Review Article

Concomitant Statins and the Survival of Patients with Non-Small-Cell Lung Cancer Treated with Immune Checkpoint Inhibitors: A Meta-Analysis

Table 1

Characteristics of the included cohort studies.

StudyCountryDesignPatient characteristicsSample sizeMean age (years)Male (%)ICIs usedDefinition of statin useNumber of statin usersOutcomes reportedVariables adjusted

Omori et al. [23]JapanAdvanced NSCLC676769NivolumabConcomitant statin evidenced by the medical records10PFS and OSNone
Svaton et al. [24]CzechRAdvanced NSCLC2246759NivolumabConcomitant statin evidenced by the medical records31PFS and OSAge, sex, PS, smoking, histologic type, cancer stage, and concurrent medications
Rossi et al. [28]ItalyRMetastatic NSCLC1227165Nivolumab, pembrolizumab, or atezolizumabConcomitant statin evidenced by the medical records70PFS and OSNone
Cantini et al. [25]ItalyRAdvanced NSCLC1796772Nivolumab or pembrolizumabConcomitant statin evidenced by the medical records39PFS and OSAge, sex, smoking, PS, and histologic type
Kostine et al. [15]FranceRAdvanced NSCLC1506570PD-1/PD-L1 and/or CTLA4 inhibitorsConcomitant statin evidenced by the medical records32PFS and OSNone
Cortellini et al. [26]ItalyRMetastatic NSCLC9507066PembrolizumabConcomitant statin evidenced by the medical records252PFS and OSNone
Miura et al. [27]JapanRMetastatic NSCLC3006575Nivolumab or pembrolizumabConcomitant statin evidenced by the medical records26PFS and OSAge, sex, PS, histologic type, previous therapy, and concurrent medications
Takada et al. [29]JapanRAdvanced or recurrent NSCLC3906779Nivolumab or pembrolizumabConcomitant statin evidenced by the medical records53PFS and OSAge, sex, PS, cancer stage, histologic type, mutational status, and BMI

ICIs, immune checkpoint inhibitors; P, prospective; R, retrospective; NSCLC, nonsmall cell lung cancer; PD-1/PD-LI, programmed death-1/ligand-1; CTLA4, cytotoxic T-lymphocyte associated protein 4; PFS, progression-free survival; OS, overall survival; PS, performance status; BMI, body mass index.