Evidence map›Paper›PMID 42870820›Full record

ArticleTranslational lung cancer research2026

Exploratory study to evaluate the combined effect of CBM588:

Ryuta Tagawa, Hirokazu Taniguchi, Norihito Kaku, Kazumasa Akagi, Hiromi Tomono, Noritaka Honda, Yosuke Dotsu, Midori Matsuo, Shinnosuke Takemoto, Akisato Itagaki and 12 more

Abstract read
In one paragraph

Article in Translational lung cancer research, 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

22 authors.

Ryuta TagawaDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Hirokazu TaniguchiClinical Oncology Center, Nagasaki University Hospital, Nagasaki, Japan.ORCID https://orcid.org/0000-0003-2414-8344
Norihito KakuDepartment of Laboratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Kazumasa AkagiClinical Oncology Center, Nagasaki University Hospital, Nagasaki, Japan.
Hiromi TomonoDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Noritaka HondaDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
Yosuke DotsuDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
Midori MatsuoClinical Research Center, Nagasaki University Hospital, Nagasaki, Japan.
Shinnosuke TakemotoDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
Akisato ItagakiDepartment of Internal Medicine, Nagasaki Goto Chuoh Hospital, Nagasaki, Japan.
Koki YamashitaDepartment of Respiratory Medicine, Sasebo Chuo Hospital, Nagasaki, Japan.
Yasuhiro UmeyamaDepartment of Respiratory Medicine, Sasebo City General Hospital, Nagasaki, Japan.
Hiroshi GyotokuDepartment of Respiratory Medicine, Nagasaki Harbor Medical Center, Nagasaki, Japan.
Takaya IkedaDepartment of Respiratory Medicine, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.
Nanae SugasakiDepartment of Respiratory Medicine, Nagasaki Prefecture Shimabara Hospital, Shimabara, Japan.
Kazutoshi YoshiyamaDepartment of Respiratory Medicine, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan.
Takeshi KitazakiDepartment of Respiratory Medicine, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan.
Katsumi NakatomiDepartment of Respiratory Medicine, National Hospital Organization Ureshino Medical Center, Saga, Japan.
Daisuke TakaoDepartment of Internal Medicine, Japanese Red Cross Nagasaki Genbaku Isahaya Hospital, Nagasaki, Japan.
Minoru FukudaDepartment of Internal Medicine, Japanese Red Cross Nagasaki Genbaku Isahaya Hospital, Nagasaki, Japan.
Katsunori YanagiharaDepartment of Laboratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Hiroshi MukaeDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Platinum plus pemetrexed and pembrolizumab is a standard first-line treatment for advanced or recurrent non-squamous non-small cell lung cancer (NSCLC) without actionable driver alterations, including tumors with a programmed death-ligand 1 (PD-L1) tumor proportion score (TPS) <50%. However, the clinical benefits vary, and biomarkers for this chemoimmunotherapy regimen remain limited. CBM588, a live biotherapeutic preparation containing Methods: This is a multi-institutional, single-arm, phase II exploratory study enrolling 20 treatment-naïve patients with advanced or recurrent non-squamous NSCLC and a PD-L1 TPS <50%. Patients will receive continuous CBM588 from the start of the protocol treatment in combination with platinum, pemetrexed, and pembrolizumab. After four induction cycles, maintenance pemetrexed plus pembrolizumab will be continued until disease progression or unacceptable toxicity. The primary endpoints are response rate and progression-free survival (PFS). Tumor response will be assessed according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Stool samples will be collected before treatment, cycle 3, and cycle 5 for 16S rRNA sequencing to evaluate microbial diversity and responder-associated taxa. Discussion: This trial will prospectively assess CBM588 added to platinum plus pemetrexed and pembrolizumab in NSCLC with PD-L1 TPS <50% while monitoring the gut microbiota. These findings may inform microbiota-targeted strategies for optimizing chemoimmunotherapy. Trial Registration: This study was registered in the Japan Registry of Clinical Trials (No. jRCT1071260004) on 6 April 2026.

Indexed as

CBM588chemoimmunotherapygut microbiotaNon-small cell lung cancer (NSCLC)pembrolizumab

Identifiers

PMID42870820
PMCPMC13657887

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.