Efficacy of immunotherapy in HER2-mutated non-small cell lung cancer: a single-arm meta-analysis

Juguang Zhang1, Weizhong Han2, Jun Guo1

  • 1Department of Medical Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, China.

Abstract

Insights

Immune checkpoint inhibitors show promise for HER2-mutated non-small cell lung cancer (NSCLC). Combination therapy with chemotherapy may offer improved outcomes for patients with this NSCLC subtype.

Area of Science:

  • Oncology
  • Immunotherapy
  • Genomics

Background:

  • Non-small cell lung cancer (NSCLC) with Human Epidermal Growth Factor Receptor 2 (HER2) mutations presents unique treatment challenges.
  • The efficacy of immune checkpoint inhibitors (ICIs) in HER2-mutated NSCLC requires further investigation.

Approach:

  • A systematic meta-analysis of real-world studies was conducted.
  • Data from PubMed, Cochrane Library, and Embase databases were analyzed.
  • Key outcomes included objective response rate (ORR), disease control rate (DCR), and progression-free survival (PFS).

Key Points:

  • Pooled analysis of 12 studies (260 patients) showed an ORR of 0.26 and median PFS of 5.36 months.
  • Combined ICI and chemotherapy demonstrated improved efficacy, with an ORR of 0.37 and median PFS of 7.10 months.
  • The safety profile of ICIs in this population was also promising.

Conclusions:

  • ICIs exhibit notable anti-tumor activity and a favorable safety profile in HER2-mutated NSCLC.
  • Combination therapy with ICIs and chemotherapy represents a potential therapeutic strategy for this patient group.

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