metaEvidence - study list


	Study	study type RCT OBS RCT + OBS	Pathology	T1	T0	Patients	sample sizes	ROB	Results
mNSCLC - L1 - PDL1 positive metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) mNSCLC - L1 - PDL1 positive
versus pembrolizumab plus placebo
	pembrolizumab plus ipilimumab
	KEYNOTE-598, 2020 J Clin Oncol 2021 Jan 29;JCO2003579. NCT03302234	RCT	mNSCLC - L1 - PDL1 positive	pembrolizumab plus ipilimumab	placebo plus pembrolizumab	as first-line treatment of patients with metastatic NSCLC whose tumors express PD-L1 with a tumor proportion score (TPS) ≥50% and no EGFR or ALK aberrations	284 / 284	low	inconclusive	inconclusive 8 % increase in deaths (OS) (PE) inconclusive 6 % increase in progression or deaths (PFS) (PE)
versus pemetrexed plus platin
	nivolumab plus ipilimumab
	CheckMate 227 (NI vs C ; PDL1>1%), 2018 Eur J Cancer 2019 Jul;116:137-147. N Engl J Med 2018 May 31;378(22):2093-2104. N Engl J Med 2019 Nov 21;381(21):2020-2031. Oncology (Williston Park) 2020 Jul 15;34(7):254. J Thorac Oncol 2021 Apr;16(4):665-676. J Thorac Oncol. 2021 Oct 11;S1556-0864(21)03207-X NCT02477826	RCT	mNSCLC - L1 - PDL1 positive	nivolumab plus ipilimumab	platinium chemotherapy	patients with histologically confirmed squamous or nonsquamous stage IV or recurrent NSCLC who had received no previous systemic anticancer therapy and PDL1>1%	396 / 397	some concern	conclusif	demonstrated 21 % decrease in deaths (OS) (PE) suggested 18 % decrease in progression or deaths (PFS)
versus Standard of Care (SoC)
	atezolizumab alone
	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),deaths (OS) (PE) suggested 36 % decrease in PFS (extension),PFS (extension) suggested 33 % decrease in progression or deaths (PFS),progression or deaths (PFS)
	IMpower-110 (TC1/2/3 or IC1/2/3), 2020 J Thorac Oncol . 2021 Jul 12;S1556-0864(21)02286-3. 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),deaths (OS) (PE) suggested 28 % decrease in PFS (extension),PFS (extension) suggested 23 % decrease in progression or deaths (PFS),progression or deaths (PFS)
	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),deaths (OS) (PE) suggested 41 % decrease in PFS (extension),PFS (extension) suggested 37 % decrease in progression or deaths (PFS),progression or deaths (PFS)
	cemiplimab
	EMPOWER lung1 (PDL1>50%), 2021 Lancet 2021 Feb 13;397(10274):592-604. 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)
	durvalumab alone
	MYSTIC (D ; PDL1>25%), 2020 JAMA Oncol 2020 May 1;6(5):661-674. 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),deaths (OS) (PE)
	durvalumab plus tremelimumab
	MYSTIC (DT ; PDL1>25%), 2020 JAMA Oncol 2020 May 1;6(5):661-674. NCT02453282	RCT	mNSCLC - L1 - PDL1 positive	durvalumab and tremelimumab	platinum-based doublet chemotherapy	first-line treatment of patients locally advanced or metastatic NSCLC with PDL1 TC >=25%	163 / 162	some concern	inconclusive	inconclusive 15 % decrease in deaths (OS),deaths (OS) (PE) inconclusive 5 % increase in progression or deaths (PFS),progression or deaths (PFS) (PE)
	nivolumab alone
	CheckMate 026 (PDL1>5%), 2016 N Engl J Med 2017 Jun 22;376(25):2415-2426. 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)
	CheckMate 026 (PDL1>1%), 2016 N Engl J Med 2017 Jun 22;376(25):2415-2426. 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
	pembrolizumab alone
	KEYNOTE-042 (PDL1>20%), 2019 Lancet 2019;393:1819-1830 Immunotherapy 2019; 11:1463-1478 Lung Cancer 2019; 135:188-195 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 Lancet 2019;393:1819-1830 Immunotherapy 2019; 11:1463-1478 Lung Cancer 2019; 135:188-195 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-042 (PDL1>50%), 2019 Lancet 2019;393:1819-1830 Immunotherapy 2019; 11:1463-1478 Lung Cancer 2019; 135:188-195 Int J Cancer 2020 Nov 24. 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-024 (PDL1>50%), 2016 N Engl J Med 2016;375:1823-1833 Lancet Oncol. 2017; 18:1600-1609 J. Clin. Oncol. 2019; 37:537-546 Lung Cancer 2019; 135:188-195 Cancer Sci 2020 Sep 14. J Clin Oncol 2021 Apr 19;JCO2100174. 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)

mNSCLC - L1 - PDL1 positive metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) mNSCLC - L1 - PDL1 positive