Evidence map›Paper›PMID 38322415›Full record

ArticleFrontiers in oncology2024

Pembrolizumab-combination therapy for NSCLC- effectiveness and predictive factors in real-world practice.

Magdalena Knetki-Wróblewska, Rafał Dziadziuszko, Tomasz Jankowski, Paweł Krawczyk, Maciej Bryl, Katarzyna Stencel, Anna Wrona, Artur Bandura, Jolanta Smok-Kalwat, Jolanta Rok-Knapińska and 12 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

22 authors.

Magdalena Knetki-WróblewskaDepartment of Lung Cancer and Chest Tumours, The Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Rafał DziadziuszkoDepartment of Oncology and Radiotherapy, Medical University of Gdansk, Gdansk, Poland.
Tomasz JankowskiDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, Lublin, Poland.
Paweł KrawczykDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, Lublin, Poland.
Maciej BrylDepartment of Clinical Oncology with the Subdepartment of Diurnal Chemotherapy E. J. Zeyland Wielkopolska Center of Pulmonology and Thoracic Surgery, Poznan, Poland.
Katarzyna StencelDepartment of Clinical Oncology with the Subdepartment of Diurnal Chemotherapy E. J. Zeyland Wielkopolska Center of Pulmonology and Thoracic Surgery, Poznan, Poland.
Anna WronaDepartment of Oncology and Radiotherapy, Medical University of Gdansk, Gdansk, Poland.
Artur BanduraDepartment of Oncology and Radiotherapy, Medical University of Gdansk, Gdansk, Poland.
Jolanta Smok-KalwatDepartment of Clinical Oncology, Holy Cross Cancer Center, Kielce, Poland.
Jolanta Rok-KnapińskaDepartment of Clinical Oncology, Holy Cross Cancer Center, Kielce, Poland.
Kinga Szydziak-ZwierzyńskaDepartment of Clinical Oncology, Holy Cross Cancer Center, Kielce, Poland.
Krzysztof RogoziewiczDepartment of Clinical Oncology, Lower Silesian Oncology, Pulmonology and Hematology Center, Wroclaw, Poland.
Grzegorz CzyżewiczDepartment of Clinical Oncology, The John Paul II Specialist Hospital, Cracow, Poland.
Monika WójtowiczDepartment of Clinical Oncology, Medical University of Bialystok, Bialystok, Poland.
Marek WojtukiewiczDepartment of Clinical Oncology, Medical University of Bialystok, Bialystok, Poland.
Ewa KalinkaDepartment of Clinical Oncology, Polish Mother's Memorial Hospital Research Institute, Łódź, Poland.
Piotr J WysockiDepartment of Clinical Oncology, Jagiellonian University-Collegium Medicum Hospital, Cracow, Poland.
Mateusz ŁobaczDepartment of Clinical Oncology, Jagiellonian University-Collegium Medicum Hospital, Cracow, Poland.
Janusz MilanowskiDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, Lublin, Poland.
Hubert PawlikComputational Oncology Department, The Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Dariusz M KowalskiDepartment of Lung Cancer and Chest Tumours, The Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Maciej KrzakowskiDepartment of Lung Cancer and Chest Tumours, The Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Pembrolizumab combined with chemotherapy has become the standard of care for patients with non-small-cell lung cancer (NSCLC) and the expression of programmed death ligand 1 (PD-L1) in <50% of tumour cells (TC). Methods: We evaluated the efficacy of the treatment in real-world practice, paying attention to the predictive factors, with a special focus on low level of PD-L1 expression. This study is a multicenter retrospective analysis of patients with stage IV NSCLC. Results: A group of 339 consecutive patients was analysed, among them 51% patients with low PD-L1 expression. In the overall population, the ORR was 40.6%, median PFS and OS were 13 months (95% CI 11.4-15) and 16.8 months (95% CI 13.3-20.3), respectively. In multivariate analysis for the entire study population, performance status - ECOG 1 vs. 0 (HR 2.2, 95%CI 1.1-4.6; p=0.02), neutrophil to lymphocyte ratio (NLR)>3 (HR 2.3, 95%CI 1.3-4.2; p=0.04), presence of liver (HR 2.0, 95%CI 1-3.7; p=0. 03) and bone metastases (HR 1.3, 95%CI 1-3; p=0.04), weight loss (HR 1.8, 95%CI 1.1-2.8; p=0.01) and sum of measurable lesions diameters >110 mm (HR 1.7, 95%CI 1-2.9, p=0.049) had a negative impact on OS. Conclusions: In the real world, patients can clinically benefit from immunochemotherapy, regardless of the expression of PD-L1 and the histological type. Other clinicopathological factors such as performance status, extent, and location of secondary lesions have prognostic significance.

Indexed as

immunochemotherapyNSCLCPD-L1 low expressionpembrolizumabreal-world data

Identifiers

PMID38322415
PMCPMC10844541

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