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September 10, 2025MedicineOpen Access

Choosing the best first-line therapy for extensive-stage small-cell lung cancer: anti-PD-1 or anti-PD-L1 inhibitors?

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Authors

SZShengyu ZhuQuantum Technologies (Sweden)JLJianjiang LiuXidian UniversityXCXialin ChenChina Pharmaceutical University

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Overview

Meta-analysis shows no survival difference between anti-PD-1 and anti-PD-L1 therapies in small-cell lung cancer, suggesting safety advantages to anti-PD-L1.

Key Points

  • Both anti-PD-1 and anti-PD-L1 therapies yield comparable results in overall survival and progression-free survival.
  • The analysis of 3339 patients revealed 6-month overall survival rates of 86.6% for anti-PD-1 and 85.5% for anti-PD-L1, indicating similar effectiveness.
  • A systematic review and meta-analysis of phase III randomized controlled trials was conducted to evaluate these therapies' efficacy.
  • Both treatment options are equally effective, but anti-PD-L1 appears to have a lower incidence of severe adverse events.

Cite This Study

Zhu et al. (2025) studied this question.

synapsesocial.com/papers/68c1955c9b7b07f3a06193a7https://doi.org/10.1097/md.0000000000044383
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