Evidence map›Paper›PMID 40707860›Full record

ArticleOncology and therapy2025

The Health Impact of Using Anti-PD-1 Agents to Treat Early-Stage Cancer in Belgium.

André Bento-Abreu, Saar Vandekeere, Demet Sönmez, Catarina Neves, Tyler Mantaian, Olivier Ethgen, Raquel Aguiar-Ibáñez

Abstract read
In one paragraph

Article in Oncology and therapy, 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. Article
  2. Review
  3. Article
  4. 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

7 authors.

André Bento-AbreuMSD, Boulevard du Souverain 25, 1170, Brussels, Belgium. andre.bento.abreu@msd.com.ORCID http://orcid.org/0000-0002-4715-3990
Saar VandekeereMSD, Boulevard du Souverain 25, 1170, Brussels, Belgium.
Demet SönmezGlobal Medical and Scientific Affairs, MSD, Stockholm, Sweden.
Catarina NevesLumanity, Utrecht, Netherlands.
Tyler MantaianLumanity, Bethesda, MD, USA.
Olivier EthgenDepartment of Public Health Sciences, Faculty of Medicine, University of Liège, Liège, Belgium.
Raquel Aguiar-IbáñezMerck Canada Inc., Kirkland, QC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnti-PD-1 agents, inhibitors of programmed cell death protein 1 (PD-1), significantly improve clinical outcomes and overall survival for individuals with several metastatic and early-stage cancers. This study evaluates the health impact of using anti-PD-1 agents for early-stage disease (ESD) treatment of melanoma (stage IIB-C and III), renal cell carcinoma (RCC), and triple-negative breast cancer (TNBC) in Belgium (2023-2032).

methodsBelgian individuals eligible for ESD treatment (target population) entered a Markov-based health outcomes model in a recurrence/event/disease-free state. The model compared anti-PD-1 agents only for metastatic disease treatment (reference scenario) versus anti-PD-1 agents for ESD treatment (ESD scenario) from 2023 to 2032. Clinical outcomes of the model included recurrence/event/disease-free life-years (LYs), total LYs, quality-adjusted LYs (QALYs), recurrences/events, active treatments for metastatic disease, and total deaths. The cumulative health impact of ESD anti-PD-1 treatment in Belgium was calculated as the difference in health outcomes between the ESD and reference scenarios for the time horizon.

resultsOf the 14,306 eligible individuals, 11,065 were predicted to initiate treatment with anti-PD-1 agents for ESD. Anti-PD-1 therapies for ESD increased recurrence/event/disease-free LYs (+13.4%), total LYs (+4.4%), and QALYs (+4.9%) after 10 years. Additionally, ESD treatment decreased recurrences/events (-24.6%), active treatments for metastatic disease (-28.6%), and total deaths (-23.8% decrease) over 10 years.

conclusionsThe investment in and use of innovative anti-PD-1 agents for the treatment of early-stage cancers would have a positive health impact for Belgium and align with the high standards in cancer care called for in Europe's Beating Cancer Plan.

Indexed as

Early-stage cancerImmune checkpoint inhibitorsMelanomaNivolumabPembrolizumabRenal cell carcinomaTriple-negative breast cancer

Identifiers

PMID40707860
PMCPMC12379667

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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.