Results from a meta-analysis of immune checkpoint inhibitors in first-line renal cancer patients: does PD-L1 matter?

PD-1 PD-L1 immunotherapy renal cancer

Journal

Therapeutic advances in medical oncology
ISSN: 1758-8340
Titre abrégé: Ther Adv Med Oncol
Pays: England
ID NLM: 101510808

Informations de publication

Date de publication:
2019
Historique:
received: 16 03 2019
accepted: 13 06 2019
entrez: 21 8 2019
pubmed: 21 8 2019
medline: 21 8 2019
Statut: epublish

Résumé

The aim of this study was to perform a literature-based meta-analysis to assess the efficacy of the novel immune checkpoint inhibitors (ICIs) in first-line metastatic renal cell carcinoma (RCC), focusing on the predictive role of PD-L1 expression. The primary outcome was overall survival, and secondary outcomes were progression-free survival (PFS) and objective response. We planned a subgroup analysis for overall survival according to PD-L1 status. Five studies were included in the analysis for a total of 4063 cases. Overall survival was greater in PD-L1 positive tumours (HR = 0.49, 95% CI: 0.36-0.67; This study supports the efficacy of ICIs and, although a significant clinical benefit has been reported in PD-L1 negative patients, a greater efficacy of ICIs was observed in PD-L1 positive patients. More prospective randomized studies are needed to clarify the role of PDL-1 status in metastatic RCC treated with ICIs.

Sections du résumé

BACKGROUND BACKGROUND
The aim of this study was to perform a literature-based meta-analysis to assess the efficacy of the novel immune checkpoint inhibitors (ICIs) in first-line metastatic renal cell carcinoma (RCC), focusing on the predictive role of PD-L1 expression.
METHODS METHODS
The primary outcome was overall survival, and secondary outcomes were progression-free survival (PFS) and objective response. We planned a subgroup analysis for overall survival according to PD-L1 status.
RESULTS RESULTS
Five studies were included in the analysis for a total of 4063 cases. Overall survival was greater in PD-L1 positive tumours (HR = 0.49, 95% CI: 0.36-0.67;
CONCLUSIONS CONCLUSIONS
This study supports the efficacy of ICIs and, although a significant clinical benefit has been reported in PD-L1 negative patients, a greater efficacy of ICIs was observed in PD-L1 positive patients. More prospective randomized studies are needed to clarify the role of PDL-1 status in metastatic RCC treated with ICIs.

Identifiants

pubmed: 31428205
doi: 10.1177/1758835919861905
pii: 10.1177_1758835919861905
pmc: PMC6683319
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1758835919861905

Déclaration de conflit d'intérêts

Conflict of interest statement: Authors declare that no potential conflicts of interest exist (e.g. personal or financial relationships that could influence their actions or sources of funding) and disclose they have received no writing assistance for the manuscript.

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Auteurs

Giandomenico Roviello (G)

Department of Health Sciences, University of Florence, viale Pieraccini, 6, 50139, Italy.

Silvia Paola Corona (SP)

Department of Medical, Surgical and Health Sciences, University of Trieste, Italy.

Gabriella Nesi (G)

Department of Health Sciences, University of Florence, Section of Pathological Anatomy, University Hospital of Florence, Italy.

Enrico Mini (E)

Department of Health Sciences, University of Florence, Italy.

Classifications MeSH