Evidence map›Paper›PMID 42782857›Full record

Observational studyCurrent oncology (Toronto, Ont.)2026

Tolerance and Efficacy of Targeted Therapies After Immunotherapy for Advanced Non-Small Cell Lung Cancers Harboring Oncogenic Alterations: The GFPC-TOXIMAD Study.

Thomas Pierret, Jean-Bernard Auliac, Charles Ricordel, Catherine Daniel, Jessica Nguyen, Florian Guisier, Aurélie Swalduz, Hubert Curcio, Anne Laure Desage, Laurence Bigay-Game and 6 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Current oncology (Toronto, Ont.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

16 authors.

Thomas PierretDepartement of Pneumology, Louis Pradel Hospital, Hospices Civils de Lyon, 69500 Lyon, France.ORCID 0000-0002-4297-7413
Jean-Bernard AuliacDepartment of Pneumology, Centre Hospitalier Intercommunal de Créteil, 94010 Créteil, France.ORCID 0000-0002-6400-7506
Charles RicordelDepartment of Pneumology, CHU Rennes, Univ Rennes 1, INSERM, OSS (Oncogenesis Stress Signaling), UMRS 1242, CLCC Eugene-Marquis, 35200 Rennes, France.
Catherine DanielThoracic Oncology Service, Thorax Institute Curie Montsouris, Institut Curie, 75005 Paris, France.
Jessica NguyenDepartement of Pneumology, CHU BREST, 29200 Brest, France.
Florian GuisierEA4108 LITIS Lab, QuantIF Team and Inserm CIC-CRB 1404, Service de Pneumologie, Oncologie Thoracique et Soins Intensifs Respiratoires, CHU Rouen, Normandie Université, UNIROUEN, 76031 Rouen, France.ORCID 0000-0002-8166-7303
Aurélie SwalduzDepartment of Pneumology, Comprehensive Cancer Centre Léon-Bérard, 28, Rue Laennec, 69008 Lyon, France.
Hubert CurcioDepartment of Medical Oncology, Comprehensive Cancer Center François-Baclesse, 3, Avenue du Général Harris, 14076 Caen, France.
Anne Laure DesageDepartment of Pneumology, CHU Saint-Etienne, 42100 Saint-Etienne, France.
Laurence Bigay-GameDepartment of Pneumology & Thoracic Oncology, CHU Toulouse, Hôpital Larrey, 31400 Toulouse, France.
Eric HuchotDepartement of Pneumology, CH La Reunion, 97400 Saint Pierre, France.
Lionel FalcheroDepartment of Pneumology, Hôpital Nord-Ouest, 69653 Villefranche-sur-Saône, France.ORCID 0000-0002-3459-2767
Hélène DoubreThoracic Oncology, Hopital Foch, 40, Rue Worth, 92150 Suresnes, France.
Olivier BylickiDepartment of Pneumology, Hôpital d'Instruction des Armées Saint-Anne, Boulevard Sainte-Anne, 83100 Toulon, France.ORCID 0000-0001-8683-0969
Christos ChouaïdDepartment of Pneumology, Centre Hospitalier Intercommunal de Créteil, 94010 Créteil, France.ORCID 0000-0002-4290-5524
Laurent GreillierMultidisciplinary Oncology and Therapeutic Innovations, APHM, INSERM, CNRS, CRCM, Hôpital Nord, Aix-Marseille Université, 13015 Marseille, France.ORCID 0000-0002-5807-9503

Funding

Roche,
6 · The paper itself

Abstract

backgroundThe sequential use of anti-programmed cell death (ligand)-1 [PD-(L)1] immune-checkpoint inhibitors (ICIs) followed by targeted tyrosine-kinase inhibitors (TKIs) for advanced non-small cell lung cancer (NSCLC) with oncogenic alterations raises questions about tolerance and efficacy. Recent study results suggested an increased risk of adverse events (AEs) with this sequence.

methodsMulticenter retrospective study on advanced NSCLC patients treated with ICIs followed by targeted therapies between 2015 and 2021. The primary endpoint was the rate of grade 3-5 adverse events (AEs). Main secondary endpoints were progression-free survival (PFS), time-to-treatment failure and overall survival (OS).

resultsThe analysis included 109 patients (most with

conclusionAccording to this analysis, sequential ICI-targeted therapy use for advanced NSCLC appeared to be associated with more grade 3-5 AEs.

Indexed as

Carcinoma, Non-Small-Cell LungImmunotherapyLung NeoplasmsMolecular Targeted TherapyAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective Studiesadverse eventsimmunotherapynon-small cell lung cancertargeted therapy

Identifiers

PMID42782857
PMCPMC13605073

What OpenQuestion holds

Textmetadata
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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.