Evidence map›Paper›PMID 35377496›Full record

ArticleCancer science2022

Current status of first-line treatment with pembrolizumab for non-small-cell lung cancer with high PD-L1 expression.

Yasuyuki Ikezawa, Hidenori Mizugaki, Ryo Morita, Kazunari Tateishi, Keiki Yokoo, Toshiyuki Sumi, Hajime Kikuchi, Yasuo Kitamura, Atsushi Nakamura, Maki Kobayashi and 10 more

Open access · goldAbstract read
In one paragraph

Article in Cancer science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Observational
  5. Article
  6. 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

20 authors at 19 institutions in 1 country.

Yasuyuki IkezawaDepartment of Respiratory Medicine, Oji General Hospital, Tomakomai, Japan.
Hidenori MizugakiDepartment of Advanced Medical Development, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.ORCID https://orcid.org/0000-0003-1167-2497
Ryo MoritaDepartment of Respiratory Medicine, Akita Kousei Medical Center, Akita, Japan.
Kazunari TateishiFirst Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Keiki YokooDepartment of Respiratory Medicine, Teine Keijinkai Hospital, Sapporo, Japan.
Toshiyuki SumiDepartment of Respiratory Medicine, Hakodate Goryoukaku Hospital, Hakodate, Japan.
Hajime KikuchiDepartment of Respiratory Medicine, Obihiro-Kousei General Hospital, Obihiro, Japan.
Yasuo KitamuraDepartment of Respiratory Medicine, Kushiro City General Hospital, Kushiro, Japan.
Atsushi NakamuraDepartment of Respiratory Medicine, Sendai-Kousei General Hospital, Sendai, Japan.
Maki KobayashiDepartment of Respiratory Medicine, Miyagi Cancer Center, Natori, Japan.
Mari AsoDepartment of Respiratory Medicine, Yamagata Prefectural Central Hospital, Yamagata, Japan.
Nozomu KimuraDepartment of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Fumiaki YoshiikeDepartment of Respiratory Medicine, Nagano Municipal Hospital, Nagano, Japan.
Megumi FurutaDepartment of Respiratory Medicine, Faculty of Medicine, Hokkaido University, Sapporo, Japan.ORCID https://orcid.org/0000-0002-1291-3988
Hisashi TanakaDepartment of Respiratory Medicine, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Motoki SekikawaDepartment of Respiratory Medicine, Steel Memorial Muroran Hospital, Muroran, Japan.
Tsutomu HachiyaDepartment of Respiratory Medicine, Japanese Red Cross Society Suwa Hospital, Suwa, Japan.
Keiichi NakamuraDepartment of Respiratory Medicine, National Hospital Organization Asahikawa Medical Center, Asahikawa, Japan.
Mototsugu ShimokawaDepartment of Biostatistics, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan.
Satoshi OizumiDepartment of Respiratory Medicine, National Hospital Organization Hokkaido Cancer Center, Sapporo, Japan.
Sapporo University · JPAkita Industrial Technology Center · JPAsahikawa Medical University · JPHakodate National Hospital · JPHirosaki University · JPKushiro City General Hospital · JPMiyagi Prefectural Hospital Organization · JPMuroran Institute of Technology · JPNagano Municipal Hospital · JPNational Hospital Organization Hokkaido Medical Center · JPObihiro Kosei General Hospital · JPOji General Hospital · JPSendai Kousei Hospital · JPShinshu University · JPSuwa Red Cross Hospital · JPTeine Keijinkai Hospital · JPTohoku University · JPYamagata Prefectural Central Hospital · JPYamaguchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is not clear whether pembrolizumab monotherapy (MONO) or pembrolizumab plus platinum-based chemotherapy (COMB) should be selected for patients with advanced non-small-cell lung cancer (NSCLC) exhibiting high PD-L1 expression (tumor proportion score ≥ 50%). We performed a retrospective, multicenter study of 300 patients with NSCLC exhibiting high PD-L1 expression who received MONO or COMB as first-line treatment between December 2018 and January 2020. We reviewed the medical records of all consecutive patients with no driver mutations, and assessed the patient characteristics, therapeutic regimens, treatment periods, and adverse events. In total, 166 (55%; median age: 74 years) and 134 (45%; median age: 68 years) patients received MONO and COMB, respectively. Patients were younger and had better performance status (0-1) in the COMB group (p < 0.01). With a median follow-up time of 10.6 (range: 0.1-20.6) months, the median progression-free survival was 7.1 months with MONO and 13.1 months with COMB. The objective response rate was 42.2% with MONO and 67.9% with COMB. With respect to treatment discontinuation, 36 out of 166 (21.7%) and 28 out of 134 (20.1%) patients discontinued MONO and COMB, respectively. In conclusion, COMB may be a promising option for first-line treatment for NSCLC with high PD-L1 expression and good performance status.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAgedAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsB7-H1 AntigenHumansMulticenter Studies as TopicRetrospective StudiesAntibodies, Monoclonal, HumanizedB7-H1 Antigenpembrolizumabcombination chemotherapynon-small-cell lung cancerPD-L1 inhibitorpembrolizumabretrospective study

Identifiers

PMID35377496
PMCPMC9207363
OpenAlexW4223914656

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LicenceCC BY-NC
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Registered trials

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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.