Evidence map›Paper›PMID 34149702›Full record

SynthesisFrontiers in immunology2021

Atezolizumab Monotherapy or Plus Chemotherapy in First-Line Treatment for Advanced Non-Small Cell Lung Cancer Patients: A Meta-Analysis.

Dan-Ni Li, Wen-Qing Lu, Bo-Wen Yang, Ling-Yun Zhang, Bo Jin, Shuo Wang, Xiao-Fang Che, Ce Li, Yun-Peng Liu, Xiu-Juan Qu

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. "What really works for us?" exploring therapeutic strategies for non-small cell lung cancer: an umbrella review of systematic reviews and meta-analyses.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  2. Article
  3. Article
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

10 authors at 2 institutions in 1 country.

Dan-Ni LiDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, China.
Wen-Qing LuDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, China.
Bo-Wen YangDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, China.
Ling-Yun ZhangDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, China.
Bo JinDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, China.
Shuo WangDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, China.
Xiao-Fang CheDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, China.
Ce LiDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, China.
Yun-Peng LiuDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, China.
Xiu-Juan QuDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, China.
China Medical University · CNFirst Hospital of China Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atezolizumab plus chemotherapy has been recommended as a first-line treatment option for patients with advanced non-small cell lung carcinoma (NSCLC) irrespective of programmed cell death-ligand 1 (PD-L1) expression. Currently, little is known about the efficacy and treatment-related adverse effects (TRAEs) of subtracting chemotherapy from the combination for patients with high PD-L1 expression. Thus, we performed an indirect comparison between atezolizumab plus chemotherapy and atezolizumab alone. Methods: A total of five eligible randomized controlled trials (RCTs) were identified from PubMed, EMBASE, and Cochrane Central controlled trial registries, using keywords including atezolizumab, PD-1, PD-L1, NSCLC, and RCT. The clinical outcomes of objective response rate (ORR), progression-free survival (PFS), OS, and TRAEs were extracted and evaluated. Using indirect analysis, the efficacy and TRAEs were compared between arm A (atezolizumab plus chemotherapy) and arm C (atezolizumab), linked by arm B (chemotherapy). Results: Direct comparison revealed that both atezolizumab plus chemotherapy (HR 0.65, Conclusions: Atezolizumab monotherapy might be a better treatment option for patients with advanced NSCLC and high PD-L1 expression than atezolizumab plus chemotherapy.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsB7-H1 AntigenCarcinoma, Non-Small-Cell LungHumansLung NeoplasmsProgression-Free SurvivalRandomized Controlled Trials as TopicAntibodies, Monoclonal, HumanizedatezolizumabB7-H1 Antigenatezolizumabchemotherapyfirst-linenon-small cell lung cancer (NSCLC)programmed cell death-ligand 1 (PD-L1)

Identifiers

PMID34149702
PMCPMC8212861
OpenAlexW3172835851

What OpenQuestion holds

Textmetadata
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.