Evidence map›Paper›PMID 41675360›Full record

ArticleMedComm2026

Clinical Benefit of PD-1/PD-L1 Inhibitors as Standard First-Line Treatment in Low PD-L1-Expressing Advanced Solid Tumors: A Systematic Review and Meta-Analysis.

Peng Wu, Xuanyu Gu, Dongyu Li, Xiaohui Zi, Dexin Shang, Jingjing Liu, Ruijie Ma, Jilin Peng, Guochao Zhang, Yun Che and 5 more

Abstract read
In one paragraph

Article in MedComm, 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. 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

15 authors.

Peng WuDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Xuanyu GuDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Dongyu LiDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Xiaohui ZiDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Dexin ShangDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Jingjing LiuDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Ruijie MaDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Jilin PengDepartment of Otolaryngology-Head and Neck Surgery The First Affiliated Hospital of Zhengzhou University Zhengzhou China.
Guochao ZhangDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Yun CheDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Qingpeng ZengDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Bohui ZhaoDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Nan SunDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Chaoqi ZhangDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Jie HeDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center For Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.ORCID https://orcid.org/0000-0002-0285-5403

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to assess the benefits of immune checkpoint inhibitors (ICIs) for patients with low or negative PD-L1 expression in advanced solid tumors. The study included cancers approved by the FDA for first-line ICI therapy without PD-L1 restrictions, incorporating phase III randomized clinical trials (RCTs) comparing immunotherapy with conventional care. Individual patient data of PD-L1 low subgroup were retrieved from Kaplan-Meier (KM) curves using IPDfromKM and KMSubtraction. Pooled analysis employed KM and restricted mean survival time (RMST) analysis to assess ICI benefit. Totally, 40 RCTs with 27,060 patients were enrolled. No survival benefit for low PD-L1 expression was observed in some cancers. In esophageal squamous cell carcinoma (ESCC), combined positive score (CPS) < 10 had significant OS benefit (HR = 0.82,

Indexed as

advanced solid tumorsindividual patient datalow pd‐l1 expressionmeta‐analysisprogrammed death‐1/programmed death‐ligand 1 (pd‐1/pd‐l1) inhibitorssurvival benefit

Identifiers

PMID41675360
PMCPMC12887441

What OpenQuestion holds

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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.