Evidence map›Paper›PMID 42882934›Full record

ReviewCancers2026

The Dynamic Role of Liquid Biopsy in Patients with Non-Small Cell Lung Cancer Receiving Immune Checkpoint Inhibitors: Emerging Opportunities and Clinical Challenges.

Tancredi Didier Bazan Russo, Valerio Gristina, Francesco Pepe, Claudia Scimone, Giulia Busuito, Domenico Cozzolino, Claudia Sarracino, Giuseppina Ratto, Lorena Incorvaia, Nadia Barraco and 6 more

Abstract readReview
In one paragraph

Review in Cancers, 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.

Tancredi Didier Bazan RussoDepartment of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90127 Palermo, Italy.ORCID 0009-0007-5595-3924
Valerio GristinaDepartment of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90127 Palermo, Italy.
Francesco PepeDepartment of Public Health, University of Naples Federico II, 80131 Naples, Italy.ORCID 0000-0002-2803-9586
Claudia ScimoneDepartment of Public Health, University of Naples Federico II, 80131 Naples, Italy.
Giulia BusuitoDepartment of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90127 Palermo, Italy.
Domenico CozzolinoDepartment of Public Health, University of Naples Federico II, 80131 Naples, Italy.
Claudia SarracinoDepartment of Public Health, University of Naples Federico II, 80131 Naples, Italy.
Giuseppina RattoDepartment of Public Health, University of Naples Federico II, 80131 Naples, Italy.
Lorena IncorvaiaDepartment of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90127 Palermo, Italy.ORCID 0000-0002-1199-7286
Nadia BarracoDepartment of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90127 Palermo, Italy.
Giuseppe BadalamentiDepartment of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90127 Palermo, Italy.ORCID 0000-0002-2478-8838
Antonio GalvanoDepartment of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90127 Palermo, Italy.ORCID 0000-0003-4365-5683
Viviana BazanDepartment of Biomedicine, Neuroscience and Advanced Diagnostic (Bi.N.D.), University of Palermo, 90127 Palermo, Italy.
Antonio RussoDepartment of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90127 Palermo, Italy.ORCID 0000-0002-4370-2008
Giancarlo TronconeDepartment of Public Health, University of Naples Federico II, 80131 Naples, Italy.ORCID 0000-0003-1630-5805
Umberto MalapelleDepartment of Public Health, University of Naples Federico II, 80131 Naples, Italy.ORCID 0000-0003-3211-9957

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) have transformed the treatment of non-small-cell lung cancer (NSCLC), yet predicting durable benefit and detecting resistance remain major challenges. As immunotherapy expands across disease stages, minimally invasive tools are increasingly needed to monitor response and inform treatment personalization. Liquid biopsy enables serial assessment of circulating tumor DNA (ctDNA) and other blood-based biomarkers, complementing tissue analysis and imaging. This review critically synthesizes evidence across resectable, locally advanced, and metastatic NSCLC, integrating ctDNA dynamics with emerging multi-omics approaches. Its contribution is to distinguish the prognostic value of circulating biomarkers from evidence that using them to guide treatment improves patient outcomes, while identifying priorities for clinical translation. Across the reviewed studies, ctDNA clearance is associated with favorable outcomes, whereas persistent or rising ctDNA signals an increased risk of recurrence or progression, sometimes before radiological detection. Methylation, fragmentomics, plasma proteomics, and immune-cell profiling may provide complementary information on tumor-immune interactions. However, low tumor shedding, clonal hematopoiesis, assay variability, and unvalidated intervention thresholds limit routine use. The expansion of perioperative immunotherapy and emerging interest in biomarker-guided treatment adaptation make this synthesis timely. Prospective interventional trials are needed to determine whether liquid biopsy can safely guide treatment escalation, de-escalation, or discontinuation. By clarifying both the promise and the limitations of longitudinal monitoring, this review informs research aimed at detecting ineffective treatment earlier and reducing unnecessary treatment exposure while preserving cancer control.

Indexed as

circulating tumor DNAimmune checkpoint inhibitorsimmunotherapy resistanceliquid biopsymolecular residual diseasenon-small-cell lung cancerplasma multi-omicstreatment monitoring

Identifiers

PMID42882934
PMCPMC13664402

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.