Evidence map›Paper›PMID 40959952›Full record

ArticleCancer medicine2025

Association Between Immune-Related Adverse Events and Treatment Outcomes in Advanced Gastric Cancer Patients Receiving Nivolumab Plus Chemotherapy: A Retrospective Study.

Kazumasa Yamamoto, Hidekazu Hirano, Toshiharu Hirose, Hirokazu Shoji, Natsuko Okita, Atsuo Takashima, Ken Kato

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Article in Cancer medicine, 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

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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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kazumasa YamamotoDepartment of Gastrointestinal Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0009-0005-4085-0741
Hidekazu HiranoDepartment of Gastrointestinal Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.
Toshiharu HiroseDepartment of Gastrointestinal Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.
Hirokazu ShojiDepartment of Gastrointestinal Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0002-8922-5227
Natsuko OkitaDepartment of Gastrointestinal Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.
Atsuo TakashimaDepartment of Gastrointestinal Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.
Ken KatoDepartment of Gastrointestinal Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune-related adverse events (irAEs) have been linked to improved outcomes in patients undergoing treatment with immune checkpoint inhibitors (ICIs) for various cancers. However, the relationship between irAEs and overall survival (OS) in patients with advanced gastric cancer (AGC) receiving chemoimmunotherapy remains unclear. This study aimed to explore the association between irAEs and treatment outcomes in patients with AGC receiving chemotherapy plus nivolumab.

methodsThis retrospective study analyzed clinical data from patients with HER2-negative AGC who received first-line chemotherapy (SOX, CapeOX, or FOLFOX) plus nivolumab at the National Cancer Center Hospital between November 2021 and February 2023. Patients were stratified into two groups based on the occurrence of irAEs. Outcomes, including OS and progression-free survival (PFS), were compared using Kaplan-Meier analysis, landmark analysis, and Cox proportional hazards regression.

resultsAmong the 60 patients analyzed, 15 (25%) developed irAEs of any grade, with 3 patients (5%) experiencing grade ≥ 3 irAEs. Patients with irAEs had significantly longer OS and PFS in comparison to those without irAEs (median OS: not reached vs. 17.1 months, p < 0.01; median PFS: not reached vs. 6.8 months, p < 0.01). Multivariate analysis identified the occurrence of irAEs as a favorable prognostic factor for OS (hazard ratio: 0.13; 95% CI: 0.03-0.59; p < 0.01).

conclusionThis study suggests that the occurrence of irAEs is associated with improved survival outcomes in patients with AGC receiving chemotherapy plus nivolumab. IrAEs may serve as a predictive marker for treatment response in this setting.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsImmune Checkpoint InhibitorsNivolumabStomach NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedProgression-Free SurvivalRetrospective StudiesTreatment OutcomeImmune Checkpoint InhibitorsNivolumabadvanced gastric cancerchemotherapyimmune checkpoint inhibitor (ICI)immune‐related adverse event (irAE)

Identifiers

PMID40959952
PMCPMC12441737

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