station Road, Cambridge, CB1 2LA, UK.
Alison FieldingAction Kidney Cancer, 11th Floor, 3 Piccadilly Place, Manchester, M1 3BN, UK.
Sharon Deveson KellAction Kidney Cancer, 11th Floor, 3 Piccadilly Place, Manchester, M1 3BN, UK.
Lisa PickeringRoyal Marsden Hospital, 203 Fulham Rd, Chelsea, London, SW3 6JJ, UK.ORCID http://orcid.org/0000-0002-7579-340X
Ruth E LangleyMRC Clinical Trials Unit at UCL, Institute of Clinical Trials & Methodology, 2nd Floor 90 High Holborn, London, WC1V 6LJ, UK.ORCID http://orcid.org/0000-0002-9706-016X
Annabelle South *MRC Clinical Trials Unit at UCL, Institute of Clinical Trials & Methodology, 2nd Floor 90 High Holborn, London, WC1V 6LJ, UK. a.south@ucl.ac.uk.ORCID http://orcid.org/0000-0001-8912-2001
Duncan C Gilbert *MRC Clinical Trials Unit at UCL, Institute of Clinical Trials & Methodology, 2nd Floor 90 High Holborn, London, WC1V 6LJ, UK.

Funding

Cancer Research UK (CRUK) RCCCTF-Nov21\100002Medical Research Council MC_UU_00004/02RCUK | Medical Research Council (MRC) MC_UU_00004/02RCUK | MRC | Medical Research Foundation MC_UU_00004/02
6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors have transformed the treatment landscape of many cancers, including melanoma and renal cell carcinoma (RCC). Randomised trials are evaluating outcomes from reduced ICI treatment schedules with the aim of improving quality of life, tolerability, and cost-effectiveness. This study aims to provide insight into patient and carer's perspectives of these trials.

methodsSeven focus groups were conducted with 31 people with stage IV melanoma, RCC, or caregivers for people receiving ICI. Transcripts were analysed using reflexive thematic analysis.

resultsThree themes were generated: 1) "Treatment and clinic visits provide reassurance": reducing hospital visits may not improve quality of life. 2) "Assessment of personal risk versus benefit": the decision to participate in an ICI optimisation trial is influenced by treatment response, experience of toxicity and perceived logistical benefits based on the individual's circumstances. 3) "Pre-existing experience and beliefs about how treatment and trials work", including the belief that more treatment is better, influence views around ICI optimisation trials.

conclusionThis study provides insight into recruitment challenges and recommends strategies to enhance recruitment for ongoing ICI optimisation trials. These findings will influence the design of future ICI optimisation trials ensuring they are acceptable to patients.

Indexed as

Carcinoma, Renal CellImmune Checkpoint InhibitorsQuality of LifeAdultAgedAged, 80 and overFemaleFocus GroupsHumansKidney NeoplasmsMaleMelanomaMiddle AgedQualitative ResearchImmune Checkpoint Inhibitors

Identifiers

PMID38886555
PMCPMC7616340

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.