Evidence map›Paper›PMID 39778121›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

Neoadjuvant Nivolumab Plus Ipilimumab Versus Chemotherapy in Resectable Lung Cancer.

Mark M Awad, Patrick M Forde, Nicolas Girard, Jonathan Spicer, Changli Wang, Shun Lu, Tetsuya Mitsudomi, Enriqueta Felip, Stephen R Broderick, Scott J Swanson and 9 more

Abstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  12. Symptom clusters and network analysis in lung cancer patients receiving taxane-based chemotherapy: a comprehensive assessment using the CIPNAT multi-scale tool.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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

19 authors.

Mark M AwadDana-Farber Cancer Institute, Boston, MA.ORCID 0000-0003-0928-5244
Patrick M FordeThe Bloomberg-Kimmel Institute for Cancer Immunotherapy, The Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins Medicine, Baltimore, MD.ORCID 0000-0001-6925-6344
Nicolas GirardInstitut du Thorax Curie-Montsouris, Institut Curie, Paris, France.ORCID 0000-0001-9909-2299
Jonathan SpicerMcGill University Health Centre, Montreal, QC, Canada.ORCID 0000-0003-2708-1309
Changli WangTianjin Lung Cancer Center, Tianjin Medical University Cancer Institute & Hospital, Tianjin, China.ORCID 0000-0003-1075-5071
Shun LuShanghai Lung Cancer Center, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.ORCID 0000-0001-8833-7262
Tetsuya MitsudomiKindai University Faculty of Medicine, Osaka-Sayama, Japan.ORCID 0000-0001-9860-8505
Enriqueta FelipVall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Universitat Autònoma Barcelona, Barcelona, Spain.ORCID 0000-0002-7620-0098
Stephen R BroderickThe Bloomberg-Kimmel Institute for Cancer Immunotherapy, The Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins Medicine, Baltimore, MD.
Scott J SwansonBrigham and Women's Hospital, Boston, MA.
Julie BrahmerThe Bloomberg-Kimmel Institute for Cancer Immunotherapy, The Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins Medicine, Baltimore, MD.ORCID 0000-0002-2443-8395
Keith KerrAberdeen Royal Infirmary, Aberdeen, United Kingdom.
Gene B SaylorsCharleston Oncology, Charleston, SC.ORCID 0009-0006-4102-7906
Ke-Neng ChenPeking University School of Oncology, Beijing Cancer Hospital, Beijing, China.ORCID 0000-0002-0757-7094
Vishwanath GharpureBristol Myers Squibb, Princeton, NJ.
Jaclyn NeelyBristol Myers Squibb, Princeton, NJ.ORCID 0000-0001-7137-3953
David BalliBristol Myers Squibb, Princeton, NJ.
Nan HuBristol Myers Squibb, Princeton, NJ.
Mariano Provencio PullaHospital Universitario Puerta de Hierro, Madrid, Spain.ORCID 0000-0001-6315-7919

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNeoadjuvant immune checkpoint blockade with nivolumab plus ipilimumab improves overall survival (OS) in non-small cell lung cancer (NSCLC); however, randomized data for resectable lung cancer are limited. We report results from the exploratory concurrently randomized nivolumab plus ipilimumab and chemotherapy arms of the international phase III CheckMate 816 trial.

methodsAdults with stage IB-IIIA (American Joint Committee on Cancer seventh edition) resectable NSCLC received three cycles of nivolumab once every 2 weeks plus one cycle of ipilimumab or three cycles of chemotherapy (on day 1 or days 1 and 8 of each 3-week cycle) followed by surgery. Analyses included event-free survival (EFS), OS, pathologic response, surgical outcomes, biomarker analyses, and safety.

resultsA total of 221 patients were concurrently randomly assigned to nivolumab plus ipilimumab (n = 113) or chemotherapy (n = 108). At a median follow-up of 49.2 months, the median EFS was 54.8 months (95% CI, 24.4 to not reached [NR]) with nivolumab plus ipilimumab versus 20.9 months (95% CI, 14.2 to NR) with chemotherapy (HR, 0.77 [95% CI, 0.51 to 1.15]); 3-year EFS rates were 56% versus 44%. Higher rates of EFS events were initially seen, with later benefit favoring nivolumab plus ipilimumab; 3-year OS rates were 73% versus 61% (HR, 0.73 [95% CI, 0.47 to 1.14]); pathologic complete response rates were 20.4% versus 4.6%, respectively. In the respective arms, 83 (74%) and 82 patients (76%) underwent definitive surgery. Grade 3-4 treatment-related adverse events occurred in 14% and 36% of patients, respectively.

conclusionNeoadjuvant nivolumab plus ipilimumab showed potential long-term clinical benefit versus chemotherapy, despite early crossing of EFS curves in the preoperative phase and a lower rate of high-grade toxicity.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungIpilimumabLung NeoplasmsNeoadjuvant TherapyNivolumabAdultAgedFemaleHumansMaleMiddle AgedIpilimumabNivolumab

Identifiers

PMID39778121
PMCPMC12005868

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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 Socratic graph.