Evidence map›Paper›PMID 40336632›Full record

ArticleTherapeutic advances in medical oncology2025

The role of bone radiotherapy during immune checkpoint inhibitors treatment of non-small-cell lung cancer: a single-institution experience.

Ivan Facilissimo, Guido Natoli, Fabio Gaspari, Tiziana Comandone, Diego Bongiovanni, Paola Gollini, Claudia Provenza, Alessandro Comandone

Abstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

8 authors.

Ivan FacilissimoDivision of Oncology, San Giovanni Bosco Hospital, Torino, Italy.
Guido NatoliDivision of Oncology, San Giovanni Bosco Hospital, Piazza del Donatore di Sangue 3, Torino 10154, Italy.ORCID https://orcid.org/0000-0003-2477-5735
Fabio GaspariDivision of Oncology, San Giovanni Bosco Hospital, Torino, Italy.
Tiziana ComandonePharmacology, University of Turin, Torino, Italy.
Diego BongiovanniDivision of Radiation Oncology, San Giovanni Antica Sede Hospital, Torino, Italy.
Paola GolliniDivision of Radiology, San Giovanni Bosco Hospital, Torino, Italy.
Claudia ProvenzaDivision of Pathology, San Giovanni Bosco Hospital, Torino, Italy.
Alessandro ComandoneDivision of Oncology, San Giovanni Bosco Hospital, Torino, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immune checkpoint inhibitors (ICIs) represent a keystone of cancer treatment, including non-small-cell lung cancer (NSCLC). Unfortunately, the efficacy of ICIs remains poor in patients with bone metastases from NSCLC. Recently, several case reports have suggested the clinical benefit of radiotherapy in advanced NSCLC patients. However, whether this positive effect is applicable during ICI treatment of NSCLC involving bones remains to be established. Methods: We retrospectively reviewed the records of patients with bone metastases who received ICIs as monotherapy (anti-PD1 or anti-programmed death-ligand 1) as well as in combination with platinum-based-chemotherapy (carboplatin or cisplatin). We next analyzed the presence or the absence of radiotherapy targeting bone metastases (RT) among these patients during immunotherapy. Results: A total of 40 patients were included in this study; among them, 10 (25%) received palliative RT for symptomatic bone metastases during cancer immunotherapy treatment with ICIs (RT group); the remaining 30 (75%) patients did not receive bone irradiation (Non-RT group). We observed that the RT group had a significantly longer overall survival (OS) than the Non-RT group, with a median survival of 16 months in the RT group versus 3 months in the Non-RT group (log-rank test Conclusion: Our results suggest that radiotherapy to bone metastases may improve ICIs efficacy in patients with bone metastatic NSCLC.

Indexed as

abscopal effectbone metastasisbystander effectimmune checkpoint inhibitorsimmunotherapynon-small-cell lung cancerradiotherapy

Identifiers

PMID40336632
PMCPMC12056327

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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.