Generalizability of ORIENT-11 trial results to a US standard-of-care cohort with advanced non-small-cell lung cancer

Misako Nagasaka, Cliff Molife, Zhanglin Lin Cui, Victoria Stefaniak, Xiaohong Li, Sangmi Kim, Hsui Yung Lee, Julia Beyrer, George Blumenschein

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Aim: This retrospective study estimated efficacy and safety of sintilimab + pemetrexed + platinum (SPP) versus placebo + pemetrexed + platinum (PPP) in untreated locally advanced/metastatic, nonsquamous non-small-cell lung cancer (NSCLC), after adjusting each ORIENT-11 trial patient's contribution to ORIENT-11 data based on characteristics of a target US population. Materials & methods: The target US population (n = 557) was selected from a real-world deidentified advanced NSCLC database based on key ORIENT-11 eligibility criteria. Inverse probability weights for ORIENT-11 patients (n = 397) relative to US patients were calculated. Efficacy and safety of SPP versus PPP were adjusted by inverse probability weights. Results: After adjustment, progression-free survival remained superior for SPP. Other efficacy and safety outcomes were consistent. Conclusion: These results provide evidence on how the effects observed with SPP in ORIENT-11 could translate to a US population with untreated locally advanced/metastatic nonsquamous NSCLC.

Original languageEnglish (US)
Pages (from-to)1963-1977
Number of pages15
JournalFuture Oncology
Volume18
Issue number16
DOIs
StatePublished - May 2022

Keywords

  • Adjustment
  • Anti-PD-1
  • Entropy balancing
  • Immunotherapy
  • Inverse probability reweighting
  • Nonsquamous non-small-cell lung cancer
  • ORIENT-11
  • Progression-free survival
  • Sintilimab

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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