Cureus, Год журнала: 2025, Номер unknown
Опубликована: Март 15, 2025
This systematic review and meta-analysis evaluated the efficacy of tislelizumab, alone or in combination with chemotherapy, patients lung cancer. A comprehensive literature search was conducted across PubMed, Embase, Web Science, CENTRAL databases until February 15, 2025. Only randomized controlled trials (RCTs) comparing tislelizumab control treatments cancer were included. The primary outcomes assessed overall survival (OS) progression-free (PFS). Four phase-III RCTs involving 1,837 included analysis. results demonstrated that significantly improved OS (hazard ratios (HR): 0.72, 95% CI: 0.63-0.81) PFS (HR: 0.61, 0.54-0.68) compared to treatments. Subgroup analyses revealed consistent benefits both non-small-cell (NSCLC) small-cell (SCLC) populations, no significant differences between types. Similarly, comparable whether administered as monotherapy chemotherapy. Low heterogeneity observed among studies, suggesting consistency treatment effects. Follow-up duration studies ranged from 14.2 16.7 months. These findings indicate either combined is an effective option for patients, demonstrating improvements outcomes. However, further high-quality are needed validate these results, particularly SCLC where evidence limited a single study. Future research should also consider patient-specific factors such age, gender, comorbidities refine strategies.
Язык: Английский