Evidence map›Paper›PMID 40976915›Full record

ArticleActa oncologica (Stockholm, Sweden)2025

Pembrolizumab as first-line treatment for recurrent or metastatic head and neck squamous cell carcinoma: a multi-institutional DAHANCA cohort study.

Sebastian Søby, Robin Prestwich, Niels Gyldenkerne, Christian Maare, Camilla K Lonkvist, Maria Andersen, Kinga Nowicka-Matus, Anita Gothelf, Trine Tramm, Kasper Toustrup and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Acta oncologica (Stockholm, Sweden), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

14 authors.

Sebastian SøbyAarhus University Hospital, Department of Experimental Clinical Oncology, Aarhus, Denmark; Aarhus University, Department of Clinical Medicine, Aarhus, Denmark. sebastian@oncology.au.dk.ORCID 0009-0004-3988-0882
Robin PrestwichSt. James University Hospital, Leeds Cancer Center, Leeds, England.ORCID 0000-0002-7872-2826
Niels GyldenkerneOdense University Hospital, Department of Oncology, Odense, Denmark.
Christian MaareHerlev Hospital, Department of Oncology, Copenhagen, Denmark.ORCID 0000-0002-9698-2082
Camilla K LonkvistHerlev Hospital, Department of Oncology, Copenhagen, Denmark.ORCID 0009-0003-9692-0839
Maria AndersenAalborg University Hospital, Department of Oncology, Aalborg, Denmark.
Kinga Nowicka-MatusAalborg University Hospital, Department of Oncology, Aalborg, Denmark.ORCID 0000-0002-0625-1172
Anita GothelfCopenhagen University Hospital, Department of Oncology, Copenhagen, Denmark.ORCID 0000-0002-7077-7937
Trine TrammDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark; Aarhus University Hospital, Department of Pathology, Aarhus, Denmark.ORCID 0000-0003-3894-4552
Kasper ToustrupAarhus University Hospital, Department of Experimental Clinical Oncology, Aarhus, Denmark; i. Aarhus University Hospital, Department of Oncology, Aarhus, Denmark.ORCID 0009-0006-5999-0813
Simion MihaelaSt. James University Hospital, Leeds Cancer Center, Leeds, England.
Danny UlahannanSt. James University Hospital, Leeds Cancer Center, Leeds, England.ORCID 0009-0007-5720-6391
Zsuzsanna Iyizoba-EbozueSt. James University Hospital, Leeds Cancer Center, Leeds, England; Leeds Institute of Medical Research, University of Leeds, Leeds, England.ORCID 0000-0002-9839-4532
Jesper G EriksenAarhus University Hospital, Department of Experimental Clinical Oncology, Aarhus, Denmark; Aarhus University, Department of Clinical Medicine, Aarhus, Denmark; Aarhus University Hospital, Department of Oncology, Aarhus, Denmark.ORCID 0000-0002-1145-6033

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePembrolizumab is frequently used for recurrent or metastatic head and neck squamous cell carcinoma (rmHNSCC) as first-line treatment. This study evaluates real-world effectiveness in a Danish and United Kingdom (UK) cohort. Patient/material and methods: Patients with confirmed rmHNSCC treated with pembrolizumab (2020-2024) as first-line palliative treatment were included consecutively. Data were collected from patient files at four Danish head and neck cancer centres (discovery cohort) and the Leeds Teaching Hospitals NHS Trust (comparison cohort). Primary endpoints were overall survival (OS) and progression-free survival (PFS).

resultsIn the discovery cohort (n = 228), a median OS of 10 months (95% [confidence interval [CI]: 10-12) and median PFS of 4 months (95% CI: 4-6) were found. Primary endpoints did not differ significantly between the discovery and comparison cohort. Baseline World Health Organization performance status appeared to negatively impact endpoints (hazard ratio: 1.4 [95% CI: 1.0-2.0]).

interpretationIn this real-world multi-centre study, pembrolizumab demonstrated efficacy equivalent to the registration studies in two independent cohorts.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalHead and Neck NeoplasmsNeoplasm Recurrence, LocalSquamous Cell Carcinoma of Head and NeckAdultAgedAged, 80 and overCohort StudiesDenmarkFemaleHumansMaleMiddle AgedProgression-Free SurvivalUnited KingdomAntibodies, Monoclonal, HumanizedAntineoplastic Agents, Immunologicalpembrolizumab

Identifiers

PMID40976915
PMCPMC12476047

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.