Synergistic prognostic effect of the renin-angiotensin-aldosterone system and immune-checkpoint inhibition in advanced lung cancer: The SPERICIL study.

Journal: International journal of cancer

This retrospective study evaluated the impact of renin-angiotensin-aldosterone system inhibitors (RAASi) on outcomes in 286 patients with advanced lung cancer treated with immune-checkpoint inhibitors (ICIs).

Key points include:

  • 33% of the patients received RAASi concurrently.
  • Patients on RAASi had significantly longer median overall survival (17.47 vs. 10.02 months).
  • They also showed longer progression-free survival (8.31 vs. 3.84 months).

Multivariate analysis identified RAASi use as an independent predictor of improved overall survival, with a strong trend toward improved progression-free survival.

These findings suggest that RAASi may provide a synergistic benefit with ICIs in advanced lung cancer and support the need for prospective clinical trials to confirm this potential therapeutic synergy.

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