Open Access

Real‑world evidence of advanced non‑small cell lung carcinoma treated with an immune checkpoint inhibitor plus chemotherapy

  • Authors:
    • Zihan Xu
    • Huien Zhang
    • Guikai Ma
    • Wenjuan Meng
    • Junliang Du
    • Xin Wu
    • Baohong Yang
    • Ningning Wang
    • Yanhong Ding
    • Qingyun Zhang
    • Na Li
    • Xuede Zhang
    • Guohua Yu
    • Shuzhen Liu
    • Zhenhua Li
  • View Affiliations

  • Published online on: June 27, 2024     https://doi.org/10.3892/ol.2024.14538
  • Article Number: 405
  • Copyright: © Xu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Immunotherapy is an effective treatment strategy for patients with advanced non‑small cell lung cancer (NSCLC). Although clinical trials on immunotherapy have provided promising results, real‑world research in clinical practice is needed to assess the effectiveness and safety of immunotherapy. The present study aimed to characterize real‑world outcomes in patients with advanced NSCLC treated with immune checkpoint inhibitor (ICI)‑based regimens. The medical records of patients with advanced NSCLC, who were treated with programmed cell death protein‑1 (PD‑1)/programmed cell death 1 ligand 1 (PD‑L1) inhibitors, were reviewed for data collection. The primary objectives were to evaluate progression‑free survival (PFS) and overall survival (OS). Therefore, multiple Cox regression models were used to investigate the predictive factors for survival outcomes. Furthermore, survival curves for PFS and OS were created using Kaplan‑Meier estimates and compared using the log‑rank test. The present study included a total of 133 patients with advanced NSCLC who received therapy with ICIs between January 1, 2019 and December 31, 2022. The final follow‑up date was August 24, 2023. The median PFS and OS times were 9.8 and 27.2 months, respectively. Univariate Cox regression analysis demonstrated that sex, clinical stage, PD‑L1 status, previous systemic therapy, and brain and liver metastases were associated with PFS, while Eastern Cooperative Oncology Group (ECOG) status, clinical stage, PD‑L1 status and brain metastasis were associated with OS. Furthermore, multivariate Cox regression analysis demonstrated that a PD‑L1 tumor proportion score (TPS) of ≥50% was an indicator of favorable PFS and OS. An ECOG performance status score of ≥1 was also associated with poor OS but not with PFS. Furthermore, brain metastasis was an indicator for poor PFS and OS, while liver metastasis was only associated with a poor PFS. Finally, the results of the present study demonstrated that PD‑L1 status was an independent predictor for PFS and OS in patients with advanced NSCLC, especially adenocarcinoma, who were treated with ICIs plus chemotherapy. The results also suggested that patients with a PD‑L1 TPS of ≥50% could benefit when the aforementioned regimens were administrated as a first‑line or later‑line therapy.
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September-2024
Volume 28 Issue 3

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Copy and paste a formatted citation
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Spandidos Publications style
Xu Z, Zhang H, Ma G, Meng W, Du J, Wu X, Yang B, Wang N, Ding Y, Zhang Q, Zhang Q, et al: Real‑world evidence of advanced non‑small cell lung carcinoma treated with an immune checkpoint inhibitor plus chemotherapy. Oncol Lett 28: 405, 2024.
APA
Xu, Z., Zhang, H., Ma, G., Meng, W., Du, J., Wu, X. ... Li, Z. (2024). Real‑world evidence of advanced non‑small cell lung carcinoma treated with an immune checkpoint inhibitor plus chemotherapy. Oncology Letters, 28, 405. https://doi.org/10.3892/ol.2024.14538
MLA
Xu, Z., Zhang, H., Ma, G., Meng, W., Du, J., Wu, X., Yang, B., Wang, N., Ding, Y., Zhang, Q., Li, N., Zhang, X., Yu, G., Liu, S., Li, Z."Real‑world evidence of advanced non‑small cell lung carcinoma treated with an immune checkpoint inhibitor plus chemotherapy". Oncology Letters 28.3 (2024): 405.
Chicago
Xu, Z., Zhang, H., Ma, G., Meng, W., Du, J., Wu, X., Yang, B., Wang, N., Ding, Y., Zhang, Q., Li, N., Zhang, X., Yu, G., Liu, S., Li, Z."Real‑world evidence of advanced non‑small cell lung carcinoma treated with an immune checkpoint inhibitor plus chemotherapy". Oncology Letters 28, no. 3 (2024): 405. https://doi.org/10.3892/ol.2024.14538