Atezolizumab in NSCLC: Push the Positive, Bury the Negative?

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Recently published conclusions from the first interim analysis of overall survival in the IMpower010 trial of adjuvant atezolizumab for NSCLC have met with some pushback on Twitter.

Recently published conclusions from the first interim analysis of overall survival in the IMpower010 trial of adjuvantAt a median follow-up of 45.3 months, 127 of 507 patients in the atezolizumab group and 124 of 498 in the best supportive care group had died.

In a subgroup of 476 patients with tumor PD-L1 expression ≥1%, patients who received atezolizumab exhibited a nonsignificant 29% improvement in overall survival . The best results were in the subgroup of 229 patients with tumor PD-L1 expression ≥50% ― these patients exhibited a 57% improvement in overall survival with atezolizumab . Those with PD-L1 expression 1% to 49%, however, demonstrated no improvement in overall survival ., H.

 

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