Efficacy, long-term survival and safety of different PD-1 inhibitors plus chemotherapy in recurrent or metastatic nasopharyngeal carcinoma: a systematic review and meta-analysis - Scorecard - MDSpire

Efficacy, long-term survival and safety of different PD-1 inhibitors plus chemotherapy in recurrent or metastatic nasopharyngeal carcinoma: a systematic review and meta-analysis

  • By

  • Wen Sun

  • Yansha Liu

  • Hui Dong

  • Yun Huang

  • June 15, 2026

  • 0 min

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Clinical Scorecard: Comparative Analysis of Efficacy, Long-Term Survival, and Safety of Various PD-1 Inhibitors Combined with Chemotherapy in Recurrent or Metastatic Nasopharyngeal Carcinoma: A Systematic Review and Meta-Analysis

At a Glance

CategoryDetail
Condition
Key MechanismsPD-1 inhibitors combined with chemotherapy (source needed)
Target Population
Care SettingOncology (source needed)

Key Highlights

  • Pooled objective response rate (ORR) was 64%; disease control rate (DCR) was 94%.
  • Toripalimab-based regimens achieved the highest ORR and longest median progression-free survival (PFS) of 21.4 months.
  • Tislelizumab plus chemotherapy yielded the most favorable median overall survival (OS) of 45.3 months.
  • Pooled incidence of grade ≥3 treatment-related adverse events (TRAEs) was 13%.
  • Comparable safety profiles across all PD-1 inhibitors with no unexpected safety signals.

Guideline-Based Recommendations

Diagnosis

    Management

    • PD-1 inhibitors combined with chemotherapy are recommended as the first-line treatment for RM−NPC (source needed).

    Monitoring & Follow-up

      Risks

      • Grade ≥3 treatment-related adverse events (TRAEs) occurred in 13% of patients (source needed).

      Patient & Prescribing Data

      1459 patients included in the meta-analysis.

      Toripalimab, tislelizumab, and camrelizumab demonstrate superior therapeutic effects compared to other agents.

      Clinical Best Practices

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        Original Source(s)

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