Table 1.
Reference | Study characteristics | Treatment and comparator | n | Key findings |
24 | Patients with NSCLC treated with nivolumab | Nivolumab monotherapy | 50 | Response to treatment before nivolumab associated with response to nivolumab. Smoking history had no significant influence (never vs current/former smoker ORR 5% vs 26%, p=0.1269). |
16 | Sequenced exons of NSCLCs | Pembrolizumab | 34 | Efficacy greater in tumours harbouring smoking signature (ORR 56% vs 17%, p=0.03) |
25 | EGFR and ALK rearrangements in NSCLC | PD-1/PD-L1 inhibitors | 58 | Smoking history had no significant influence (never/light vs heavy smokers ORR 4.2% vs 20.6%, p=0.123). |
26 | Adenocarcinoma of the lung | Testing PD-L1 tumour proportion score | 71 | Tumours with a PD-L1 TPS>50% were significantly associated with smoking status. |
27 | Patients with NSCLC in East Asia. 108 SCC and 221 LUAD. | PD-L1 expression/distribution | 329 | TPS>50% correlated with smoking history in both SCC (p=0.008) and adenocarcinoma (p=0.002). |
17 | Pembrolizumab in NSCLC. KEYNOTE-001. | Pembrolizumab10 mg/kg every 2 weeks, 2 mg/kg every 3 weeks, 10 mg/kg every 3 weeks | 495 | Current/former smoking status was associated with increased ORR (10.3% vs 22.5% in never smokers). |
15 | Pembrolizumab or platinum-based CT. KEYNOTE-024. | Pembrolizumab 200 mg every 3 weeks Platinum |
305 | ORR 44.8% vs 27.8%. HR for progression/death among smokers 0.68 and former smokers 0.47. |
18 | Pemetrexed and platinum plus pembrolizumab or placebo in advanced NSCLC. KEYNOTE-189. | Pemetrexed, platinum and pembrolizumab or placebo every 3 weeks | 616 | 88.1% current or former smokers. HR for death among current or former smokers 0.54 versus never smoker 0.23. Progression-free survival HR 0.54 and 0.43, respectively. |
19 | Nivolumab versus docetaxel in patients with NSCLC. Phase III study. | Nivolumab 3 mg/kg every 2 weeks versus docetaxel 75 mg/m2 every 3 weeks | 582 | 79% were current/former smokers. HR was 0.70 and 1.02 in former/current smokers and never smokers, respectively. |
ALK, anaplastic lymphoma receptor tyrosine kinase; CT, chemotherapy; EGFR, epidermal growth factor receptor; LUAD, lung adenocarcinoma; NSCLC, non-small cell lung cancer; ORR, overall response rate; PD-L1, programmed death ligand 1; SCC, squamous cell carcinoma; TPS, tumour proportion score.