Evidence map›Paper›PMID 42041734›Full record

ArticleCurrent oncology (Toronto, Ont.)2026

First-Line Pembrolizumab Monotherapy for Advanced Non-Small Cell Lung Cancer: A Multicenter Real-World Study from Vietnam.

Thi Huong Pham, Cam Phuong Pham, Thi Thu Huong Nguyen, Khanh Toan Nguyen

Abstract readMulticenter Study
In one paragraph

Article in Current oncology (Toronto, Ont.), 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

4 authors.

Thi Huong PhamDepartment of Oncology, Hanoi Medical University, Hanoi 100000, Vietnam.
Cam Phuong PhamNuclear Medicine and Oncology Center, Bach Mai Hospital, Hanoi 100000, Vietnam.ORCID 0000-0002-4342-0959
Thi Thu Huong NguyenDepartment of Oncology, Hanoi Medical University, Hanoi 100000, Vietnam.
Khanh Toan NguyenNghe An Oncology Hospital, Nghe An 43000, Vietnam.ORCID 0009-0000-5862-3874

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the effectiveness and safety of first-line pembrolizumab monotherapy in patients with advanced non-small cell lung cancer (NSCLC) in real-world clinical practice in Vietnam.

methodsWe performed a multicenter retrospective cohort study of patients with locally advanced or metastatic NSCLC who received first-line pembrolizumab monotherapy in Vietnam between January 2018 and August 2024. The primary endpoints were progression-free survival (PFS), overall survival (OS), and safety profile.

resultsA total of 73 patients were included, with a median age of 69 years (range, 47-92). Most patients had good performance status (ECOG PS 0-1, 75.3%) and high PD-L1 expression (TPS ≥ 50%, 86.3%). The overall response rate was 60.3%, and the disease control rate was 79.5%. Median PFS was 11.3 months (95% CI, 6.9-15.8), and median OS was 25.4 months (95% CI, 20.8-30.0). Multivariate analysis identified never-smoking status (HR 3.14, 95% CI 1.16-8.50;

conclusionsFirst-line pembrolizumab monotherapy demonstrated favorable effectiveness and acceptable safety in patients with advanced NSCLC in real-world clinical practice in Vietnam. Clinical outcomes were particularly favorable in patients with high PD-L1 expression, non-squamous histology, and a history of smoking. Nevertheless, the survival benefit associated with non-squamous histology should be interpreted cautiously, given the limited number of patients with squamous histology. These findings support the use of pembrolizumab monotherapy in selected patient populations within resource-limited settings.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalCarcinoma, Non-Small-Cell LungLung NeoplasmsAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesVietnamAntibodies, Monoclonal, HumanizedAntineoplastic Agents, Immunologicalpembrolizumabadvanced stagenon-small cell lung cancerpembrolizumab monotherapyVietnam

Identifiers

PMID42041734
PMCPMC13115075

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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.