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Letter to the Editor| Volume 153, P265-266, August 2021

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Re: ‘High-intensity statins are associated with improved clinical activity of PD-1 inhibitors in malignant pleural mesothelioma and advanced non-small cell lung cancer patients’

      We carefully read the article by Cantini et al. [
      • Cantini L.
      • Pecci F.
      • Hurkmans D.P.
      • Belderbos R.A.
      • Lanese A.
      • Copparoni C.
      • et al.
      High-intensity statins are associated with improved clinical activity of PD-1 inhibitors in malignant pleural mesothelioma and advanced non-small cell lung cancer patients.
      ]. This is an interesting study that evaluated the association between statin use and clinical outcomes of programmed cell death 1 (PD-1) use using a prospective database. If statins improve clinical outcomes in patients treated with PD-1 inhibitors, treatment strategies for malignant pleural mesothelioma (MPM) and advanced non-small cell lung cancer (aNSCLC) will dramatically change. Furthermore, this study suggests that those who do not take statins may have a worse overall survival after the use of PD-1 inhibitors for both MPM and aNSCLC, highlighting the importance of pre-treatment cardiovascular risk assessment before treatment with PD-1 inhibitors. While interesting and informative, we have some concerns regarding the study design.
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