ArticleTherapeutic advances in medical oncology2026
Impact of race/ethnicity and the presence of immune-related adverse events on outcomes for non-small cell lung cancer patients treated with immune checkpoint inhibitors.
Article in Therapeutic advances in medical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Immune checkpoint inhibitors (ICIs) have changed the treatment landscape for non-small cell lung cancer, but the role of race/ethnicity is not well understood. Design: This is a retrospective study of non-small cell lung cancer (NSCLC) patients receiving ICI. Objective: We evaluated the role of race/ethnicity in ICI response and immune-related adverse events (irAEs) in NSCLC patients. Methods: NSCLC patients treated with ICIs from 2014 to 2022 at Los Angeles General Medical Center and Norris Comprehensive Cancer Center were included. Primary endpoints were irAE incidence, time on ICI treatment (TOT), overall survival (OS), and progression-free survival (PFS). TOT, OS, and PFS were evaluated using the Kaplan-Meier method. Landmark analysis was performed of patients receiving >6 month ICIs. Fisher's exact test was performed for analysis of variables between groups. Results: In total, 211 NSCLC patients receiving ICIs were analyzed, including 86 (40.8%) Asian American/Pacific Islander (AAPI), 65 (30.8%) non-Hispanic White/Caucasian (NHW), 37 (17.5%) Hispanic/Latino (HIS), and 23 (10.9%) African American/Black (AA). Among stage IV patients, median OS for AAPI was 23.2 months (95% confidence interval (CI) 16.0-not reached (NR)), 23.6 months (95% CI 6.9-38.8) for NHW, 12.7 months for AA (95% CI 2.2-37.0), and 11.0 months (95% CI 4.8-14.8) for HIS ( Conclusion: Our study demonstrates that AAPIs and NHW had higher irAE incidence and longer OS. Validation studies evaluating the role of race/ethnicity in ICI response and toxicity are merited.
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