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ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

Real-world survival outcomes with first-line chemoimmunotherapy and biomarker analysis in extensive-stage small-cell lung cancer.

Emmanouil Panagiotou, Ioannis Athanasios Vathiotis, Austin Montgomery, Camille Moeckel, Mirsini Livanou, Michail Mastrogeorgiou, Athanasios Trimis, Ioannis Trontzas, Nikolaos Konstantinos Syrigos, Ioannis Mouratidis and 3 more

Abstract read
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In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. 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. 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

13 authors.

Emmanouil Panagiotou *Third Department of Internal Medicine, Sotiria Thoracic Diseases Hospital of Athens, National and Kapodistrian University of Athens, 152, Mesogion Ave., 11527, Athens, Greece.
Ioannis Athanasios Vathiotis *Third Department of Internal Medicine, Sotiria Thoracic Diseases Hospital of Athens, National and Kapodistrian University of Athens, 152, Mesogion Ave., 11527, Athens, Greece. johnvathiotis1@gmail.com.ORCID http://orcid.org/0000-0002-1772-5986
Austin MontgomeryInstitute for Personalized Medicine, Department of Biochemistry and Molecular Biology, The Pennsylvania State University College of Medicine, Hershey, PA, USA.
Camille MoeckelInstitute for Personalized Medicine, Department of Biochemistry and Molecular Biology, The Pennsylvania State University College of Medicine, Hershey, PA, USA.
Mirsini LivanouThird Department of Internal Medicine, Sotiria Thoracic Diseases Hospital of Athens, National and Kapodistrian University of Athens, 152, Mesogion Ave., 11527, Athens, Greece.
Michail MastrogeorgiouThird Department of Internal Medicine, Sotiria Thoracic Diseases Hospital of Athens, National and Kapodistrian University of Athens, 152, Mesogion Ave., 11527, Athens, Greece.
Athanasios TrimisThird Department of Internal Medicine, Sotiria Thoracic Diseases Hospital of Athens, National and Kapodistrian University of Athens, 152, Mesogion Ave., 11527, Athens, Greece.
Ioannis TrontzasThird Department of Internal Medicine, Sotiria Thoracic Diseases Hospital of Athens, National and Kapodistrian University of Athens, 152, Mesogion Ave., 11527, Athens, Greece.
Nikolaos Konstantinos SyrigosThird Department of Internal Medicine, Sotiria Thoracic Diseases Hospital of Athens, National and Kapodistrian University of Athens, 152, Mesogion Ave., 11527, Athens, Greece.
Ioannis MouratidisInstitute for Personalized Medicine, Department of Biochemistry and Molecular Biology, The Pennsylvania State University College of Medicine, Hershey, PA, USA.
Georgios EvangelouThird Department of Internal Medicine, Sotiria Thoracic Diseases Hospital of Athens, National and Kapodistrian University of Athens, 152, Mesogion Ave., 11527, Athens, Greece.
Ilias Georgakopoulos-SoaresInstitute for Personalized Medicine, Department of Biochemistry and Molecular Biology, The Pennsylvania State University College of Medicine, Hershey, PA, USA.
Konstantinos Nikolaos SyrigosThird Department of Internal Medicine, Sotiria Thoracic Diseases Hospital of Athens, National and Kapodistrian University of Athens, 152, Mesogion Ave., 11527, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe approval of programmed death-ligand 1 (PD-L1) inhibitors in the first line of treatment has transformed the therapeutic landscape of extensive-stage small cell lung cancer (ES-SCLC); real-world (rw) evidence of clinical benefit is currently limited. In this study, we investigated the rw efficacy of first-line chemoimmunotherapy and the role of potential biomarkers. METHODS/PATIENTS: We retrospectively assessed patients with SCLC receiving first-line chemoimmunotherapy at Sotiria Thoracic Diseases Hospital of Athens, Athens, Greece. Kaplan-Meier curves were used to calculate real-world progression-free survival (rwPFS) and real-world overall survival (rwOS). Cox proportional hazards regression analysis was utilized to identify associations between patient characteristics and outcomes.

results188 patients were included. Median rwPFS was 6.5 months (95% CI 5.8-7.1 months) and median rwOS was 11.2 months (95% CI 9.1-12.0 months). rwOS was higher in the atezolizumab group compared with the durvalumab group (median, 12.0 vs 9.2 months; hazard ratio [HR], 1.51; 95% CI 1.06-2.15; p = 0.02), similar results were observed for rwPFS (median, 6.5 vs. 6.0 months, HR, 1.55; 95% CI 1.10-2.16; p = 0.01). In multivariate analysis, the difference between atezolizumab and durvalumab was not statistically significant, while lung, bone and liver metastases, ECOG PS, LDH and NLR were associated with an increased risk of death. Associations were utilized for the generation of a novel prognostic score with good discriminatory power (C-statistic: 0.73).

conclusionsReal-world efficacy of first-line chemoimmunotherapy in patients with ES-SCLC is comparable to randomized trials. The association between prognostic scores and survival outcomes in ES-SCLC should be explored in prospective studies.Query.

Indexed as

Biomarkers, TumorImmunotherapyLung NeoplasmsSmall Cell Lung CarcinomaAdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsB7-H1 AntigenFemaleHumansImmune Checkpoint InhibitorsMaleMiddle AgedNeoplasm StagingAntibodies, Monoclonal, HumanizedatezolizumabB7-H1 AntigenBiomarkers, TumorImmune Checkpoint InhibitorsAtezolizumabDurvalumabImmune checkpoint inhibitorsImmunotherapyRetrospective studiesSmall cell lung carcinoma

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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.