Evidence map›Paper›PMID 39030894›Full record

Observational studyCancer medicine2024

Real-world first-line treatment with pembrolizumab for non-small cell lung carcinoma with high PD-L1 expression: Updated analysis.

Yasuyuki Ikezawa, Ryo Morita, Hidenori Mizugaki, Kazunari Tateishi, Keiki Yokoo, Toshiyuki Sumi, Hajime Kikuchi, Yasuo Kitamura, Atsushi Nakamura, Maki Kobayashi and 14 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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

24 authors.

Yasuyuki IkezawaDepartment of Respiratory Medicine, Oji General Hospital, Tomakomai, Japan.ORCID 0000-0002-8054-6091
Ryo MoritaDepartment of Respiratory Medicine, Akita Kousei Medical Center, Akita, Japan.
Hidenori MizugakiDepartment of Respiratory Medicine, National Hospital Organization Hokkaido Cancer Center, Sapporo, Japan.ORCID 0000-0003-1167-2497
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 Pulmonary 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.
Furuta MegumiDepartment of Respiratory Medicine, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Hisashi TanakaDepartment of Respiratory Medicine, Hirosaki University, Graduate School of Medicine, Hirosaki, Japan.
Motoki SekikawaDepartment of Respiratory Medicine, Steel Memorial Muroran Hospital, Muroran, Japan.
Tsutomu HachiyaDepartment of Respiratory Medicine, Japanese Red Cross Suwa Hospital, Suwa, Japan.
Keiichi NakamuraDepartment of Respiratory Medicine, National Hospital Organization Asahikawa Medical Center, Asahikawa, Japan.
Fumihiro HommuraDepartment of Respiratory Medicine, Sapporo City General Hospital, Sapporo, Japan.
Noriaki SukohDepartment of Respiratory Medicine, National Hospital Organization Hokkaido Medical Center, Sapporo, Japan.
Kenichiro ItoDepartment of Respiratory Medicine, KKR Sapporo Medical Center, Sapporo, Japan.
Takashi KikuchiDepartment of Respiratory Medicine, Iwate Prefecture Isawa Hospital, Oshu, Japan.
Toshihiko AgatsumaDepartment of Respiratory Medicine, Shinshu Ueda Medical Center, Ueda, Japan.
Hiroshi YokouchiDepartment of Respiratory Medicine, National Hospital Organization Hokkaido Cancer Center, Sapporo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelecting pembrolizumab monotherapy (MONO) or pembrolizumab plus platinum-based chemotherapy (COMB) for patients with nonsmall cell lung cancer (NSCLC) and high programmed death-ligand 1 (PD-L1) expression is an important issue in clinical practice. We previously conducted a retrospective multicenter observational study of patients with NSCLC and high PD-L1 expression who received MONO or COMB as a first-line treatment. Here, we report updated data and evaluate the long-term outcomes.

methodsWe performed a retrospective multicenter study of 298 patients with NSCLC and high PD-L1 expression who received MONO or COMB as first-line treatment between December 2018 and January 2020. We reviewed the medical records and assessed the clinical efficacy and toxicity using a prolonged data cutoff.

resultsIn total, 164 (median age: 74 years) and 134 (median age: 68 years) patients received MONO and COMB, respectively; patients who received COMB were younger and had better performance statuses (0-1). At the prolonged data cutoff, the median follow-up was 20.2 (range: 0.1-41.4) months. The median progression-free survivals were 7.5 and 13.1 months, and overall survivals (OSs) were 17.2 and 33.7 months for MONO and COMB, respectively. Treatment discontinuation rates were 21.9% and 20.1% for the MONO and COMB, respectively. With prolonged follow-up, although COMB demonstrated an OS benefit and higher objective response rate than MONO, in the propensity score matching analysis COMB didn't demonstrate a significant benefit compared to the MONO.

conclusionsCOMB may be effective as a first-line treatment for NSCLC with high PD-L1 expression in a selected subset of patients.

Indexed as

Antibodies, Monoclonal, HumanizedB7-H1 AntigenCarcinoma, Non-Small-Cell LungLung NeoplasmsAdultAgedAged, 80 and overAntineoplastic Agents, ImmunologicalAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalB7-H1 AntigenCD274 protein, humanpembrolizumabchemotherapyclinical cancer researchlung cancernon‐small cell lung cancer

Identifiers

PMID39030894
PMCPMC11258199

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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.