Perioperative Immunotherapy for Non-Small Cell Lung Cancer: Practical Application of Emerging Data and New Challenges

被引:8
作者
D'Aiello, Angelica [1 ,6 ]
Stiles, Brendon [2 ]
Ohri, Nitin [3 ]
Levy, Benjamin [4 ]
Cohen, Perry [5 ]
Halmos, Balazs [1 ,6 ]
机构
[1] Albert Einstein Coll Med, Montefiore Einstein Comprehens Canc Ctr, Dept Oncol, Bronx, NY USA
[2] Albert Einstein Coll Med, Montefiore Einstein Comprehens Canc Ctr, Div Thorac Surg & Surg Oncol, Bronx, NY USA
[3] Albert Einstein Coll Med, Montefiore Einstein Comprehens Canc Ctr, Dept Radiat Oncol, Bronx, NY USA
[4] Johns Hopkins Univ, Sidney Kimmel Comprehens Canc Ctr, Sch Med, Baltimore, MD USA
[5] Albert Einstein Coll Med, Montefiore Einstein Comprehens Canc Ctr, Dept Pathol, Div Anat & Clin Pathol, Bronx, NY USA
[6] Montefiore Einstein Comprehens Canc Ctr, Dept Oncol, 1695 Eastchester Rd, Bronx, NY 10461 USA
关键词
Adjuvant; Immunotherapy; Lung cancer; NSCLC; Neoadjuvant; NEOADJUVANT ATEZOLIZUMAB; ADJUVANT CHEMOTHERAPY; RADIATION-THERAPY; PLUS CHEMOTHERAPY; OPEN-LABEL; RADIOTHERAPY; PEMBROLIZUMAB; DURVALUMAB; SURGERY; NSCLC;
D O I
10.1016/j.cllc.2024.02.004
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Immune checkpoint inhibition, with or without chemotherapy, is an established standard of care for metastatic non-small cell lung cancer (NSCLC). For locally advanced NSCLC treated with chemoradiotherapy, consolidation immunotherapy has dramatically improved outcomes. Recently, immunotherapy has also been established as a valuable component of treatment for resectable NSCLC with pembrolizumab, atezolizumab, and nivolumab all approved for use in this setting. As more results read out from ongoing per ioperative clinical tr ials, navigating treatment options will likely become increasingly complex for the practicing oncologist. In this paper, we distill key outcomes from major perioperative trials and highlight current knowledge gaps. In addition, we provide practical considerations for incorporating perioperative immunotherapy into the clinical management of operable NSCLC.
引用
收藏
页码:197 / 214
页数:18
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