Evidence map›Paper›PMID 40673096›Full record

ArticleTranslational lung cancer research2025

Monitoring pembrolizumab response in patients with metastatic non-small cell lung cancer using circulating tumour DNA and circulating tumour cells.

Andrea C Kakouri, Maria Spiliotaki, Eleni M Loizidou, Ioannis Stylianou, Elisavet Papageorgiou, Christina G Panayi, Andreas I Constantinou, Haris Charalambous, Constantinos Deltas, Gregory Papagregoriou

Registry-linked trialAbstract read
In one paragraph

Article in Translational lung cancer research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02705820 (A Phase II Study of Switch Maintenance Pembrolizumab in Patients With Non Small Cell Lung Cancer), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

NCT02705820 phase2completednot on this map

A Phase II Study of Switch Maintenance Pembrolizumab in Patients With Non Small Cell Lung Cancer (NSCLC) Who do Not Progress After First Line Platinum Doublet Chemotherapy. (SWIPE)

TypeinterventionalSponsorBank of Cyprus Oncology CentreRan2016 to 2023Enrolled48ConditionsMetastatic Non Small Cell Lung CancerArmsPembrolizumab
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. 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

10 authors.

Andrea C Kakouribiobank.cy - Center of Excellence in Biobanking and Biomedical Research, Molecular Medicine Research Center, University of Cyprus, Nicosia, Cyprus.
Maria Spiliotakibiobank.cy - Center of Excellence in Biobanking and Biomedical Research, Molecular Medicine Research Center, University of Cyprus, Nicosia, Cyprus.
Eleni M Loizidoubiobank.cy - Center of Excellence in Biobanking and Biomedical Research, Molecular Medicine Research Center, University of Cyprus, Nicosia, Cyprus.
Ioannis StylianouBank of Cyprus Oncology Centre, Nicosia, Cyprus.
Elisavet PapageorgiouBank of Cyprus Oncology Centre, Nicosia, Cyprus.
Christina G PanayiDepartment of Biological Sciences, University of Cyprus, Nicosia, Cyprus.
Andreas I ConstantinouDepartment of Biological Sciences, University of Cyprus, Nicosia, Cyprus.
Haris CharalambousBank of Cyprus Oncology Centre, Nicosia, Cyprus.
Constantinos Deltasbiobank.cy - Center of Excellence in Biobanking and Biomedical Research, Molecular Medicine Research Center, University of Cyprus, Nicosia, Cyprus.ORCID https://orcid.org/0000-0001-5549-9169
Gregory Papagregorioubiobank.cy - Center of Excellence in Biobanking and Biomedical Research, Molecular Medicine Research Center, University of Cyprus, Nicosia, Cyprus.ORCID https://orcid.org/0000-0002-2440-9789

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Liquid biopsy, in the form of cell-free-DNA (cfDNA), circulating-tumour-DNA (ctDNA), and circulating tumour cells (CTCs) can be used to monitor the efficacy of systemic therapy. We investigated the predictive value of these markers in patients with advanced non-small cell lung cancer (aNSCLC) treated with pembrolizumab within a prospective phase-II maintenance study of pembrolizumab post-platinum-doublet-chemotherapy (NCT02705820). Methods: Plasma-derived cfDNA was evaluated in 125 patients' plasma samples at baseline (t0), after 3 weeks (t1), 6 weeks (t2) and 9 weeks (t3) from 46 individuals and analysed by next-generation sequencing to identify and quantify somatic mutations. CTCs were detected in peripheral blood mononuclear cells and characterised according to programme death-ligand 1 (PD-L1) and Ki67. Results: Patients presenting cfDNA increase at t2 had shorter progression-free survival (PFS; 2.05 Conclusions: Monitoring ctDNA mutation dynamics during early treatment could serve as a promising real-time predictor of response. Moreover, combining ctDNA-dynamics with Ki67 provides enhanced predictive accuracy for progression, supporting the importance of more holistic multifactorial analyses in the prediction of immunotherapy response in aNSCLC.

Indexed as

biomarkerscirculating-tumour-DNA (ctDNA)immunotherapyLiquid biopsy (LB)non-small cell lung cancer (NSCLC)

Identifiers

PMID40673096
PMCPMC12261352

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Registered trials

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.