Evidence map›Paper›PMID 42459595›Full record

ArticleRespirology case reports2026

Renewed Response to Pembrolizumab After Salvage Radiotherapy for Oligoprogression in Advanced NSCLC: A Case Report.

Takayuki Niitsu, Satoshi Tanaka, Moto Yaga, Makoto Yamamoto, Chika Takahashi, Yoshitaka Usui, Daiki Nagira, Tetsuaki Tsuji, Kento Yokota, Satoshi Tobita and 1 more

Abstract read
In one paragraph

Article in Respirology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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. 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

11 authors.

Takayuki NiitsuDepartment of Respiratory Medicine Osaka General Medical Center Osaka Japan.ORCID https://orcid.org/0000-0003-4280-3074
Satoshi TanakaTanaka Internal Medicine and Respiratory Clinic Osaka Japan.ORCID https://orcid.org/0000-0002-1854-794X
Moto YagaDepartment of Respiratory Medicine Osaka General Medical Center Osaka Japan.
Makoto YamamotoDepartment of Respiratory Medicine Osaka General Medical Center Osaka Japan.ORCID https://orcid.org/0009-0008-1493-8960
Chika TakahashiDepartment of Respiratory Medicine Osaka General Medical Center Osaka Japan.
Yoshitaka UsuiDepartment of Respiratory Medicine Osaka General Medical Center Osaka Japan.
Daiki NagiraDepartment of Respiratory Medicine Osaka General Medical Center Osaka Japan.
Tetsuaki TsujiDepartment of Respiratory Medicine Osaka General Medical Center Osaka Japan.
Kento YokotaDepartment of Respiratory Medicine Osaka General Medical Center Osaka Japan.ORCID https://orcid.org/0009-0004-5045-7436
Satoshi TobitaDepartment of Respiratory Medicine Osaka General Medical Center Osaka Japan.
Kiyonobu UenoDepartment of Respiratory Medicine Osaka General Medical Center Osaka Japan.ORCID https://orcid.org/0009-0005-8791-7405

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitor (ICI) rechallenge may benefit selected patients with NSCLC, but the role of local radiotherapy for oligoprogression and late same-agent rechallenge remains uncertain. We report a patient with Stage IVA lung adenocarcinoma and a programmed death-ligand 1 tumour proportion score of ≥ 75% who achieved a durable partial response to first-line pembrolizumab. After isolated left supraclavicular nodal oligoprogression in 2020, he received salvage radiotherapy and remained off systemic treatment for almost 5 years. In late 2025, multiple new right lower lobe nodules and pleural-based lesions appeared near the original primary site and enlarged on serial CT, prompting pembrolizumab rechallenge. CT in February 2026 showed a renewed partial response. This case suggests that rechallenge with pembrolizumab may remain reasonable at late relapse in carefully selected patients with durable initial benefit, limited progression controlled locally, a long treatment-free interval, and good performance status.

Indexed as

immune checkpoint inhibitornon‐small cell lung canceroligoprogressionpembrolizumabrechallenge

Identifiers

PMID42459595
PMCPMC13368700

What OpenQuestion holds

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LicenceCC BY
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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.