Evidence map›Paper›PMID 32022459›Full record

Trial reportCancer medicine2020

First-line pembrolizumab for non-small cell lung cancer patients with PD-L1 ≥50% in a multicenter real-life cohort: The PEMBREIZH study.

Karim Amrane, Margaux Geier, Romain Corre, Hervé Léna, Guillaume Léveiller, Florence Gadby, Régine Lamy, Jean-Louis Bizec, Eric Goarant, Gilles Robinet and 7 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 5 pooled it
3.2field-weighted citation impact, top 6% of its field
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

49 citing papers in PubMed, 5 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  16. Comparison of the efficacy and safety of domestically produced tislelizumab, camrelizumab, and imported pembrolizumab in the treatment of advanced NSCLC: a real-world retrospective study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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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

17 authors at 8 institutions in 1 country.

Karim AmraneOncology Department, CHRU Brest, Brest, France.ORCID 0000-0001-5166-6548
Margaux GeierOncology Department, CHRU Brest, Brest, France.
Romain CorrePulmonology Department, CHU Hôpital Ponchaillou, Rennes, France.
Hervé LénaPulmonology Department, CHU Hôpital Ponchaillou, Rennes, France.
Guillaume LéveillerPulmonology Department, CH Yves le Foll, Saint Brieuc, France.
Florence GadbyPulmonology Department, CH des Pays Morlaix, Morlaix, France.
Régine LamyOncology Department, CH Bretagne Sud, Lorient, France.
Jean-Louis BizecPulmonology Department, CH Bretagne Atlantique, Vannes, France.
Eric GoarantPulmonology Department, CH Saint-Malo, Saint Malo, France.
Gilles RobinetOncology Department, CHRU Brest, Brest, France.
Sylvie GouvaOncology Department, CHRU Brest, Brest, France.
Gilles QuereOncology Department, CHRU Brest, Brest, France.
Ronan AbgralNuclear Medicine Department, CHRU Brest, Brest, France.
Ulrike SchickOncology Department, CHRU Brest, Brest, France.
Cyril BernierPulmonology Department, CH René Pleven, Dinan, France.
Christos ChouaidPulmonology Department, CHI Créteil, Créteil, France.ORCID 0000-0002-4290-5524
Renaud DescourtOncology Department, CHRU Brest, Brest, France.
Centre Hospitalier Régional Universitaire de Brest · FRCentre hospitalier Bretagne Atlantique · FRCentre Hospitalier de Bretagne Sud · FRCentre Hospitalier de Cornouaille · FRCentre Hospitalier de Saint-Malo · FRCentre Hospitalier des Pays de Morlaix · FRCentre Hospitalier René-Dubos · FRHôpital Pontchaillou · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe KEYNOTE-024 trial demonstrated that pembrolizumab, a PD-1 inhibitor, significantly improves progression-free survival (PFS) and overall survival (OS) in selected patients with previously untreated advanced non-small cell lung cancer (NSCLC) with a PD-L1 tumor proportion score (TPS) ≥50% and without EGFR/ALK aberrations. The main aim of this study was to report the efficacy and safety profile of pembrolizumab in real-life conditions.

methodThis was a French retrospective multicenter longitudinal study of 108 consecutive patients with advanced NSCLC, a PD-L1 TPS ≥50% and without EGFR/ALK aberrations who were treated by pembrolizumab, in first line. Patient data were obtained from medical files.

resultsThe main characteristics of the cohort were: median age [range] 66.7 [37-87] years, 64.8% male, 23.1% with a performance status (PS) of 2, and 88.9% current or former smokers. Eighty-seven percent had stage IV NSCLC at diagnosis, 9.2% untreated brain metastases at inclusion,. With a median follow-up of 8.2 months, the median PFS was 10.1 months (95% CI, 8.8-11.4). The objective response rate was 57.3% (complete response 2.7%, partial response 54.6%). Disease control rate was 71.1%. At 6 months, the OS rate estimated was 86.2%. Treatment-related adverse events (AE) of grade 3 occurred in 8% of patients. There were no grade 4 or 5 AEs.

conclusionIn a real-life cohort of advanced NSCLC patients (including PS 2 and untreated brain metastases), with PD-L1 TPS ≥50%, pembrolizumab demonstrates similar PFS to the pivotal clinical trial.

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalB7-H1 AntigenCarcinoma, Non-Small-Cell LungFemaleFollow-Up StudiesHumansLongitudinal StudiesLung NeoplasmsMaleMiddle AgedPrognosisRetrospective StudiesAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalB7-H1 AntigenCD274 protein, humanpembrolizumabfirst-line monotherapynon-small cell lung cancerPD-L1 tumor proportion scorepembrolizumabReal world

Identifiers

PMID32022459
PMCPMC7131849
OpenAlexW3004807713

What OpenQuestion holds

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LicenceCC BY
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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 OpenQuestion graph.