Evidence map›Paper›PMID 40557004›Full record

ArticleCureus2025

Phase II Study of Platinum Re-administration in Non-small Cell Lung Cancer Following Chemoimmunotherapy Resistance.

Kiichiro Ninomiya, Shinobu Hosokawa, Toshihide Yokoyama, Masaaki Inoue, Keisuke Sugimoto, Kenichiro Kudo, Toshiaki Okada, Tadashi Maeda, Haruyuki Kawai, Masayuki Yasugi and 6 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Kiichiro NinomiyaCenter for Comprehensive Genomic Medicine, Okayama University Hospital, Okayama, JPN.
Shinobu HosokawaRespiratory Medicine, Japanese Red Cross Okayama Hospital, Okayama, JPN.
Toshihide YokoyamaRespiratory Medicine, Kurashiki Central Hospital, Kurashiki, JPN.
Masaaki InoueChest Surgery, Shimonoseki City Hospital, Shimonoseki, JPN.
Keisuke SugimotoRespiratory Medicine, Japanese Red Cross Kobe Hospital, Kobe, JPN.
Kenichiro KudoRespiratory Medicine, National Hospital Organization Okayama Medical Center, Okayama, JPN.
Toshiaki OkadaRespiratory Medicine, National Hospital Organization Fukuyama Medical Center, Fukuyama, JPN.
Tadashi MaedaRespiratory Medicine, National Hospital Organization Yamaguchi Ube Medical Center, Ube, JPN.
Haruyuki KawaiInternal Medicine, Okayama Saiseikai General Hospital, Okayama, JPN.
Masayuki YasugiRespiratory Medicine, Chugoku Central Hospital, Fukuyama, JPN.
Koji InoueRespiratory Medicine, Ehime Prefectural Central Hospital, Matsuyama, JPN.
Shoichi KuyamaRespiratory Medicine, Iwakuni Medical Center, Iwakuni, JPN.
Takashi NinomiyaRespiratory Medicine, National Hospital Organization Shikoku Cancer Center, Matsuyama, JPN.
Isao OzeDivision of Molecular Medicine, Aichi Cancer Center Research Institute, Nagoya, JPN.
Yoshinobu MaedaHematology, Oncology, and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, JPN.
Katsuyuki HottaCenter for Innovative Clinical Medicine, Okayama University Hospital, Okayama, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Platinum compounds represent standard treatments for various cancers. However, the efficacy of re-administrating platinum compounds has been demonstrated only in ovarian cancer and small cell lung cancer (SCLC), with its utility in non-small cell lung cancer (NSCLC) remaining unclear. Given that the prognosis of NSCLC has improved with effective treatments such as immune checkpoint inhibitors (ICIs), we propose a multicenter, single-arm, prospective phase II trial of re-administrating platinum-based combination therapy for NSCLC. Patients with NSCLC who have progressed after chemoimmunotherapy and exhibit a platinum-free interval of 85 days or more will receive carboplatin combination therapy. The drugs combined with carboplatin - pemetrexed, nab-paclitaxel, or gemcitabine - must not have been administered previously. The primary endpoint is progression-free survival (PFS), assessed using the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Assuming a threshold PFS of 4.2 months and an expected hazard ratio of 0.60, the required sample size is calculated as 40 patients to achieve 70% power with a 5% alpha error. Secondary endpoints included objective response rate, toxicity, and overall survival. This study will clarify the efficacy of re-administrating platinum compounds to patients with NSCLC who have developed resistance to chemoimmunotherapy.

Indexed as

carboplatinclinical trialnon-small cell lung cancerplatinum-free intervalre-administration

Identifiers

PMID40557004
PMCPMC12185257

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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.