Evidence map›Paper›PMID 40483449›Full record

ArticleBMC pulmonary medicine2025

Impact of irae characteristics on efficacy of consolidative immunotherapy following chemoradiotherapy in locally advanced NSCLC.

Xiufen Wang, Xuebing Fu, Qiaohong Liu, Juan Li, Yihui Ge, Jian Zhang, Shuyun Wang, Leirong Wang, Dahai Wang, Yanxin Sun and 5 more

Abstract readMulticenter Study
In one paragraph

Article in BMC pulmonary medicine, 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

15 authors.

Xiufen Wang *Phase I Clinical Trail Center, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, 440 Jiyan Road, Jinan, Shandong, 250117, China.
Xuebing Fu *Department of Thoracic Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, Jinan, Shandong, 250117, China.
Qiaohong LiuDepartment of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250013, P. R. China.
Juan LiPhase I Clinical Trail Center, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, 440 Jiyan Road, Jinan, Shandong, 250117, China.
Yihui GeDepartment of Thoracic Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, Jinan, Shandong, 250117, China.
Jian ZhangPhase I Clinical Trail Center, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, 440 Jiyan Road, Jinan, Shandong, 250117, China.
Shuyun WangDepartment of Thoracic Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, Jinan, Shandong, 250117, China.
Leirong WangPhase I Clinical Trail Center, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, 440 Jiyan Road, Jinan, Shandong, 250117, China.
Dahai WangPhase I Clinical Trail Center, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, 440 Jiyan Road, Jinan, Shandong, 250117, China.
Yanxin SunPhase I Clinical Trail Center, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, 440 Jiyan Road, Jinan, Shandong, 250117, China.
Yiling GanPhase I Clinical Trail Center, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, 440 Jiyan Road, Jinan, Shandong, 250117, China.
Haodong SunDepartment of Thoracic Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, Jinan, Shandong, 250117, China.
Zhen Wang *Special Inspection Department, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, Jinan, Shandong, 250117, China. wangzhen1985416@163.com.
Yuping Sun *Phase I Clinical Trail Center, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, 440 Jiyan Road, Jinan, Shandong, 250117, China. 13370582181@163.com.ORCID http://orcid.org/0000-0002-0804-6850
Aiqin Gao *Department of Thoracic Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, Jinan, Shandong, 250117, China. gaoaiqin032303145@163.com.ORCID http://orcid.org/0009-0009-3596-6669

Funding

Beijing Science and Technology Planning Project KC2023-JX-0288-PQ88Beijing Xisike Clinical Oncology Research Foundation Y-Gilead2024-PT-0148Jinan Science and Technology Bureau 202134041Jinan Science and Technology Bureau 202225015Key Technology Research and Development Program of Shandong Province 2022CXGC010510National Natural Science Foundation of China 82103340National Natural Science Foundation of China 82103466Natural Science Foundation of Shandong Province ZR2021MH268Wu Jieping Medical Foundation 320.6750.2023-05-51
6 · The paper itself

Abstract

backgroundConsolidative PD-L1 inhibitors after concurrent chemoradiotherapy (cCRT) have become standard care in locally advanced non-small cell lung cancer (LA-NSCLC). However, the correlation between immune-related adverse event (irAE) characteristics and patient outcomes remains unclear.

methodsThis retrospective study enrolled LA-NSCLC patients who received consolidative PD-L1 inhibitors after CRT at four cancer centers. Patients who received CRT alone were also included for comparison. Associations between irAE characteristics, frequency, timing, affected systems, and severity, and progression-free survival (PFS) and overall survival (OS) were assessed. Tumor immune microenvironment (TIME) features were analyzed to identify subpopulations at higher risk of severe irAEs.

resultsAmong 107 patients, 59 (55.1%) developed irAEs; 89.8% were grade 1-2 and 10.2% grade 3-4. Patients with irAEs had significantly longer PFS than those without. Late-onset, single-system, endocrine, and mild irAEs predicted better PFS. In contrast, patients with severe irAEs had worse survival than those without ICI consolidation. TIME analysis revealed that severe irAEs were associated with higher CD103

conclusionsOccurrence of irAEs, particularly late-onset, single-system, or grade 1-2 correlated with greater benefit from consolidative PD-L1 inhibitors in LA-NSCLC. Conversely, severe irAEs predict poorer survival, even compared to no ICI consolidation. Elevated CD103

Indexed as

Carcinoma, Non-Small-Cell LungChemoradiotherapyImmune Checkpoint InhibitorsImmunotherapyLung NeoplasmsAdultAgedB7-H1 AntigenFemaleHumansMaleMiddle AgedProgression-Free SurvivalRetrospective StudiesTumor MicroenvironmentB7-H1 AntigenImmune Checkpoint InhibitorsConsolidative immunotherapyImmune-related adverse eventsLocally advanced non-small cell lung cancerSurvivalTumor immune microenvironment

Identifiers

PMID40483449
PMCPMC12144761

What OpenQuestion holds

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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.