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Real-world comparative effectiveness of atezolizumab versus durvalumab for extensive-stage small-cell lung cancer - PubMed

3 hours ago
  • #Small-cell lung cancer
  • #Atezolizumab
  • #Durvalumab
  • Atezolizumab (AEP) and durvalumab (DEP) combined with platinum-etoposide are standard first-line treatments for extensive-stage small-cell lung cancer (ES-SCLC).
  • A multicenter retrospective study of 234 patients showed similar progression-free survival (PFS) and overall survival (OS) between AEP and DEP.
  • Safety profiles were comparable between the two treatment groups.
  • Economic analysis revealed nearly identical quality-adjusted life years (QALYs) but lower total direct medical costs for AEP.
  • Patients with platinum-sensitive relapse had significantly longer OS than those with platinum-refractory relapse after second-line chemotherapy.
  • AEP may be the more cost-minimizing option due to its lower cost with comparable efficacy and safety.