First-line chemotherapy plus immune checkpoint inhibitors or bevacizumab in advanced non-squamous non-small-cell lung cancer without EGFR mutations or ALK fusions.

Abstract

Aim: To compare the efficacy and safety of first-line chemotherapy (Chemo) plus immune checkpoint inhibitors (ICIs) or bevacizumab (Bev) in advanced non-squamous non-small-cell lung cancer without EGFR mutations or ALK fusions. Methods: A network meta-analysis was conducted to synthesize relative treatment outcomes. Results: Chemo + ICIs is superior to Chemo + Bev in both overall survival (hazard ratio: 0.92; 95% CI: 0.88-0.96) and progression-free survival (hazard ratio: 0.93; 95% CI: 0.90-0.97), with comparable severe adverse events. However, for patients with liver metastasis, Chemo + Bev has a 59.8% probability of providing better overall survival benefit. For specific regimens, pembrolizumab + Chemo showed an absolute advantage over other regimens. Conclusion: First-line Chemo + ICIs is superior to Chemo + Bev in advanced non-squamous non-small-cell lung cancer except for patients with liver metastasis.

• Authors: Panpan Jiang, Luying Geng, Ziyang Mao, Qinyang Wang, Wenjuan Wang, Min Jiao, Yu Yao, Nanzheng Chen, Jia Zhang, Kejun Nan, Yuan Shen, Hui Guo, Lili Jiang
• Journal: Immunotherapy (Immunotherapy) (Mar 09 2022) ISSN: 1750-7448 [Electronic] England
• PMID: 35259921 (Publication Type: Journal Article, Review)