Evidence map›Paper›PMID 41424028›Full record

Trial reportChinese medical journal2026

First-line atezolizumab monotherapy vs . single-agent chemotherapy in patients with advanced or metastatic non-small cell lung cancer who are ineligible for platinum-based therapy: Analysis of the IPSOS Asian subpopulation.

Baohui Han, Solange Peters, Anh Tuan Le, Dingzhi Huang, Gang Wu, Lejie Cao, Cam Phuong Pham, Jun Zhao, Kai Wang, Nong Yang and 9 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Chinese medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03191786 (A Phase III, Open-Label, Multicenter, Randomized Study to Investigate the Efficacy and Safety of Atezolizumab Compared With Chemotherapy in Patients With Treatment Naïve Advanced or Recurrent), which is not on this 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.

NCT03191786 phase3completednot on this map

A Phase III, Open-Label, Multicenter, Randomized Study to Investigate the Efficacy and Safety of Atezolizumab Compared With Chemotherapy in Patients With Treatment Naïve Advanced or Recurrent (Stage IIIb Not Amenable for Multimodality Treatment) or Metastatic (Stage IV) Non-Small Cell Lung Cancer Who Are Deemed Unsuitable for Platinum-Containing Therapy

TypeinterventionalSponsorHoffmann-La RocheRan2017 to 2023Enrolled453ConditionsNon-Small Cell Lung CancerArmsAtezolizumab (MPDL3280A), an engineered anti-PD-L1 antibody, Vinorelbine, Gemcitabine
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

19 authors.

Baohui HanDepartment of Respiratory, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200025, China.
Solange PetersDepartment of Oncology, Centre Hospitalier Universitaire Vaudois, Lausanne University, Lausanne, Switzerland.
Anh Tuan LeCho Ray Cancer Center, Cho Ray Hospital, Ho Chi Minh City, Vietnam.
Dingzhi HuangDepartment of Pulmonary Medical Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China.
Gang WuCancer Center, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei 430022, China.
Lejie CaoDepartment of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of University of Science and Technology of China, Anhui Provincial Hospital, Hefei 230001, China.
Cam Phuong PhamThe Nuclear Medicine and Oncology Center, Bach Mai Hospital, Hanoi, Vietnam.
Jun ZhaoKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department I of Thoracic Oncology, Peking University Cancer Hospital & Institute, Beijing 100142, China.
Kai WangDepartment of Respiratory and Critical Care Medicine, Center for Oncology Medicine, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, Zhejiang 322000, China.
Nong YangCancer Centre, Second People's Hospital of Hunan Province, Changsha, Hunan 410007, China.
Hua ZhongDepartment of Respiratory, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200025, China.
Youyou HuF. Hoffmann-La Roche Ltd., Basel, Switzerland.
Stefanie MorrisF. Hoffmann-La Roche Ltd., Basel, Switzerland.
Verena LamGenentech Inc., San Francisco, CA, USA.
Vilma GraupnerF. Hoffmann-La Roche Ltd., Basel, Switzerland.
Barbara GitlitzGenentech Inc., San Francisco, CA, USA.
Elen HoglanderF. Hoffmann-La Roche Ltd., Basel, Switzerland.
Christian SchulzDepartment of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany.
Siow Ming LeeDepartment of Oncology, University College London Hospitals NHS Foundation Trust and CRUK Lung Cancer Centre of Excellence, London NW1 2PG, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung cancer remains a significant medical problem in Asia, and improved treatments are needed for patients diagnosed with non-small cell lung cancer (NSCLC), who are frail with poor performance status or substantial comorbidities. This study aimed to investigate the efficacy and safety of first-line atezolizumab vs . single-agent chemotherapy in the Asian subpopulation in IPSOS trial.

methodsThis exploratory analysis of the Asian subpopulation from the phase 3, global, open-label, randomized controlled IPSOS trial evaluated the efficacy and safety of atezolizumab (1200 mg intravenously every 3 weeks) vs . single-agent chemotherapy (investigator's choice of vinorelbine or gemcitabine) as first-line treatment in patients with locally advanced or metastatic NSCLC, who were ineligible for platinum-based chemotherapy. The primary outcome was overall survival (OS); other outcomes were progression-free survival (PFS), objective response rate (ORR), duration of response (DOR), and safety.

resultsSeventy patients from China and Vietnam were included. Median OS was 15.8 months in the atezolizumab group vs . 12.5 months in the chemotherapy group; unstratified hazard ratio, 0.74 (95% confidence interval 0.41, 1.35). Median PFS was 8.1 months vs . 5.4 months, ORR was 27.9% vs . 7.4%, and median DOR was 18.7 months vs . 9.3 months, in the atezolizumab group vs . in the chemotherapy group, respectively. All-grade and grade 3-4 treatment-related adverse events (AEs) were less frequent with atezolizumab compared with chemotherapy. Two patients in the atezolizumab group had grade 5 AEs, namely pneumonia and acute left ventricular failure, with the latter considered treatment-related.

conclusionsAtezolizumab showed encouraging efficacy results and was well tolerated in an Asian subpopulation of patients with NSCLC who were deemed ineligible for standard platinum-based chemotherapy. The findings of this exploratory subpopulation analysis were consistent with those for the global IPSOS population. REGISTRATION: ClinicalTrials.gov , NCT03191786.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic AgentsCarcinoma, Non-Small-Cell LungLung NeoplasmsAgedDeoxycytidineFemaleGemcitabineHumansMaleMiddle AgedAntibodies, Monoclonal, HumanizedAntineoplastic AgentsatezolizumabDeoxycytidineGemcitabineAgedAsianAtezolizumabComorbidityNon-small cell lung cancer

Identifiers

PMID41424028
PMCPMC13282095

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Registered trials

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.