Evidence map›Paper›PMID 39800784›Full record

ArticleNature communications2025

Integration of clinical, pathological, radiological, and transcriptomic data improves prediction for first-line immunotherapy outcome in metastatic non-small cell lung cancer.

Nicolas Captier, Marvin Lerousseau, Fanny Orlhac, Narinée Hovhannisyan-Baghdasarian, Marie Luporsi, Erwin Woff, Sarah Lagha, Paulette Salamoun Feghali, Christine Lonjou, Clément Beaulaton and 6 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
–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

41 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

16 authors.

Nicolas CaptierLaboratoire d'Imagerie Translationnelle en Oncologie, Institut Curie, Inserm U1288, PSL Research University, Orsay, France. nicolas.captier@polytechnique.org.ORCID https://orcid.org/0000-0003-2718-4412
Marvin LerousseauBioinformatics and computational systems biology of cancer, Institut Curie, Inserm U900, PSL Research University, Paris, France.ORCID https://orcid.org/0000-0001-6421-708X
Fanny OrlhacLaboratoire d'Imagerie Translationnelle en Oncologie, Institut Curie, Inserm U1288, PSL Research University, Orsay, France.ORCID https://orcid.org/0000-0002-5588-1867
Narinée Hovhannisyan-BaghdasarianLaboratoire d'Imagerie Translationnelle en Oncologie, Institut Curie, Inserm U1288, PSL Research University, Orsay, France.ORCID https://orcid.org/0000-0003-1573-0703
Marie LuporsiLaboratoire d'Imagerie Translationnelle en Oncologie, Institut Curie, Inserm U1288, PSL Research University, Orsay, France.ORCID https://orcid.org/0000-0001-7891-7642
Erwin WoffLaboratoire d'Imagerie Translationnelle en Oncologie, Institut Curie, Inserm U1288, PSL Research University, Orsay, France.ORCID https://orcid.org/0000-0001-9290-8929
Sarah LaghaInstitut du Thorax Curie-Montsouris, Institut Curie, Paris, France.ORCID https://orcid.org/0009-0001-2085-7787
Paulette Salamoun FeghaliInstitut du Thorax Curie-Montsouris, Institut Curie, Paris, France.
Christine LonjouBioinformatics and computational systems biology of cancer, Institut Curie, Inserm U900, PSL Research University, Paris, France.ORCID https://orcid.org/0000-0003-1226-6992
Clément BeaulatonDepartment of pathology, Institut Curie, Paris, France.ORCID https://orcid.org/0000-0002-0915-209X
Andrei ZinovyevIn silico R&D, Evotec, Toulouse, France.ORCID https://orcid.org/0000-0002-9517-7284
Hélène SalmonImmunity and cancer, Institut Curie, Inserm U932, PSL Research University, Paris, France.ORCID https://orcid.org/0000-0002-2253-3807
Thomas Walter *Bioinformatics and computational systems biology of cancer, Institut Curie, Inserm U900, PSL Research University, Paris, France.ORCID https://orcid.org/0000-0001-7419-7879
Irène Buvat *Laboratoire d'Imagerie Translationnelle en Oncologie, Institut Curie, Inserm U1288, PSL Research University, Orsay, France.ORCID https://orcid.org/0000-0002-7053-6471
Nicolas Girard *Institut du Thorax Curie-Montsouris, Institut Curie, Paris, France.ORCID https://orcid.org/0000-0001-9909-2299
Emmanuel Barillot *Bioinformatics and computational systems biology of cancer, Institut Curie, Inserm U900, PSL Research University, Paris, France. emmanuel.barillot@curie.fr.ORCID http://orcid.org/0000-0003-2724-2002

Funding

Agence Nationale de la Recherche (French National Research Agency) ANR-19-P3IA-0001Fondation ARC pour la Recherche sur le Cancer (ARC Foundation for Cancer Research) SIGN'IT 2020-Signatures in Immunotherapy
6 · The paper itself

Abstract

Immunotherapy is improving the survival of patients with metastatic non-small cell lung cancer (NSCLC), yet reliable biomarkers are needed to identify responders prospectively and optimize patient care. In this study, we explore the benefits of multimodal approaches to predict immunotherapy outcome using multiple machine learning algorithms and integration strategies. We analyze baseline multimodal data from a cohort of 317 metastatic NSCLC patients treated with first-line immunotherapy, including positron emission tomography images, digitized pathological slides, bulk transcriptomic profiles, and clinical information. Testing multiple integration strategies, most of them yield multimodal models surpassing both the best unimodal models and established univariate biomarkers, such as PD-L1 expression. Additionally, several multimodal combinations demonstrate improved patient risk stratification compared to models built with routine clinical features only. Our study thus provides evidence of the superiority of multimodal over unimodal approaches, advocating for the collection of large multimodal NSCLC datasets to develop and validate robust and powerful immunotherapy biomarkers.

Indexed as

Carcinoma, Non-Small-Cell LungImmunotherapyLung NeoplasmsTranscriptomeAgedB7-H1 AntigenBiomarkers, TumorFemaleHumansMachine LearningMaleMiddle AgedNeoplasm MetastasisPositron-Emission TomographyTreatment OutcomeB7-H1 AntigenBiomarkers, TumorCD274 protein, human

Identifiers

PMID39800784
PMCPMC11725576

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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.