summary
GRADE
treatment
patients
risk of bias
overview
deaths (OS) deaths (OS) (extension) DOR DOR (extension) objective responses (ORR) objective responses (ORR) (extension) PFS (extension) progression or deaths (PFS) AE (any grade) AE (grade 3-4) AE leading to death (grade 5) AE leading to treatment discontinuation (any grade) SAE (any grade) STRAE (any grade) STRAE (grade 3-4) TRAE (any grade) TRAE (grade 3-4) TRAE leading to death (grade 5) TRAE leading to discontinuation (any grade) TRAE leading to discontinuation (grade 3-4) Adrenal insufficiency TRAE (grade 3-4) Alopecia TRAE (grade 3-4) Anaemia TRAE (grade 3-4) Arthralgia TRAE (grade 3-4) Asthenia TRAE (grade 3-4) Blood creatinine increased TRAE (grade 3-4) Colitis TRAE (grade 3-4) Constipation TRAE (grade 3-4) Decreased appetite TRAE (grade 3-4) Diabetes TRAE (grade 3-4) Diarrhoea TRAE (grade 3-4) Dysgeusia TRAE (grade 3-4) Fatigue TRAE (grade 3-4) Gastrointestinal disorders TRAE (grade 3-4) Hepatitis TRAE (grade 3-4) Hyperthyroidism TRAE (grade 3-4) Hypophysitis TRAE (grade 3-4) Hypothyroidism TRAE (grade 3-4) Increase AST TRAE (grade 3-4) Increased ALT TRAE (grade 3-4) Infusion-related reactions TRAE (grade 3-4) Leucopenia TRAE (grade 3-4) Maculopapular rash TRAE (grade 3-4) Mucosal inflammation TRAE (grade 3-4) Myalgia TRAE (grade 3-4) Myocarditis TRAE (grade 3-4) Myositis TRAE (grade 3-4) Nausea TRAE (grade 3-4) Nephritis TRAE (grade 3-4) Neutropenia TRAE (grade 3-4) Pancreatitis TRAE (grade 3-4) Peripheral neuropathy TRAE (grade 3-4) Peripheral oedema TRAE (grade 3-4) Peripheral sensory neuropathy TRAE (grade 3-4) Pneumonitis TRAE (grade 3-4) Pruritus TRAE (grade 3-4) Pyrexia TRAE (grade 3-4) Rash TRAE (grade 3-4) Renal and urinary disorders TRAE (grade 3-4) Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) Severe skin reaction TRAE (grade 3-4) Skin and subcutaneous tissue disorders TRAE (grade 3-4) Stomatitis TRAE (grade 3-4) Thrombocytopenia TRAE (grade 3-4) Thyroiditis TRAE (grade 3-4) Vomiting TRAE (grade 3-4) Anaemia AE (grade 3-4) Asthenia AE (grade 3-4) Constipation AE (grade 3-4) Cough AE (grade 3-4) Decreased appetite AE (grade 3-4) Diarrhoea AE (grade 3-4) Dyspnoea AE (grade 3-4) Fatigue AE (grade 3-4) Febrile neutropenia AE (grade 3-4) Hypertension AE (grade 3-4) Increase AST AE (grade 3-4) Increased ALT AE (grade 3-4) Leucopenia AE (grade 3-4) Nausea AE (grade 3-4) Neutropenia AE (grade 3-4) Pancytopenia (AE grade 3-4) Pneumonia AE (grade 3-4) Pyrexia AE (grade 3-4) Sepsis AE (grade 3-4) Thrombocytopenia AE (grade 3-4) Vomiting AE (grade 3-4)
numeric
bar chart
forest plot
medians
frequency on treatment
benefit risk analysis
Study
study type
Pathology T1 T0 Patients sample sizes ROB
Results
IMpower-110 (TC3 or IC3), 2020 NCT02409342 RCT mNSCLC - L1 - PDL1 positive atezolizumab platinum chemotherapy PD-L1–selected patients (positive for PD-L1 on the SP142 assay) with EGFR and ALK wild-type metastatic NSCLC who had not previously received chemotherapy. (TC 3) 107 / 98 some concern conclusif demonstrated 41 % decrease in deaths (OS) (PE) suggested 41 % decrease in PFS (extension) suggested 37 % decrease in progression or deaths (PFS) IMpower-110 (TC2/3 or IC2/3), 2020 NCT02409342 RCT mNSCLC - L1 - PDL1 positive atezolizumab platinium chemotherapy PD-L1–selected patients (positive for PD-L1 on the SP142 assay) with EGFR and ALK wild-type metastatic NSCLC who had not previously received chemotherapy. (TC2/3) 166 / 162 some concern suggested suggested 28 % decrease in deaths (OS) (PE) suggested 36 % decrease in PFS (extension) suggested 33 % decrease in progression or deaths (PFS) IMpower-110 (TC1/2/3 or IC1/2/3), 2020 NCT02409342 RCT mNSCLC - L1 - PDL1 positive atezolizumab platinium chemotherapy PD-L1–selected patients (positive for PD-L1 on the SP142 assay) with EGFR and ALK wild-type metastatic NSCLC who had not previously received chemotherapy. (TC 1/2/3) 277 / 277 some concern inconclusive inconclusive 17 % decrease in deaths (OS) (PE) suggested 28 % decrease in PFS (extension) suggested 23 % decrease in progression or deaths (PFS) EMPOWER lung1 (PDL1>50%), 2021 NCT03088540 RCT mNSCLC - L1 - PDL1 positive cemiplimab ICC patients with confirmed stage IIIB or IIICor stage IV squamous or non-squamous non-small-celllung cancer with PD-L1 expressed in at least 50% oftumour cells 283 / 280 some concern suggested suggested 43 % decrease in deaths (OS) (PE) suggested 46 % decrease in progression or deaths (PFS) (PE) MYSTIC (D ; PDL1>25%), 2020 NCT02453282 RCT mNSCLC - L1 - PDL1 positive durvalumab platinum-based doublet chemotherapy first-line treatment of patients locally advanced or metastatic NSCLC with PDL1 TC >=25% 163 / 162 some concern inconclusive inconclusive 24 % decrease in deaths (OS) (PE) CheckMate 026 (PDL1>1%), 2016 NCT02041533 RCT mNSCLC - L1 - PDL1 positive Nivolumab platinium doublet chemotherapy patients previously untreated had histologically confirmed squamous-cell or nonsquamous stage IV or recurrent NSCLC with PD-L1 >1% 271 / 270 some concern inconclusive no statistically significant result CheckMate 026 (PDL1>5%), 2016 NCT02041533 RCT mNSCLC - L1 - PDL1 positive Nivolumab platinum-based chemotherapy patients previously untreated had histologically confirmed squamous-cell or nonsquamous stage IV or recurrent NSCLC PD-L1 at >1% 211 / 212 some concern inconclusive inconclusive 15 % increase in progression or deaths (PFS) (PE) KEYNOTE-042 (PDL1>50%), 2019 NCT02220894 RCT mNSCLC - L1 - PDL1 positive pembrolizumab platinium based chemotherapy previously untreated, locally advanced or metastatic non-small-cell lung cancer with a PD-L1 TPS of 50% or greater 299 / 300 some concern conclusif demonstrated 31 % decrease in deaths (OS) (PE) suggested 2 % decrease in deaths (OS) (extension) suggested 19 % decrease in progression or deaths (PFS) KEYNOTE-042 (PDL1>20%), 2019 NCT02220894 RCT mNSCLC - L1 - PDL1 positive pembrolizumab platinium based chemotherapy previously untreated, locally advanced or metastatic non-small-cell lung cancer with a PD-L1 TPS of 20% or greater 413 / 405 some concern conclusif demonstrated 23 % decrease in deaths (OS) (PE) suggested 25 % decrease in deaths (OS) (extension) KEYNOTE-042 (PDL1>1%), 2019 NCT02220894 RCT mNSCLC - L1 - PDL1 positive pembrolizumab platinium based chemotherapy previously untreated, locally advanced or metastatic non-small-cell lung cancer with a PD-L1 TPS of 1% or greater 637 / 637 some concern conclusif demonstrated 19 % decrease in deaths (OS) (PE) suggested 20 % decrease in deaths (OS) (extension) KEYNOTE-024 (PDL1>50%), 2016 NCT02142738 RCT mNSCLC - L1 - PDL1 positive Pembrolizumab ICC platinum-based chemotherapies regimens patients who had previously untreated advanced stage IV NSCLC with PD-L1 expression on at least 50% of tumor cells 154 / 151 some concern conclusif demonstrated 40 % decrease in deaths (OS) (PE) demonstrated 50 % decrease in progression or deaths (PFS) (PE) suggested 38 % decrease in deaths (OS) (extension) suggested 50 % decrease in PFS (extension)