Evidence map›Paper›PMID 41799515›Full record

Observational studyOncology research2026

Investigating the Immune Effects of Radiotherapy in Non-Small Cell Lung Cancer-Results of the PD-RAD Study.

Shuhui Cheng, Tiana Kordbacheh, Antonia Banyard, Anshuman Chaturvedi, Diego Sanchez Martinez, Crispin T Hiley, Maggie Harris, Clara Chan, Corinne Faivre-Finn, Timothy M Illidge and 1 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Oncology research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03258788 (A Translational Study Investigating PD-L1 Expression After Radiotherapy for Non-small Cell Lung Cancer), which is not on this map. Not yet cited in PubMed.

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

NCT03258788 completednot on this map

A Translational Study Investigating PD-L1 Expression After Radiotherapy for Non-small Cell Lung Cancer (NSCLC)

TypeobservationalSponsorThe Christie NHS Foundation TrustRan2019 to 2020Enrolled15ConditionsNon-Small Cell Lung CancerArmsBiopsy and blood samples
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Shuhui ChengTargeted Therapy Group, Division of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, M20 4BX, UK.
Tiana KordbachehTargeted Therapy Group, Division of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, M20 4BX, UK.
Antonia BanyardCancer Research UK Manchester Institute, The University of Manchester, Manchester, M20 4BX, UK.
Anshuman ChaturvediThe Christie NHS Foundation Trust, Manchester, M20 4BX, UK.
Diego Sanchez MartinezCancer Research UK Manchester Institute, The University of Manchester, Manchester, M20 4BX, UK.
Crispin T HileyUniversity College London Hospitals NHS Foundation Trust, London, WC1E 6AG, UK.
Maggie HarrisThe Christie NHS Foundation Trust, Manchester, M20 4BX, UK.
Clara ChanThe Christie NHS Foundation Trust, Manchester, M20 4BX, UK.
Corinne Faivre-FinnThe Christie NHS Foundation Trust, Manchester, M20 4BX, UK.
Timothy M IllidgeTargeted Therapy Group, Division of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, M20 4BX, UK.
Eleanor J CheadleTargeted Therapy Group, Division of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, M20 4BX, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The PACIFIC trial established the benefit of durvalumab following chemo-radiotherapy for stage III non-small cell lung cancer (NSCLC). However, the concurrent use of radiotherapy (RT) and durvalumab (PACIFIC-2 trial) showed no additional advantage. The PD-RAD study was set up to understand the immunological effects of RT on the tumor microenvironment (TME) to aid in optimizing sequencing of combination therapies. Methods: The PD-RAD trial (ClinicalTrials.gov identifier: NCT03258788) aimed to enroll thirty NSCLC patients receiving radical-intent RT. Tumor biopsies and blood samples were collected pre-RT and at week 2 during RT and analyzed using multiplex immunohistochemistry (mIHC) and high-dimensional mass cytometry (CyTOF), respectively. Results: Paired biopsies were collected from only three patients (Pts 1, 3 & 4) and blood from four patients (Pts 1-4) before the study was closed early during the COVID-19 pandemic. Programmed Death-Ligand 1 (PD-L1) expression in the TME was raised in Patient 1, who responded well to treatment, and unaltered in two patients with progressive disease. CyTOF analysis revealed elevated circulating classical monocytes, highest in the patient with a good response. Conclusions: This study underscores the challenges of integrating advanced immune monitoring during RT delivery and did not meet its primary endpoint. The hypothesis-generating findings highlight PD-L1

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAgedAntibodies, MonoclonalB7-H1 AntigenChemoradiotherapyCOVID-19FemaleHumansMaleMiddle AgedTumor MicroenvironmentAntibodies, MonoclonalB7-H1 AntigenCD274 protein, humandurvalumabbiomarkerclassical monocytesNon-small cell lung cancer (NSCLC)programmed death-ligand 1 (PD-L1)radiotherapytumor microenvironment

Identifiers

PMID41799515
PMCPMC12963685

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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.