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Atezolizumab for First-Line Treatment of PD-L1–Selected Patients with NSCLC

Open access
Herbst, Roy S., Giaccone, Giuseppe, de Marinis, Filippo, Reinmuth, Niels, Vergnenegre, Alain, Barrios, Carlos H., Morise, Masahiro, Felip, Enriqueta, Andric, Zoran, Geater, Sarayut, Özgüroğlu, Mustafa, Zou, Wei, Sandler, Alan, Enquist, Ida, Komatsubara, Kimberly, Deng, Yu, Kuriki, Hiroshi, Wen, Xiaohui, McCleland, Mark, Mocci, Simonetta, Jassem, Jacek, Spigel, David R.·2020·New England Journal of Medicine

Abstract

BACKGROUND: The efficacy and safety of the anti-programmed death ligand 1 (PD-L1) monoclonal antibody atezolizumab, as compared with those of platinum-based chemotherapy, as first-line treatment for patients with metastatic non-small-cell lung cancer (NSCLC) with PD-L1 expression are not known. METHODS: wild-type tumors, overall survival and progression-free survival were also prospectively assessed in subgroups defined according to findings on two PD-L1 assays as well as by blood-based tumor mutational burden. RESULTS: wild-type tumors who had the highest expression of PD-L1 (205 patients), the median overall survival was longer by 7.1 months in the atezolizumab group than in the chemotherapy group (20.2 months vs. 13.1 months; hazard ratio for death, 0.59; P = 0.01). Among all the patients who could be evaluated for safety, adverse events occurred in 90.2% of the patients in the atezolizumab group and in 94.7% of those in the chemotherapy group; grade 3 or 4 adverse events occurred in 30.1% and 52.5% of the patients in the respective groups. Overall and progression-free survival favored atezolizumab in the subgroups with a high blood-based tumor mutational burden. CONCLUSIONS: Atezolizumab treatment resulted in significantly longer overall survival than platinum-based chemotherapy among patients with NSCLC with high PD-L1 expression, regardless of histologic type. (Funded by F. Hoffmann-La Roche/Genentech; IMpower110 ClinicalTrials.gov number, NCT02409342.).

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Metadata

Authors
Herbst, R. S., Giaccone, G., de Marinis, F., Reinmuth, N., Vergnenegre, A., Barrios, C. H., Morise, M., Felip, E., Andric, Z., Geater, S., Özgüroğlu, M., Zou, W., Sandler, A., Enquist, I., Komatsubara, K., Deng, Y., Kuriki, H., Wen, X., McCleland, M., Mocci, S., Jassem, J., & Spigel, D. R.
Venue
New England Journal of Medicine
Published
2020-10
Volume
383
Issue
14
Pages
1328-1339
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W3091399767
Cited by
1,664
References
11
FWCI
77.79
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Atezolizumab for First-Line Treatment of PD-L1–Selected Patients with NSCLC. https://app.cochat.ai/papers/10.1056/nejmoa1917346
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Herbst, R. S., Giaccone, G., de Marinis, F., Reinmuth, N., Vergnenegre, A., Barrios, C. H., Morise, M., Felip, E., Andric, Z., Geater, S., Özgüroğlu, M., Zou, W., Sandler, A., Enquist, I., Komatsubara, K., Deng, Y., Kuriki, H., Wen, X., McCleland, M., . . . Spigel, D. R. (2020). Atezolizumab for First-Line Treatment of PD-L1–Selected Patients with NSCLC. New England Journal of Medicine. https://doi.org/10.1056/nejmoa1917346

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.