Table 1.
Trial | Comparison | Total N
Patients |
Male | Age | Histology | Setting | PD-L1 < 1% |
PD-L1 > 1% |
Objective Response Rate | Comparative Regimens |
Assessed Study Quality |
---|---|---|---|---|---|---|---|---|---|---|---|
(%) | |||||||||||
Phase III RCT | |||||||||||
Antonia et al. [14,15] | ICI-RT vs. RT alone |
237 | 70.1 | 64 | Adeno: 387 Squamous: 326 |
Advanced | 148 | 303 | 365 | RT | Low risk of bias **** |
476 | RT + DURVA | ||||||||||
Theelen et al. [16] | ICI-RT vs. ICI alone |
40 | 56.6 | <65:43 | Adeno: 67 Squamous: 9 |
Metastatic | 43 | 31 | 26 | PEMBRO | Low risk of bias **** |
36 | ≥65:33 | PEMBRO + RT | |||||||||
Welsh el al. [20] | ICI-RT vs. ICI alone |
40 | 63.7 | 66 | Adeno: 61 Squamous: 17 |
Metastatic | 19 | 32 | 17 | PEMBRO | Low risk of bias **** |
40 | PEMBRO + RT | ||||||||||
NCDB | |||||||||||
Foster et al. [19] * | ICI-RT vs. RT alone |
3344 | 52.2 | 64.5 | Adeno: 2825 Squamous: 746 |
Metastatic | n.r. | n.r. | n.r. | RT | 7/9 *** |
228 | RT + ICI | ||||||||||
Bates el al. [18] ** | ICI-RT vs. ICI alone |
3621 | 53.2 | <65:3165 | Adeno: 3472 Squamous: 434 |
Metastatic | n.r. | n.r. | n.r. | ICI | 7/9 *** |
285 | ≥65:3218 | RT + ICI | |||||||||
Subgroup analysis of RCT | |||||||||||
Shaverdian et al. [17] | ICI-RT vs. ICI alone |
42 | 51.5 | 65.6 | Adeno: 78 Squamous: 19 |
Advanced | 11 | 55 | 19 | PEMBRO | Unclear risk of bias **** |
55 | RT + PEMBRO |
Legend: N = number; NCDB = National Cancer Database; NSCLC = non-small cell lung cancer; ICI = immunotherapy; DURVA = durvalumab; PEMBRO = pembrolizumab; n.r. = not reported; RT= radiotherapy; RCT = randomized controlled trial. * data related to patients treated with immunotherapy with no radiotherapy or with stereobody radiotherapy; ** data related to patients treated with immunotherapy with no radiotherapy or with stereobody radiotherapy; *** Quality assessed with nine-star Newcastle-Ottawa Scale (NOS); **** Quality assessed with Cochrane Collaboration’s risk of bias tool.