Evidence map›Paper›PMID 42803520›Full record

Observational studyOncoimmunology2026

Clinical outcomes and blood-based biomarkers across two SABR-treated metastatic settings: oligoprogression under immune checkpoint inhibition and oligometastatic disease.

Juan Zafra-Martin, Juan Luis Onieva, Herminda Jimenez-Rodriguez, Beatriz Martinez, Laura Figueroa-Ortiz, Alicia Roman, Rafael Ordoñez, Elisabeth Pérez-Ruiz, Andres Mesas, Jose Miguel Jurado and 5 more

Abstract readObservational Study
In one paragraph

Observational study in Oncoimmunology, 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
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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

15 authors.

Juan Zafra-MartinDepartment of Radiation Oncology, Virgen de la Victoria University Hospital, Málaga, Spain.ORCID 0000-0003-4778-4271
Juan Luis OnievaGroup of Translational Research in Cancer Immunotherapy and Epigenetics (B-05), IBIMA Plataforma BIONAND, Málaga, Spain.ORCID 0000-0001-8976-8099
Herminda Jimenez-RodriguezDepartment of Radiation Oncology, Virgen de la Victoria University Hospital, Málaga, Spain.
Beatriz MartinezGroup of Translational Research in Cancer Immunotherapy and Epigenetics (B-05), IBIMA Plataforma BIONAND, Málaga, Spain.
Laura Figueroa-OrtizGroup of Translational Research in Cancer Immunotherapy and Epigenetics (B-05), IBIMA Plataforma BIONAND, Málaga, Spain.
Alicia RomanDepartment of Radiation Oncology, Virgen de la Victoria University Hospital, Málaga, Spain.
Rafael OrdoñezDepartment of Radiation Oncology, Virgen de la Victoria University Hospital, Málaga, Spain.
Elisabeth Pérez-RuizGroup of Translational Research in Cancer Immunotherapy and Epigenetics (B-05), IBIMA Plataforma BIONAND, Málaga, Spain.
Andres MesasDepartment of Medical Oncology, Virgen de la Victoria University Hospital, Málaga, Spain.
Jose Miguel JuradoDepartment of Medical Oncology, Regional University Hospital, Málaga, Spain.
Barbara SalasDepartment of Radiation Oncology, Dr Negrín University Hospital, Gran Canaria, Spain.
Elisa SalcedoDepartment of Radiation Oncology, Dr Negrín University Hospital, Gran Canaria, Spain.
Rodolfo Chicas-SettDepartment of Radiation Oncology, La Fe University Hospitala, Valencia, Spain.ORCID 0000-0001-8127-2523
Antonio Rueda-DominguezGroup of Translational Research in Cancer Immunotherapy and Epigenetics (B-05), IBIMA Plataforma BIONAND, Málaga, Spain.
Isabel BarraganGroup of Translational Research in Cancer Immunotherapy and Epigenetics (B-05), IBIMA Plataforma BIONAND, Málaga, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stereotactic ablative radiotherapy (SABR) may extend the clinical benefit of immune checkpoint inhibitors (ICI) in patients with oligoprogressive disease. However, individual benefit varies, and validated biomarkers to guide patient selection are lacking. We hypothesize that cell-free DNA (cfDNA) and the neutrophil-to-lymphocyte ratio (NLR) may be associated with outcomes after SABR in this setting. This prospective observational study included patients with oligoprogression under ICI therapy who received concomitant SABR to all oligoprogressive lesions (cohort A). Cohort B was a parallel biomarker cohort of oligometastatic patients receiving only SABR. Blood samples were collected before SABR (T1), after the first (T2) and last (T3) fractions, and two months after SABR (T4). The objective response rate (ORR) was evaluated by iRECIST in all lesions. Prespecified cfDNA and NLR time points were explored in relation to modified progression-free and overall survival (OS). We assessed 104 patients. With a median follow-up of 12 months, ORR was 59% in cohort A and 65% in cohort B. In cohort A, cfDNA <0.37 ng/µL at T3 was associated with improved 1-year OS (91% vs 62%,

Indexed as

Biomarkers, TumorImmune Checkpoint InhibitorsRadiosurgeryAgedAged, 80 and overDisease ProgressionFemaleHumansLymphocytesMaleMiddle AgedNeoplasm MetastasisNeutrophilsProspective StudiesTreatment OutcomeBiomarkers, TumorImmune Checkpoint Inhibitorscell-free DNAimmunotherapyneutrophil-to-lymphocyte ratiooligometastasisOligoprogressionstereotactic ablative radiotherapy

Identifiers

PMID42803520
PMCPMC13625720

What OpenQuestion holds

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Registered trials

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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.