Review Article

Efficacy of PD-1/PD-L1 Inhibitors versus Chemotherapy in Lung Cancer with Brain Metastases: A Systematic Review and Meta-Analysis

Table 1

Characteristics of included studies.

AuthorTrial nameYearTreatment lineHistologyEligible criteria for BMsInterventionComparisonNo. of brain metastasesMedia PFS, (months)Media OS, (months)

Horn, L.IMpower13320181SCLCAsymptomatic, treatedAtezolizumab + ECPlacebo + EC17/185.2 VS 4.312.3 VS 10.3
Paz-Ares, L.CASPAIN20191SCLCAsymptomatic, treatedDurvalumab + EC/EPEtoposide and EC/EP28/275.1 VS 5.413.0 VS 10.3
Rudin, Charles M.KEYNOTE-60420201SCLCUntreatedPembrolizumab + EC/EPPlacebo + EC/EP33/224.5 VS 4.310.8 VS 9.7
Reck, M.KEYNOTE-02420161NSCLC (NSQ/SQ)TreatedPembrolizumabPlatinum-based chemotherapy18/1010.3VS6.730.2 VS 14.2
GadielKEYNOTE-18920181NSCLC (NSQ)AsymptomaticPembrolizumab/APPlacebo + PC/AP73/358.8 VS 4.922.0 VS 10.7
GadielOAK20182NSCLC (NSQ/SQ)Asymptomatic, treatedAtezolizumabDocetaxel61/622.8 VS4.016.0 VS 11.9
H. BorghaeiCheckMate 05720152NSCLC (NSQ/SQ)Treated, stableNivolumabDocetaxel34/342.3 vs 4.212.2 VS 9.4
Yi-Long WuCheckMate 07820182NSCLC (NSQ/SQ)Treated, stableNivolumabDocetaxel45/272.8 vs 2.812.0 VS 9.6
S. SugawaraONO-4538-52/TASUKI-5220211NSCLC (NSQ/SQ)Treated, stableNivolumab bevacizumab + TPBevacizumab + TP36/4112.1VS 8.125.4VS24.7
Caicun Zhou,CameL20211NSCLC (NSQ/SQ)UntreatedCamrelizumab + TPPaclitaxel + TP10/511.3 VS 8.3)NR VS 20.9
Yunpeng YangORIENT-1120201NSCLC (NSQ/SQ)AsymptomaticSintilimab + PPPlacebo36/228.9 VS 5.0NR VS NR

NSCLC, non-small cell lung cancer; SCLC, small cell lung cancer; NR, not reported; NSQ, nonsquamous; SQ, squamous; EC, etoposide and carboplatin; EP, etoposide + cisplatin; PC, pemetrexed + carboplatin; AP, pemetrexed + cisplatin; PP, pemetrexed + platinum; TP, paclitaxel + carboplatin.