Type 2 & other diabetes

The prognostic significance of diabetes in non-small cell lung cancer patients treated with immune checkpoint inhibitors: A meta-analysis

Diabetes Res Clin PractPublished Systematic review and meta-analysis of non-randomized studies

Pooled result · DeathResult — go to the resultHazard ratio 1.28 95 % CI 1.14–1.44

Authors' conclusion

Diabetes compromises the effectiveness of ICI treatment in patients with NSCLC.

Study context

Population
Patients with non-small-cell lung cancer (NSCLC) treated with immune checkpoint inhibitors (ICIs)10 non-randomized studies
Comparison
Diabetes vs no diabetes in patients with NSCLC receiving ICIs
Outcome
Overall survival (hazard of death)
Methodological detailssubgroup, meta-regression and sensitivity analyses
  • Subgroup, meta-regression and sensitivity analyses

Pooled result

Death

Hazard ratio

1.28

95 % CI 1.14–1.44

P < 0.01

Diabetesvs No diabetes
HR 1.28 (95 % CI 1.14–1.44); P < 0.01

As reported in the abstract

Further pooled results

OutcomeDifference (months) (95 % CI)P value
Median life expectancyShorter with Diabetes6.04 (−10.53 to - 1.54)P = 0.009

PFS HR by proportion of diabetes patients using metformin (meta-regression)

Decrease in HR of PFS per 1 % increase in proportion using metformin
2.2 % (95 % CI = 1.2-3.1 %)

Original publication

The prognostic significance of diabetes in non-small cell lung cancer patients treated with immune checkpoint inhibitors: A meta-analysis. Diabetes Res Clin Pract. Published 12 November 2024. doi:10.1016/j.diabres.2024.111930

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