Research Article
The Correlation between the Use of the Proton Pump Inhibitor and the Clinical Efficacy of Immune Checkpoint Inhibitors in Non-Small Cell Lung Cancer
Table 4
The subgroup analysis of the correlation between the use of PPI and clinical efficacy of ICIs for progression-free survival.
| Subgroup | No. of studies | PFS hazard ratios (95% CI) | value | Heterogeneity | I2 (%) | value |
| Region | Worldwide | 2 | 1.34 [1.16, 1.55] | <0.001 | 0 | 0.4 | Asia | 1 | 0.91 [0.54, 1.54] | 0.72 | NA | NA | Europe | 2 | 1.36 [1.18, 1.57] | <0.001 | 0 | 0.99 | Oceania | 2 | 1.12 [0.78, 1.60] | 0.54 | 86.00 | 0.008 |
| Age | ≤65 | 2 | 1.23 [0.75, 2.00] | 0.41 | 63.00 | 0.1 | >65 | 2 | 1.36 [1.18, 1.57] | <0.001 | 0 | 0.99 |
| Sample size | ≤300 | 3 | 1.31 [1.00, 1.71] | 0.05 | 25.00 | 0.26 | >300 | 4 | 1.23 [1.04, 1.44] | 0.01 | 71.00 | 0.01 |
| Immunotherapy drug | PD-L1 | 2 | 1.33 [1.19, 1.49] | <0.001 | 0 | 0.69 | PD-1 | 1 | 1.36 [0.89, 2.07] | 0.15 | NA | NA | PD-1, other | 1 | 0.91 [0.54, 1.54] | 0.72 | NA | NA | PD-(L)1 | 3 | 1.17 [0.73, 1.88] | 0.52 | 85.00 | 0.009 |
| PPI exposure | −30 | 1 | 1.51 [1.11, 2.05] | 0.008 | NA | NA | ±30 | 5 | 1.32 [1.20, 1.45] | <0.001 | 0 | 0.71 | ∞ | 1 | 0.93 [0.76, 1.13] | 0.47 | NA | NA |
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PFS, progression-free survival; PD-1, programmed cell death protein-1; PD-L1, programmed cell death ligand 1; HR, hazard ratio; NA, not available.
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