Evidence map›Paper›PMID 42129521›Full record

Trial reportNature cancer2026

Nivolumab plus chemoradiotherapy followed by nivolumab with or without ipilimumab for untreated locally advanced stage III NSCLC: a randomized phase 3 trial.

Solange Peters, Daniel S W Tan, David E Gerber, James Urbanic, Suresh Ramalingam, Jinming Yu, Ligang Xing, Achim Rittmeyer, Tudor-Eliade Ciuleanu, Juliana de Menezes and 13 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Nature cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04026412 (A Phase 3, Randomized, Open Label Study to Compare Nivolumab Plus Concurrent Chemoradiotherapy), which is not on this map. Cited by 1 paper.

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

NCT04026412 phase3completednot on this map

A Phase 3, Randomized, Open Label Study to Compare Nivolumab Plus Concurrent Chemoradiotherapy (CCRT) Followed by Nivolumab Plus Ipilimumab or Nivolumab Plus CCRT Followed by Nivolumab vs CCRT Followed by Durvalumab in Previously Untreated, Locally Advanced Non-small Cell Lung Cancer (LA NSCLC)

TypeinterventionalSponsorBristol-Myers SquibbRan2019 to 2024Enrolled925ConditionsNon-Small Cell Lung Cancer (NSCLC)Armsnivolumab, ipilimumab, durvalumab
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Radiation oncology at a new frontier: Hotspots, challenges, and emerging advances.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2026
    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

23 authors.

Solange PetersCentre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland. solange.peters@chuv.ch.ORCID http://orcid.org/0000-0002-0412-7143
Daniel S W TanNational Cancer Centre Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-6514-6786
David E GerberHarold C. Simmons Comprehensive Cancer Center, The University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-7812-6741
James UrbanicUniversity of California San Diego School of Medicine, La Jolla, CA, USA.
Suresh RamalingamWinship Cancer Institute, Emory University, Atlanta, GA, USA.
Jinming YuShandong Cancer Hospital and Institute, Shandong First Medical University, Jinan, China.
Ligang XingShandong Cancer Hospital and Institute, Shandong First Medical University, Jinan, China.
Achim RittmeyerLungenfachklinik Immenhausen, Immenhausen, Germany.
Tudor-Eliade CiuleanuInstitutul Oncologic Prof Dr. Ion Chiricuţă, University of Medicine and Pharmacy Iuliu Haţieganu, Cluj-Napoca, Romania.
Juliana de MenezesHospital Nossa Senhora da Conceição, Porto Alegre, Brazil.
Hye Ryun KimYonsei Cancer Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0002-1842-9070
Carlos RojasBradford Hill Clinical Research Center, Santiago, Chile.
Konstantinos SyrigosSotiria General Hospital for Chest Diseases, National and Kapodistrian University of Athens, Athens, Greece.
Hidetoshi HayashiKindai University, Osaka, Japan.ORCID http://orcid.org/0000-0001-8787-5587
Anoop HaridassThe Clatterbridge Cancer Centre NHS Foundation Trust, Birkenhead, UK.ORCID http://orcid.org/0000-0002-4185-290X
Diego CortinovisFondazione IRCCS San Gerardo dei Tintori, Monza, Italy.ORCID http://orcid.org/0000-0001-7611-7369
Debora BrunoUniversity Hospitals Cleveland Medical Center, Seidman Cancer Center, Cleveland, OH, USA.
Martin KimmichRobert Bosch Center for Tumor Diseases (RBCTD), Robert-Bosch Hospital, Stuttgart, Germany.
Antonio CallesHospital General Universitario Gregorio Marañon, Madrid, Spain.
Raheel NathaniBristol Myers Squibb, Princeton, NJ, USA.
Geetha PudusseryBristol Myers Squibb, Princeton, NJ, USA.ORCID http://orcid.org/0009-0000-9180-1273
Luoying YangBristol Myers Squibb, Princeton, NJ, USA.
Dirk De RuysscherMaastricht University Medical Centre+, Maastro, GROW School for Oncology and Reproduction, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over 50% of persons with unresectable stage III non-small cell lung cancer (NSCLC) treated with standard-of-care concurrent chemoradiotherapy (CCRT) and durvalumab consolidation progress or die within 18 months. Here adults with untreated, unresectable stage III NSCLC were randomized to nivolumab plus CCRT followed by consolidation with nivolumab plus ipilimumab (arm A) or nivolumab alone (arm B) or CCRT followed by consolidation with durvalumab (arm C). The primary endpoint was progression-free survival (PFS) in arm A versus arm C and secondary endpoints included overall survival (OS), PFS in arm B versus arm C, response rates and safety. At a median follow-up of 30.5 months, there was no statistically significant difference in the primary endpoint of PFS in the nivolumab plus ipilimumab arm versus durvalumab arm (hazard ratio (HR): 0.95, 96% confidence interval (CI): 0.77-1.19; P = 0.65). Descriptive OS analysis showed no improvement (HR: 1.12, 95% CI: 0.87-1.43). Nivolumab alone did not improve PFS or OS versus durvalumab (PFS, HR: 0.84, 95% CI: 0.69-1.04; OS, HR: 0.97, 95% CI: 0.76-1.24). Nivolumab plus ipilimumab and nivolumab alone plus CCRT resulted in increased pneumonitis. These results emphasize the need for novel efficacious treatments for these individuals. (ClinicalTrials.gov: NCT04026412 ).

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungChemoradiotherapyIpilimumabLung NeoplasmsNivolumabAdultAgedAntibodies, MonoclonalFemaleHumansMaleMiddle AgedNeoplasm StagingAntibodies, MonoclonaldurvalumabIpilimumabNivolumab

Identifiers

PMID42129521
PMCPMC13400306

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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.