Evidence map›Paper›PMID 40247431›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2025

Factors Associated with Disease Progression after Discontinuation of Immune Checkpoint Inhibitors for Immune-Related Toxicity in Patients with Advanced Non-Small Cell Lung Cancer.

Federica Pecci, Rohit Thummalapalli, Stephanie L Alden, Biagio Ricciuti, Joao V Alessi, Arielle Elkrief, Hira Rizvi, Xinan Wang, Mark Jeng, Jacklynn V Egger and 13 more

Abstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Article
  8. 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

23 authors.

Federica Pecci *Lowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0009-0000-9289-2007
Rohit Thummalapalli *Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-8865-0299
Stephanie L AldenLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0003-0500-8696
Biagio RicciutiLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-0651-2678
Joao V AlessiLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-8072-5946
Arielle ElkriefDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-1981-1535
Hira RizviDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-8007-096X
Xinan WangDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts.ORCID 0000-0001-5236-1105
Mark JengDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-0854-761X
Jacklynn V EggerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-2180-4169
Victor R VazLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0003-3714-2814
Adriana BarrichelloLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0003-1633-8236
Giuseppe LambertiLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0003-3069-7630
Alessandro Di FedericoLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0001-8877-4315
Valentina SantoLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0009-0006-7587-9445
Guilherme Rossato de AlmeidaLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0009-0000-6073-6130
Malini GandhiLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-8006-4148
Phoebe ClarkDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0009-0006-3567-965X
Mizuki NishinoDepartment of Radiology, Brigham and Women's Hospital and Department of Imaging, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0003-0275-0502
Bruce E JohnsonLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-5252-3677
Matthew HellmannDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-2670-9777
Adam J Schoenfeld *Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-2644-1416
Mark M Awad *Lowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0003-0928-5244

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Investigational Cancer Therapeutics Training Program (ICTTP)T32CA009207 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Omar Abdel-Wahab, Alexander Drilon · 1985 to 2026
$13.7M
Human leukocyte antigen and immune response in non-small cell lung cancer: A multi-omics approachK99CA297010 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Xinan Wang · 2025 to 2026
$248k
NCI NIH HHS K99 CA297010NCI NIH HHS P30 CA008748NCI NIH HHS T32 CA009207
6 · The paper itself

Abstract

purposeAmong patients with advanced non-small cell lung cancer (NSCLC) who discontinue immune checkpoint inhibitors (ICI) because of immune-related adverse events (irAE), post-discontinuation clinical outcomes and factors associated with disease progression after discontinuation are largely unknown. EXPERIMENTAL

designClinicopathologic data were abstracted from patients with advanced NSCLC who received ICI and discontinued treatment because of irAE. Factors associated with post-discontinuation progression-free survival (PFS) and post-discontinuation overall survival (OS) were evaluated.

resultsOf 2,794 patients, 10% (N = 271) discontinued ICI because of irAE, and the median duration of ICI treatment before discontinuation for irAE was 5.9 months (range, 0.03-73.5). A longer treatment duration before discontinuation for irAE was associated with improved post-discontinuation outcomes: for patients on ICI for <3 months (N = 89), 3 to 6 months (N = 49), and >6 months (N = 133) before discontinuing for irAE, the median post-discontinuation PFS was 6.2, 13.9, and 25.8 months (P < 0.001), respectively, and the median post-discontinuation OS was 21.7, 42.7, and 86.9 months (P < 0.001), respectively. At multivariable analyses, predictors of longer post-discontinuation PFS were PD-L1 ≥ 50%, complete response/partial response (CR/PR) to treatment, and treatment duration before discontinuation between 3 to 6 months and >6 months; predictors of longer post-discontinuation OS were nonsquamous histology, CR/PR, and treatment duration before discontinuation >6 months. The use of immunosuppressive agents for toxicity management did not affect post-discontinuation outcomes.

conclusionsA longer treatment duration before discontinuation, a best objective response of CR/PR, PD-L1 ≥50%, and nonsquamous histology may help clinicians identify patients who may experience long-term disease control after discontinuation of ICI for irAE.

Indexed as

Carcinoma, Non-Small-Cell LungDrug-Related Side Effects and Adverse ReactionsImmune Checkpoint InhibitorsLung NeoplasmsAdultAgedAged, 80 and overDisease ProgressionFemaleHumansMaleMiddle AgedRetrospective StudiesWithholding TreatmentImmune Checkpoint Inhibitors

Identifiers

PMID40247431
PMCPMC12709584

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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.