Evidence map›Paper›PMID 40799438›Full record

ArticleTranslational lung cancer research2025

Real-world efficacy of immune checkpoint inhibitors in PD-L1 negative non-small cell lung cancer: a multicenter retrospective study.

Suguru Muraoka, Nobuaki Kobayashi, Ayami Kaneko, Kohei Somekawa, Yukihito Kajita, Tomofumi Hirose, Anna Tanaka, Shuhei Teranishi, Kenji Miura, Kentaro Yumoto and 8 more

Abstract read
In one paragraph

Article in Translational lung cancer research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

18 authors.

Suguru MuraokaDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Nobuaki KobayashiDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.ORCID https://orcid.org/0000-0002-7064-320X
Ayami KanekoDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Kohei SomekawaDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Yukihito KajitaDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Tomofumi HiroseDepartment of Pulmonology, Yokohama City University Medical Center, Yokohama, Japan.
Anna TanakaDepartment of Pulmonology, Yokohama City University Medical Center, Yokohama, Japan.
Shuhei TeranishiDepartment of Pulmonology, Yokohama City University Medical Center, Yokohama, Japan.
Kenji MiuraDepartment of Respiratory Medicine, Yokohama Sakae Kyosai Hospital, Yokohama, Japan.
Kentaro YumotoDepartment of Respiratory Medicine, Yokohama Minami Kyosai Hospital, Yokohama, Japan.
Toshinori TsukaharaDepartment of Respiratory Medicine, Chigasaki Municipal Hospital, Chigasaki, Japan.
Nobuhiko FukudaDepartment of Environmental and Occupational Health, School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
Ryuichi NishihiraDepartment of Respiratory Medicine, Kanto Rosai Hospital, Kawasaki, Japan.
Nobuyuki HoritaDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Yu HaraDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Makoto KudoDepartment of Pulmonology, Yokohama City University Medical Center, Yokohama, Japan.
Naoki MiyazawaDepartment of Respiratory Medicine, Yokohama Nanbu Hospital, Yokohama, Japan.
Takeshi KanekoDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: While immune checkpoint inhibitors (ICIs) have significantly improved outcomes for many non-small cell lung cancer (NSCLC) patients, phase 3 trials have shown limited efficacy in programmed cell death ligand 1 (PD-L1) negative subgroups. This study aimed to evaluate the real-world effectiveness and safety of ICI-containing regimens Methods: This multicenter, retrospective study analyzed advanced or recurrent NSCLC patients treated between 2015 and 2022 in Japan. From an initial screening of 1,382 patients, we identified patients with PD-L1 negative [tumor proportion score (TPS) <1%] NSCLC. We excluded patients who received molecular targeted therapy, chemoradiotherapy, or had epidermal growth factor receptor (EGFR) mutations. Overall survival (OS), progression-free survival (PFS), response rates, and adverse events (AEs) were analyzed. Results: Among the 86 eligible patients identified, 54 received ICI-containing regimens (IC group) and 32 received chemotherapy alone (C group). No significant difference in OS (C Conclusions: In this real-world study of PD-L1 negative NSCLC patients, ICI-containing regimens did not demonstrate significantly improved OS or PFS compared to chemotherapy alone. Limited efficacy in this population highlights the need for further investigation and advancement in treatment strategies.

Indexed as

Immune checkpoint inhibitors (ICIs)non-small cell lung cancer (NSCLC)programmed cell death ligand 1 negative (PD-L1 negative)progression-free survival (PFS)real-world evidence

Identifiers

PMID40799438
PMCPMC12337043

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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.