Evidence map›Paper›PMID 39091595›Full record

ArticleJTO clinical and research reports2024

Real-World Pharmacokinetics, Effectiveness, and Safety of Atezolizumab in Patients With Unresectable Advanced or Recurrent NSCLC: An Exploratory Study of J-TAIL.

Shigehiro Yagishita, Yasushi Goto, Makoto Nishio, Hiroaki Akamatsu, Hidetoshi Hayashi, Satoru Miura, Koji Tamada, Hiroshi Kagamu, Akinobu Hamada, Mayu Ohuchi and 11 more

Abstract read
In one paragraph

Article in JTO clinical and research reports, 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. Trial
  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

21 authors.

Shigehiro YagishitaDivision of Molecular Pharmacology, National Cancer Center Research Institute, Tokyo, Japan.
Yasushi GotoDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Makoto NishioDepartment of Thoracic Medical Oncology, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.
Hiroaki AkamatsuInternal Medicine III, Wakayama Medical University, Wakayama, Japan.
Hidetoshi HayashiDepartment of Medical Oncology, Faculty of Medicine, Kindai University, Osaka, Japan.
Satoru MiuraDepartment of Internal Medicine, Niigata Cancer Center Hospital, Niigata, Japan.
Koji TamadaDepartment of Immunology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan.
Hiroshi KagamuDepartment of Respiratory Medicine, International Medical Center, Saitama Medical University, Saitama, Japan.
Akinobu HamadaDivision of Molecular Pharmacology, National Cancer Center Research Institute, Tokyo, Japan.
Mayu OhuchiDepartment of Pharmacology and Therapeutics, Fundamental Innovative Oncology Core, National Cancer Center Research Institute, Tokyo, Japan.
Akihiko GemmaDepartment of Pulmonary Medicine and Oncology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.
Ichiro YoshinoDepartment of General Thoracic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.
Toshihiro MisumiDepartment of Biostatistics, Yokohama City University School of Medicine, Kanagawa, Japan.
Akito HataDepartment of Thoracic Oncology, Kobe Minimally Invasive Cancer Center, Hyogo, Japan.
Satoshi HaraDepartment of Respiratory Medicine, Itami City Hospital, Hyogo, Japan.
Takashi KijimaDepartment of Respiratory Medicine and Hematology, Hyogo Medical University, Nishinomiya, Hyogo, Japan.
Fujita MasakiDepartment of Respiratory Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Shunichiro IwasawaChugai Pharmaceutical Co., Ltd., Tokyo, Japan.
Shintaro NakagawaChugai Pharmaceutical Co., Ltd., Tokyo, Japan.
Masahiro TatsunoChugai Pharmaceutical Co., Ltd., Tokyo, Japan.
Tetsuya MitsudomiKindai Hospital Global Research Alliance Center and Thoracic Surgery, Kindai University, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study validated real-world pharmacokinetic (PK) data using an established population PK (PopPK) model for atezolizumab in Japanese patients with NSCLC and explored the relationship between PK parameters, effectiveness, and adverse events (AEs) for the 1200 mg once every three weeks regimen. Methods: A subgroup of 262 of 1039 patients from J-TAIL consented to this exploratory research for PK evaluation of atezolizumab monotherapy for unresectable advanced/recurrent NSCLC (August 2018 to October 2019; 197 institutions). We evaluated plasma concentrations before the start of the third cycle of atezolizumab infusion classified into quartiles 1 to 4, their association with effectiveness, and the association between atezolizumab maximum plasma concentrations (C Results: Overall, 175 of 262 patients were included; baseline characteristics were similar to those of patients enrolled in J-TAIL (Eastern Cooperative Oncology Group performance status ≥ 2, 12.0%; age ≥ 75 y, 28.9%; atezolizumab as more than or equal to third-line treatment, 57.5%). Atezolizumab plasma concentrations were similar to previously reported data among Japanese/non-Japanese patients. The overall survival was significantly shorter in patients with lower atezolizumab plasma concentrations in Q1 versus Q2 to Q4, although progression-free survival remained the same. The PK data adequately fit the PopPK model, with the frequency of AESIs increasing as the calculated C Conclusions: In real-world Japanese patients with unresectable advanced/recurrent NSCLC, PKs were similar to previous reports. Certain patient populations had shorter overall survival, and atezolizumab plasma concentrations in cycle 3 were lower in this population. Elevated C

Indexed as

AtezolizumabEffectivenessNon–small cell lung cancerPharmacokineticsReal-world

Identifiers

PMID39091595
PMCPMC11293501

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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.