Evidence map›Paper›PMID 41088085›Full record

ArticleBMC cancer2025

Efficacy of brain radiotherapy combined with atezolizumab and platinum-doublet chemotherapy for advanced non-small-cell lung cancer with brain metastases: a pooled analysis.

Quan Zhang, Junzhu Xu, Shanshan Deng, Xin Li, Yan Wang, Ying Cai, Xuan Wang, Hu Ma

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Quan Zhang *Department of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, P. R. China.
Junzhu Xu *Department of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, P. R. China.
Shanshan DengDepartment of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, P. R. China.
Xin LiDepartment of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, P. R. China.
Yan WangDepartment of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, P. R. China.
Ying CaiDepartment of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, P. R. China.
Xuan WangDepartment of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, P. R. China.
Hu MaDepartment of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, P. R. China. mahuab@163.com.

Funding

China Lung Cancer Immunotherapy Research Project, Excellent Young Talent Cultivation Project of Zunyi City Zunshi Kehe HZ (2023) 142Chunhui program of the MOE (Ministry of Education in China) Grant No. HZKY20220231Collaborative Innovation Center of Chinese Ministry of Education Grant No. 2020-39Future Science and Technology Elite Talent Cultivation Project of Zunyi Medical University ZYSE 2023-02MOE Liberal arts and Social Sciences Foundation Grant No. 24YJCZH462Noncommunicable Chronic Diseases-National Science and Technology Major Project Grant No. 2023ZD0502105the Key Program of the Education Sciences Planning of Guizhou Province Grant No.7the Natural Science Foundation of Guizhou Province Grant No. ZK2022-YB632Youth Talent Project of Guizhou Provincial Department of Education Grant No. QJJ2022-224
6 · The paper itself

Abstract

backgroundBrain metastases (BM) are a common complication in non-small cell lung cancer (NSCLC), associated with poor prognosis and limited survival without treatment. Previous studies have demonstrated a synergistic effect between radiotherapy (RT) and immunotherapy in NSCLC. This study aims to evaluate the efficacy of combining RT, immunotherapy, and platinum-doublet chemotherapy in NSCLC patients with BM.

methodsThis study retrospectively analyzed three open-label, randomized phase III trials (IMpower130, IMpower131, and IMpower150). NSCLC patients with BM who received RT combined with immunotherapy and platinum-doublet chemotherapy (immuno-chemoRT) were compared to those treated with immunotherapy and chemotherapy alone (immuno-chemo). Propensity score matching (PSM) was applied to minimize baseline imbalances between cohorts. The primary endpoint was overall survival (OS), with progression-free survival (PFS) as the secondary endpoint.

resultsA total of 134 patients were included in the analysis (immuno-chemoRT: n = 60; immuno-chemo: n = 74). The immuno-chemoRT cohort demonstrated improved survival compared to the immuno-chemo cohort, with a median OS of 19.2 months versus 10.6 months (HR: 0.55, 95% CI: 0.35–0.86, P = 0.008) and median PFS of 7.1 months versus 5.59 months (HR = 0.54, 95% CI: 0.37–0.78, P = 0.001). After PSM (1:1), the immuno-chemoRT group maintaining longer median OS (18.7 vs. 11.8 months; HR: 0.49, 95% CI: 0.29–0.83, P = 0.007) and PFS (7.1 vs. 5.75 months; HR: 0.54, 95% CI: 0.37–0.78, P = 0.015).

conclusionsOur analysis suggests that immuno-chemoRT prolongs the OS and PFS of NSCLC patients with BM.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBrain NeoplasmsCarcinoma, Non-Small-Cell LungChemoradiotherapyLung NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAntibodies, Monoclonal, HumanizedatezolizumabBrain metastasesImmunotherapyNon-small cell lung cancerRadiotherapy

Identifiers

PMID41088085
PMCPMC12523013

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.