Claim
In the randomized phase 3 LONESTAR trial of 166 immunotherapy-naive patients with metastatic non-small-cell lung cancer, adding local consolidative radiation or surgery after nivolumab plus ipilimumab did not significantly improve overall or progression-free survival.
34 words; atomic claims are usually under 25a conjunction joins clauses that may be separately evaluableTopics
Medicine · 1efd24fe Health · 1efd24fe
Assessment
Supported
Main unresolved issue: 4 counted evidence items have no independence review; repeats of one origin may be counted as several coverage:5e38a92d-a174-8abd-8200-eb7f7e7d05e6
Not yet independently audited.Evidence reviewed so far supports this claim, but only 0 of 4 review checks have been done.A quoted passage from cancertherapyadvisor.com was not found on the page when Galedra fetched it.
Why?
Strongest counted support: The report gives the 166-patient randomization and non-significant overall- and progression-free-survival comparisons. weight 1.800000 evidence
Suppressed as dependent: The passage directly reports the 166 randomized patients and non-significant overall- and progression-free-survival comparisons.
Review gaps: qualifiers reviewed, opposing search done, independence reviewed, primary source reviewed
What would most change this: One independent, direct measurement that contradicts this claim would move it from Supported to Leans supported.
0.9468 under ledger-default@0.3.0 at snapshot 27745 · state Supported · Review checks: 0 of 4 · stability HIGH · 4 sources, 2 independent lineages
How the number was reached
| Link | Working | Weight | Counted as |
|---|---|---|---|
| 8f5f20f4 support | relevance DIRECT 2.0 × observation DIRECT_TEXT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1 | 1.800000 | 0.000000 (dependent strongest only, kept 676b7a57) |
| eef60f25 qualify | relevance DIRECT 2.0 × observation DIRECT_TEXT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1 | 1.800000 | 0.000000 (non directional) |
| a7038694 support | relevance STRONG 1.2 × observation DIRECT_TEXT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1 | 1.080000 | 1.080000 |
| 676b7a57 support | relevance DIRECT 2.0 × observation DATASET_RESULT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1 | 1.800000 | 1.800000 |
prior 0.50 → log-odds 0.000000 + 2.880000 (the counted weights) = 2.880000 → probability 0.9468
Your view
Registered views
Nobody has registered a view yet.
Checked as part of
- “In the randomized phase 3 LONESTAR trial of 166 immunotherapy-naive patients with metastatic non-small-cell lung cancer, adding local consolidative radiation...” · 1 claim · 29 September 2026
- “In the randomized phase 3 LONESTAR trial of 166 immunotherapy-naive patients with metastatic non-small-cell lung cancer, adding local consolidative radiation...” · 1 claim · 29 September 2026
Evidence for
-
From Local consolidative therapy does not improve survival after dual immunotherapy in metastatic NSCLC Read 2026-09-29 Relevance DIRECT Steps 0 Counted
-
From Local consolidative therapy does not improve survival after dual immunotherapy in metastatic NSCLC Read 2026-09-29 Relevance DIRECT Steps 0 Counted
-
From Local Consolidation Therapy Following ICI Induction Did Not Improve Survival in Metastatic NSCLC Read 2026-09-29 Relevance STRONG Steps 0 Counted
Independent report of the same conference trial; not a separate trial lineage.
Evidence against
None.
Qualifications
-
From Local consolidative therapy does not improve survival after dual immunotherapy in metastatic NSCLC Read 2026-09-29 Relevance DIRECT Steps 0 Counted
The explicit data cutoff and arm counts constrain the scope of the nonsignificant survival finding.
Suppressed as dependent
| Evidence | Group | Kept instead |
|---|---|---|
| 519bdf42 | 676b7a57 |
Inferences
Concluded from
None.
Used as a premise in
None.
Threads
None. Threads are for disagreements about how a determination was made — a statement whose figures are not in the passage it rests on, two sources that may share an origin. Something about the world belongs in the evidence above.
Claim edges
None. Edges are stored and displayed; v0.1 does not propagate probability across them.
Review checklist
Review checks: 0 of 4
| Check | Done | By |
|---|---|---|
| qualifiers reviewed | no | |
| opposing search done | no | |
| independence reviewed | no | |
| primary source reviewed | no |
Summary
Supported. The main support is: Independent oncology coverage confirms the 166-patient LONESTAR randomization and non-significant overall- and progression-free-survival results, including the reported hazard ratios. e8d696bb
1 further item repeats the same origin and is not independent evidence. 519bdf42
Qualifier: The LONESTAR survival comparisons are reported at the June 15, 2026 data cutoff in 166 randomized patients split evenly between arms. b5c5f1ba
A search for evidence in the opposing direction found none. 6c5575ad
Review checks: 0 of 4. coverage:5e38a92d-a174-8abd-8200-eb7f7e7d05e6
Contribution history
| seq | event | detail |
|---|---|---|
| 19331 | APPENDED | |
| 19332 | ACCEPT | AUTOMATIC_AFTER_VALIDATION |
| 19337 | LINK_EVIDENCE | by 1efd24fe (accepted) |
| 19339 | TASK_RESULT | by 1efd24fe (accepted) |
| 19381 | LINK_EVIDENCE | by 1efd24fe (accepted) |
| 25061 | TASK_RESULT | by 1efd24fe (accepted) |
Score trace
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