Evidence map›Paper›PMID 41176317›Full record

Trial reportJournal for immunotherapy of cancer2025

Perioperative pembrolizumab in early-stage non-small cell lung cancer (NSCLC): conventional and distribution-based immune profiling of the tumor microenvironment and peripheral circulation.

Jingxuan Zhang, Lin Lin, Jennifer H Enzor, Prekshaben H Patel, Katelyn N Steadman, Victoria E Little, Lin Gu, Eziafa I Oduah, Betty C Tong, Scott J Antonia and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal for immunotherapy of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02818920 (Pembrolizumab Prior to Surgery for Stage 1B, 2 or 3A Non-small Cell Lung Cancer), which is not on this 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.

NCT02818920 phase2completednot on this map

Pembrolizumab Prior to Surgery for Stage 1B, 2 or 3A Non-small Cell Lung Cancer (NSCLC): A Phase II Study

TypeinterventionalSponsorNeal Ready MD PhDRan2017 to 2024Enrolled35ConditionsNon-small Cell Lung CarcinomaArmsPembrolizumab
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

12 authors.

Jingxuan ZhangDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, North Carolina, USA.
Lin LinDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, North Carolina, USA.
Jennifer H EnzorDivision of Surgical Sciences, Department of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
Prekshaben H PatelDivision of Surgical Sciences, Department of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
Katelyn N SteadmanDivision of Surgical Sciences, Department of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
Victoria E LittleDivision of Surgical Sciences, Department of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
Lin GuDivision of Medical Oncology, Duke University Health System, Durham, North Carolina, USA.
Eziafa I OduahDivision of Medical Oncology, Duke University Health System, Durham, North Carolina, USA.
Betty C TongDivision of Cardiovascular Cardiovascular and Thoracic Surgery, Duke University Health System, Durham, North Carolina, USA.
Scott J AntoniaDivision of Medical Oncology, Duke University Health System, Durham, North Carolina, USA.
Neal E ReadyDivision of Medical Oncology, Duke University Health System, Durham, North Carolina, USA.ORCID http://orcid.org/0000-0003-4414-9432
Kent J WeinholdDivision of Surgical Sciences, Department of Surgery, Duke University School of Medicine, Durham, North Carolina, USA kent.weinhold@duke.edu.ORCID http://orcid.org/0000-0003-4876-6737

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI Laura Fish · 1985 to 2026
$174.8M
NCI NIH HHS P30 CA014236
6 · The paper itself

Abstract

purposeA recently published phase 2 neoadjuvant trial in patients with early-stage non-small cell lung cancer (NSCLC) (NCT02818920) evaluated the potential efficacy of pembrolizumab administration in the absence of chemotherapy. This communication reports on conventional and distribution-based immune profiling efforts in efforts to identify novel biomarkers predictive of benefit.

methodsPatients with stage 1B-3A NSCLC received two cycles of pembrolizumab (P), followed by surgical resection of the remaining tumors (NCT02818920). Banked peripheral blood mononuclear cells (PBMCs) were analyzed at baseline and following the second dose of P. Resected tumors were disaggregated, and cells were viably cryopreserved. Based on pathologic examination of the tumors, patients were categorized as major pathologic responders (MPR; ≤10% viable tumor present), or non-MPR (>10% viable tumor present). High-parameter immune phenotyping by flow cytometry was performed on all available tumor and PBMC specimens, and results were expressed using both conventional phenotypic frequency analyses as well as a novel distribution-based biomarker identification strategy aimed at discovery of patterns associated with MPR.

resultsConventional, frequency-based flow cytometric immune phenotyping of participant tumor microenvironments and PBMC revealed several MPR-associated trends, only a few of which reached statistical significance. The distribution-based biomarker identification strategy greatly enhanced the discovery of statistically significant cell types and patterns of change associated with MPR.

conclusionsThis novel, distribution-based analytic framework identified MPR-associated immune cell subsets in baseline PBMC that were not evident using conventional frequency-based immune profiling. Profiling the microenvironment of MPR-associated tumors revealed statistically significant distributional differences among highly expressed cellular markers on CD8

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalCarcinoma, Non-Small-Cell LungLung NeoplasmsTumor MicroenvironmentAgedFemaleHumansMaleMiddle AgedNeoplasm StagingAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalpembrolizumabBiomarkerImmunotherapyLung CancerMajor pathologic response - MPR

Identifiers

PMID41176317
PMCPMC12581070

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.