Evidence map›Paper›PMID 40249663›Full record

ArticleCancer medicine2025

A Real-Word Analysis of the Correlation Between Clinical Efficacy and Predictive Factors of Immune-Related Adverse Events in Patients With Nonsmall Lung Cancer Treated With Nivolumab Plus Ipilimumab.

Atsuto Mouri, Hisao Imai, Satoshi Endo, Junichi Nakagawa, Kasumi Tsukamoto, Yuhei Kurata, Ou Yamaguchi, Kenji Masaki, Kosuke Hashimoto, Ayako Shiono and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Observational
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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

14 authors.

Atsuto MouriDepartment of Respiratory Medicine, International Medical Center, Saitama Medical University, Hidaka, Japan.ORCID https://orcid.org/0000-0001-8704-8151
Hisao ImaiDepartment of Respiratory Medicine, International Medical Center, Saitama Medical University, Hidaka, Japan.ORCID https://orcid.org/0000-0003-3097-4255
Satoshi EndoDivision of Respiratory Medicine, Gunma Prefectural Cancer Center, Ota, Japan.
Junichi NakagawaDepartment of Respiratory Medicine, National Hospital Organization Takasaki General Medical Center, Takasaki, Japan.
Kasumi TsukamotoDepartment of Pulmonology, National Hospital Organization Disaster Medical Center, Tokyo, Japan.
Yuhei KurataDepartment of Respiratory Medicine, International Medical Center, Saitama Medical University, Hidaka, Japan.
Ou YamaguchiDepartment of Respiratory Medicine, International Medical Center, Saitama Medical University, Hidaka, Japan.ORCID https://orcid.org/0000-0001-7194-6459
Kenji MasakiDepartment of Respiratory Medicine, International Medical Center, Saitama Medical University, Hidaka, Japan.
Kosuke HashimotoDepartment of Respiratory Medicine, International Medical Center, Saitama Medical University, Hidaka, Japan.
Ayako ShionoDepartment of Respiratory Medicine, International Medical Center, Saitama Medical University, Hidaka, Japan.
Yu MiuraDepartment of Respiratory Medicine, International Medical Center, Saitama Medical University, Hidaka, Japan.
Kunihiko KobayashiDepartment of Respiratory Medicine, International Medical Center, Saitama Medical University, Hidaka, Japan.
Kyoichi KairaDepartment of Respiratory Medicine, International Medical Center, Saitama Medical University, Hidaka, Japan.
Hiroshi KagamuDepartment of Respiratory Medicine, International Medical Center, Saitama Medical University, Hidaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe combination of nivolumab and ipilimumab, which act on different immune checkpoint molecules, is a promising first-line treatment strategy for advanced nonsmall cell lung cancer (NSCLC). However, real-world clinical data on this regimen, particularly regarding the relationship between adverse events (AEs) and efficacy, are inadequate.

methodsThis real-world retrospective study was conducted on patients with advanced or recurrent NSCLC treated using a combination of nivolumab and ipilimumab as a first-line treatment. We extracted the data of consecutive eligible patients from four institutions in Japan between December 2020 and November 2022.

resultsThe study population comprised 184 patients who received nivolumab plus ipilimumab (median follow up period: 13.0 months [0.3-35.0]). In total, 81.0% (n = 149) of the patients were men, and the median age was 72.0 years (range: 46-80). The median progression-free survival (PFS) and overall survival (OS) were 6.6 months (95% confidence interval [CI]: 4.7-8.2) and 17.4 months (95% CI: 11.9-20.4), respectively. Skin disorders, liver dysfunction, thyroid dysfunction, and pneumonitis were the most common adverse events (AEs), with AEs occurring in 154 patients (83.7%). The median PFS in the AE group was longer than that in the non-AE group (8.2 vs. 2.6 months, p < 0.0001). The median OS in the AE group was also better than that in the non-AE group (19.3 vs. 6.1 months, p < 0.0001). Multivariate logistic regression analysis identified smoking history and high PD-L1 expression as factors related to the incidence of grade 3 and 4 AEs, respectively. The incidence of multiple AEs revealed a significant association with a longer PFS and OS. Skin disorders, adrenal insufficiency, and eosinophilia were the AEs with the greatest impact on survival.

conclusionsPatients who experienced AEs had significantly longer PFS. Among AEs, the occurrence of skin disorders, adrenal insufficiency, and eosinophilia were likely to prolong PFS and OS.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungIpilimumabLung NeoplasmsNivolumabAgedAged, 80 and overFemaleHumansImmune Checkpoint InhibitorsJapanMaleMiddle AgedRetrospective StudiesImmune Checkpoint InhibitorsIpilimumabNivolumabfreal‐worldimmune‐related adverse eventsipilimumabnivolumabnonsmall cell lung cancer

Identifiers

PMID40249663
PMCPMC12007460

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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.