Evidence map›Paper›PMID 42206044›Full record

ArticleFrontiers in immunology2026

Real-world effectiveness of first-line immunotherapy with or without chemotherapy versus chemotherapy alone in advanced non-small cell lung cancer.

Lihua Li, Juan Du, Jing Yang, Limin Chai, Jingxu Nie, Xinfeng Cai, Linxiu He, Junting Jia, Rong Ma, Yimeng Guo

Abstract readComparative Study
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Lihua Li *Department of Pharmacy, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, China.
Juan Du *Department of Pharmacy, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, China.
Jing Yang *Department of Pharmacy, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, China.
Limin ChaiDepartment of Pharmacy, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, China.
Jingxu NieDepartment of Pharmacy, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, China.
Xinfeng CaiDepartment of Pharmacy, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, China.
Linxiu HeDepartment of Pharmacy, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, China.
Junting JiaDepartment of Pharmacy, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, China.
Rong MaDepartment of Pharmacy, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, China.
Yimeng GuoDepartment of Pharmacy, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This real-world retrospective study evaluated the effectiveness of first-line immunotherapy with or without chemotherapy compared with chemotherapy alone in patients with advanced non-small cell lung cancer (NSCLC). It also explored survival outcomes associated with domestically developed and internationally developed PD-1 inhibitors in China. Methods: Data were collected from 401 patients with stage IV NSCLC treated at Shanxi Province Cancer Hospital between January 2019 and December 2021, including 248 in the chemotherapy group and 153 in the immune checkpoint inhibitors (ICIs) with or without chemotherapy group. The primary outcome was overall survival (OS). Kaplan-Meier curves and log-rank tests were used to evaluate survival differences, and Cox proportional hazards models were employed for subgroup analyses. Results: The median OS was significantly longer in the ICIs with or without chemotherapy group than in the chemotherapy group (22.0 months vs. 14.0 months, Conclusion: First-line immunotherapy with or without chemotherapy significantly improves survival compared with chemotherapy alone in advanced NSCLC. No statistically significant difference in overall survival was observed between domestically developed PD-1 inhibitors and pembrolizumab in this cohort; however, this comparison should be interpreted cautiously given the limited sample size, particularly in the internationally developed ICIs group.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungImmune Checkpoint InhibitorsImmunotherapyLung NeoplasmsAgedAntibodies, Monoclonal, HumanizedChinaFemaleHumansMaleMiddle AgedNeoplasm StagingRetrospective StudiesTreatment OutcomeAntibodies, Monoclonal, HumanizedImmune Checkpoint Inhibitorsimmune checkpoint inhibitorsimmunotherapynon-small cell lung cancerprogrammed death ligand-1programmed death receptor-1

Identifiers

PMID42206044
PMCPMC13201463

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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.