Impact of Immune Checkpoint Inhibitor on the Survival in Elderly Patients with Non-Small Cell Lung Cancer

M. Inomata, K. Azechi, N. Takata, K. Hayashi, K. Tokui, C. Taka, S. Okazawa, K. Kambara, S. Imanishi, T. Miwa, Ryuji Hayashi, Shoko Matsui, K. Tobe
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Abstract

Purpose: We analysed the relationship between a history of immune checkpoint inhibitor (ICI) and overall survival in elderly patients with non-small cell lung cancer (NSCLC). Methods: We conducted a retrospective analysis of the data of patients with NSCLC aged ≥70-year-old who had received systemic anticancer therapy between 2015 and 2019. Results: The analysis included the data of a total of 63 patients. Multivariate analysis revealed a significant association between a history of treatment with ICI and the overall survival. A significant interaction was also observed between a history of treatment with an ICI and the tumor histology. Conclusion: A significant association between history of ICI therapy and the overall survival was detected in elderly NSCLC patients aged ≥70-year-old in a clinical practice setting. Our results also suggested that the impact of ICI therapy on the survival differed depending on the tumor histology.
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免疫检查点抑制剂对老年非小细胞肺癌患者生存的影响
目的:分析老年非小细胞肺癌(NSCLC)患者免疫检查点抑制剂(ICI)史与总生存率之间的关系。方法:回顾性分析2015年至2019年接受全身抗癌治疗的年龄≥70岁NSCLC患者的数据。结果:共纳入63例患者资料。多变量分析显示,ICI治疗史与总生存率之间存在显著关联。在ICI治疗史和肿瘤组织学之间也观察到显著的相互作用。结论:在临床实践中,在年龄≥70岁的老年非小细胞肺癌患者中发现了ICI治疗史与总生存率之间的显著关联。我们的结果还表明,ICI治疗对生存的影响因肿瘤组织学而异。
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