Effects of Angiotensin Receptor-Neprilysin Inhibitors on Lung Cancer Patients with Hypertension Receiving Immune Checkpoint Inhibitor Therapy - Summary - MDSpire
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Effects of Angiotensin Receptor-Neprilysin Inhibitors on Lung Cancer Patients with Hypertension Receiving Immune Checkpoint Inhibitor Therapy

  • By

  • Conghui Shang

  • Hao Wang

  • Jindong Chen

  • Shuhui Cao

  • Yingjia Sun

  • Ziyi Sheng

  • Tianqing Chu

  • Liang Zhao

  • December 27, 2025

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Objective:

To investigate the effect of Angiotensin Receptor-Neprilysin Inhibitors (ARNIs) on lung cancer patients with hypertension undergoing immune checkpoint inhibitor (ICI) therapy, focusing on specific survival benefit metrics and cardiotoxicity reduction.

Key Findings:
  • 39 patients received ARNIs, matched with 114 control patients not receiving ARNIs.
  • The overall population had a mean age of 67.94 years, predominantly male (88.2%), with most diagnosed with NSCLC (92.2%).
  • No significant differences in baseline characteristics or cardiac risk factors between ARNIs and control groups, but specific outcome data should be included.
Interpretation:

ARNIs may provide a potential benefit in managing hypertension and mitigating cardiotoxicity in lung cancer patients receiving ICIs, although the study's findings require further validation, including larger sample sizes and multi-center studies.

Limitations:
  • Single-center study may limit generalizability.
  • Retrospective design may introduce selection bias.
  • Small sample size may affect the robustness of findings.
Conclusion:

ARNIs could be a beneficial adjunct therapy for lung cancer patients with hypertension undergoing ICI treatment, warranting further investigation.

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