Evidence map›Paper›PMID 41659274›Full record

ReviewTranslational lung cancer research2026

Utility of various programmed death-ligand 1 (PD-L1) assays in predicting the clinical benefit of immune checkpoint inhibitors in PD-L1-expressing non-small-cell lung cancer patients: a systematic review.

Ross A Soo, Darren Wan-Teck Lim, James Chih-Hsin Yang, Jin-Yuan Shih, Roy S Herbst

Abstract readReview
In one paragraph

Review in Translational lung cancer research, 2026. 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. Article
  2. 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

5 authors.

Ross A SooDepartment of Haematology-Oncology, National University Hospital, Singapore, Singapore.
Darren Wan-Teck LimDivision of Medical Oncology, National Cancer Centre Singapore and SingHealth Investigational Medicine Unit, Singapore, Singapore.
James Chih-Hsin YangDepartment of Medical Oncology, National Taiwan University Cancer Center, Taipei.
Jin-Yuan ShihDepartment of Internal Medicine, National Taiwan University Hospital, Taipei.
Roy S HerbstChief of Medical Oncology, Yale Cancer Center and Smilow Cancer Hospital, New Haven, CT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immune checkpoint inhibitors (ICIs) targeting the programmed death ligand 1 (PD-L1)/programmed death-1 pathway are a mainstay for the treatment of patients with advanced/metastatic non-small cell lung cancer (NSCLC). Although some benefit has been observed in patients with low or no PD-L1 expression, ICIs are particularly recommended for those with PD-L1 expressing tumors. The limited availability of companion diagnostic (CDx) assays poses challenges for clinicians. Despite high analytical concordance among PD-L1 assays, the ability of alternative (non-comparison) assays to predict the clinical benefit of ICIs in the respective study populations has not been confirmed. This systematic literature review assessed whether alternative PD-L1 assays can predict the clinical benefit of ICI monotherapy for advanced/metastatic NSCLC with PD-L1 expression. Methods: Studies were sourced from PubMed and Google Scholar up to December 20, 2023. Included studies analyzed PD-L1 expression of patients with NSCLC treated with ICI monotherapy, reporting clinical outcomes [objective response rates (ORRs), progression-free survival (PFS), or overall survival (OS)]. Results: From 2,239 titles, four relevant trials (N=1,364) were included: two randomized controlled trials of atezolizumab, and two retrospective studies of nivolumab. These trials indicated that the PD-L1 22C3 pharmDx and Ventana PD-L1 SP263 assays may predict the benefit of atezolizumab in patients with NSCLC. Conclusions: These results may expand the therapeutic options for patients with PD-L1-expressing advanced/metastatic NSCLC using alternative PD-L1 assays. This review was limited by different patient populations, small numbers, possible inter-pathological discordance, and study heterogeneity. Evidence for nivolumab, pembrolizumab, or durvalumab remains inconclusive.

Indexed as

Biomarkerscompanion diagnostics (CDx)immune checkpoint inhibitors (ICIs)non-small cell lung cancer (NSCLC)programmed death ligand 1 protein (PD-L1 protein)

Identifiers

PMID41659274
PMCPMC12877897

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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.