Clinical Edge Journal Scan

NSCLC: Meta-analysis cautions concomitant use of gastric acid suppressants and immunotherapy


 

Key clinical point : The concomitant use of gastric acid suppressants (GAS) may be associated with poor survival outcomes in patients with non—small-cell lung cancer (NSCLC) receiving programmed death-1/ligand-1 (PD-1/PD-L1) inhibitors.

Major finding : Use of PD-1/PD-L1 inhibitors with vs without GAS worsened progression-free survival by 32% (hazard ratio [HR] 1.32; P < .001) and overall survival by 36% (HR 1.36; P < .001).

Study details : The data come from a meta-analysis of 10 retrospective studies and 1 prospective cohort study including 5892 patients with NSCLC who were receiving PD-1/PD-L1 inhibitors.

Disclosures: This study was supported by Anhui University Natural Science Research Project, China. The authors declared no conflicts of interest.

Source: Wang M et al. Influence of concomitant gastric acid suppressants use on the survival of patients with non-small cell lung cancer treated with programmed death-1/ligand-1 inhibitors: A meta-analysis. Int Immunopharmacol. 2022;110:108955 (Jun 21). Doi: 10.1016/j.intimp.2022.108955

Recommended Reading

Commentary: New Horizons in NSCLC Treatment: Adagrasib, Aumolertinib, and Lorlatinib, July 2022
MDedge Hematology and Oncology
Quality of life benefit exaggerated in some cancer studies
MDedge Hematology and Oncology
Drugging the undruggable
MDedge Hematology and Oncology
New KRAS inhibitor shows promise in NSCLC
MDedge Hematology and Oncology
The shifting sands of lung cancer screening
MDedge Hematology and Oncology
Lung cancer treatment combo may be effective after ICI failure
MDedge Hematology and Oncology
Early-stage NSCLC: EGFR mutation predicts longer survival
MDedge Hematology and Oncology
NSCLC: Cell-free RNA beneficial for early detection and prognosi
MDedge Hematology and Oncology
Stage III NSCLC: Preoperative FDG PET/CT tied to longer survival
MDedge Hematology and Oncology
Additional postoperative radiotherapy prolongs survival in stage I-IIA SCLC
MDedge Hematology and Oncology