Evidence map›Paper›PMID 35315579›Full record

ArticleCancer medicine2022

First-line PD-1/PD-L1 inhibitors plus chemotherapy versus bevacizumab plus chemotherapy for advanced non-squamous non-small cell lung cancer: A Bayesian network meta-analysis of randomized controlled trials.

Jinzhao Zhai, Jiangyue Lu, Zhibo Zhang, Yuan Wang, Xiaoyan Li, Sujie Zhang, Shuai Mu, Xiaoyu Zhi, Xiangwei Ge, Di Lu and 2 more

Open access · goldAbstract readNetwork Meta-Analysis
In one paragraph

Article in Cancer medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
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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

12 authors at 4 institutions in 1 country.

Jinzhao ZhaiSenior Department of Oncology, The 5th Medical Center of Chinese PLA General Hospital, Beijing, China.ORCID 0000-0002-6068-6185
Jiangyue LuHarbin Medical University Cancer Hospital, Harbin, China.
Zhibo ZhangThe 78th Group Army Hospital of Chinese PLA, Mudanjiang, China.ORCID 0000-0001-8534-7190
Yuan WangHaidian No. 23 Cadre's Sanitarium of Chinese PLA, Beijing, China.
Xiaoyan LiSenior Department of Oncology, The 5th Medical Center of Chinese PLA General Hospital, Beijing, China.
Sujie ZhangSenior Department of Oncology, The 5th Medical Center of Chinese PLA General Hospital, Beijing, China.
Shuai MuSenior Department of Oncology, The 5th Medical Center of Chinese PLA General Hospital, Beijing, China.
Xiaoyu ZhiSenior Department of Oncology, The 5th Medical Center of Chinese PLA General Hospital, Beijing, China.ORCID 0000-0003-0883-2664
Xiangwei GeSenior Department of Oncology, The 5th Medical Center of Chinese PLA General Hospital, Beijing, China.
Di LuSenior Department of Oncology, The 5th Medical Center of Chinese PLA General Hospital, Beijing, China.ORCID 0000-0003-1040-7763
Yi HuSenior Department of Oncology, The 5th Medical Center of Chinese PLA General Hospital, Beijing, China.
Jinliang WangSenior Department of Oncology, The 5th Medical Center of Chinese PLA General Hospital, Beijing, China.
Chinese PLA General Hospital · CNBeijing Haidian Hospital · CNHarbin Medical University · CNThe 309th Hospital of Chinese People's Liberation Army · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chemotherapy in combination with immune checkpoint inhibitor (ICI) or bevacizumab has demonstrated a superior effect for non-squamous non-small cell lung cancer (NS-NSCLC). There are still few randomized controlled trials (RCTs) investigating the differences between ICI plus chemotherapy (ICI-chemotherapy) and bevacizumab plus chemotherapy (Bev-chemotherapy) in first-line treatment of NS-NSCLC. We identified RCTs in databases and conference abstracts presented at international conferences by Sep 1, 2021. Bayesian network meta-analysis was performed using randomized effect consistency model to estimate hazard ratio (HR) and odds ratio (OR). The outcomes included overall survival (OS), progression-free survival (PFS), overall response rate (ORR), and grade ≥ 3 treatment-related adverse events (TRAEs). Fifteen RCTs (17 articles) of 6561 advanced NS-NSCLC patients receiving ICI-chemotherapy, Bev-chemotherapy, or chemotherapy at first-line were eligible for analysis. NMA results showed that first-line ICI-chemotherapy prolonged OS (HR 0.79, 0.66-0.94) in patients with advanced NS-NSCLC compared with Bev-chemotherapy, while no differences were in PFS, ORR, and grade ≥ 3 TRAEs (p > 0.05). Ranking plots suggested that ICI-chemotherapy had the most probability to offer the best OS (probability 0.993), PFS (probability 0.658), and ORR (probability 0.565), and Bev-chemotherapy had the most risks of grade ≥ 3 TRAEs (probability 0.833). Therefore, our findings showed that first-line ICI-chemotherapy was associated with better OS than Bev-chemotherapy in patients with advanced NS-NSCLC, and more clinical trials are warranted to confirm these results.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsBevacizumabHumansImmune Checkpoint InhibitorsProgrammed Cell Death 1 ReceptorRandomized Controlled Trials as TopicBevacizumabImmune Checkpoint InhibitorsProgrammed Cell Death 1 Receptorbevacizumabchemotherapyimmune checkpoint inhibitornetwork meta-analysisnon-small cell lung cancer

Identifiers

PMID35315579
PMCPMC9119358
OpenAlexW4221044984

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.