The evolving landscape of stage III unresectable non-small cell lung cancer "between lights and shadows"

被引:0
作者
Delcuratolo, Marco Donatello [1 ,5 ]
Crespi, Veronica [2 ,5 ]
Saba, Giorgio [3 ,4 ,5 ]
Mogavero, Andrea [5 ]
Napoli, Valerio Maria [5 ]
Garbo, Edoardo [5 ]
Cani, Massimiliano [5 ]
Ungaro, Antonio [6 ]
Reale, Maria Lucia [7 ]
Merlini, Alessandra [5 ]
Capelletto, Enrica [5 ]
Bironzo, Paolo [5 ]
Levis, Mario [8 ]
Ricardi, Umberto [8 ]
Novello, Silvia [5 ]
Passiglia, Francesco [5 ]
机构
[1] Fdn IRCCS, Med Oncol Unit, Casa Sollievo Sofferenza, San Giovanni Rotondo, FG, Italy
[2] Asst Sette Laghi, Dept Med Oncol, Varese, Italy
[3] Univ Hosp, Med Oncol Unit, I-09042 Cagliari, Italy
[4] Univ Cagliari, I-09042 Cagliari, Italy
[5] Univ Turin, Dept Oncol, AOU S Luigi Gonzaga, Orbassano, TO, Italy
[6] San Giuseppe Moscati Hosp, Med Oncol Unit, Statte, TA, Italy
[7] Vito Fazzi Hosp, Med Oncol Unit, Lecce, Italy
[8] Univ Turin, Dept Oncol, Radiat Oncol Unit, AOU Citta Salute & Sci, Turin, Italy
关键词
stage III; Locally advanced; Unresectable; Immunotherapy; Non-small cell lung cancer; WORLD TREATMENT PATTERNS; CIRCULATING TUMOR DNA; REAL-WORLD; CONCURRENT CHEMORADIOTHERAPY; CLINICAL-OUTCOMES; PHASE-III; PLUS CHEMOTHERAPY; PROGRESSION-FREE; DURVALUMAB; NSCLC;
D O I
10.1016/j.ctrv.2025.102918
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Despite PACIFIC set a new milestone in the clinical management of unresectable stage III non-small cell lung cancer (NSCLC), it left some critical questions pending for clinical research: the efficacy of durvalumab in the real-world setting; the activity of less intensive regimens for frail populations; the role of targeted therapies in oncogene-addicted tumors; the selection of subsequent strategies at immunotherapy failure; the efficacy of novel and intensified treatments; the role of molecular biomarkers for patients' selection. This review aims to describe the evolving landscape of unresectable stage III NSCLC and provides an updated overview of the available evidence, analyzing lights and shadows emerging from recent clinical trials and discussing the most relevant challenges of post-PACIFIC era.
引用
收藏
页数:11
相关论文
共 104 条
  • [1] Effect of durvalumab on local control after concurrent chemoradiotherapy for locally advanced non-small cell lung cancer in comparison with chemoradiotherapy alone
    Abe, Takanori
    Saito, Satoshi
    Iino, Misaki
    Aoshika, Tomomi
    Ryuno, Yasuhiro
    Ohta, Tomohiro
    Igari, Mitsunobu
    Hirai, Ryuta
    Kumazaki, Yu
    Miura, Yu
    Kaira, Kyoichi
    Kagamu, Hiroshi
    Noda, Shin-ei
    Kato, Shingo
    [J]. THORACIC CANCER, 2021, 12 (02) : 245 - 250
  • [2] Aggarwal C, 2024, J CLIN ONCOL, V42
  • [3] Multi-institutional analysis of aneuploidy and outcomes to chemoradiation and durvalumab in stage III non-small cell lung cancer (vol 11, e007618, 2023)
    Alessi, J., V
    Price, A.
    Richards, A. L.
    [J]. JOURNAL FOR IMMUNOTHERAPY OF CANCER, 2024, 12 (01)
  • [4] Impact of TMB/PD-L1 expression and pneumonitis on chemoradiation and durvalumab response in stage III NSCLC
    Alessi, Joao V. V.
    Ricciuti, Biagio
    Wang, Xinan
    Pecci, Federica
    Di Federico, Alessandro
    Lamberti, Giuseppe
    Elkrief, Arielle
    Rodig, Scott J. J.
    Lebow, Emily S. S.
    Eicholz, Jordan E. E.
    Thor, Maria
    Rimner, Andreas
    Schoenfeld, Adam J. J.
    Chaft, Jamie E. E.
    Johnson, Bruce E. E.
    Gomez, Daniel R. R.
    Awad, Mark M. M.
    Shaverdian, Narek
    [J]. NATURE COMMUNICATIONS, 2023, 14 (01)
  • [5] [Anonymous], ESMO IMM ONC C 2024
  • [6] Overall Survival with Durvalumab after Chemoradiotherapy in Stage III NSCLC
    Antonia, S. J.
    Villegas, A.
    Daniel, D.
    Vicente, D.
    Murakami, S.
    Hui, R.
    Kurata, T.
    Chiappori, A.
    Lee, K. H.
    de Wit, M.
    Cho, B. C.
    Bourhaba, M.
    Quantin, X.
    Tokito, T.
    Mekhail, T.
    Planchard, D.
    Kim, Y. -C.
    Karapetis, C. S.
    Hiret, S.
    Ostoros, G.
    Kubota, K.
    Gray, J. E.
    Paz-Ares, L.
    Carpeno, J. de Castro
    Faivre-Finn, C.
    Reck, M.
    Vansteenkiste, J.
    Spigel, D. R.
    Wadsworth, C.
    Melillo, G.
    Taboada, M.
    Dennis, P. A.
    Ozguroglu, M.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2018, 379 (24) : 2342 - 2350
  • [7] Durvalumab after Chemoradiotherapy in Stage III Non-Small-Cell Lung Cancer
    Antonia, S. J.
    Villegas, A.
    Daniel, D.
    Vicente, D.
    Murakami, S.
    Hui, R.
    Yokoi, T.
    Chiappori, A.
    Lee, K. H.
    de Wit, M.
    Cho, B. C.
    Bourhaba, M.
    Quantin, X.
    Tokito, T.
    Mekhail, T.
    Planchard, D.
    Kim, Y. -C.
    Karapetis, C. S.
    Hiret, S.
    Ostoros, G.
    Kubota, K.
    Gray, J. E.
    Paz-Ares, L.
    de Castro Carpeno, J.
    Wadsworth, C.
    Melillo, G.
    Jiang, H.
    Huang, Y.
    Dennis, P. A.
    Ozguroglu, M.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2017, 377 (20) : 1919 - 1929
  • [8] Durvalumab for Stage III EGFR-Mutated NSCLC After Definitive Chemoradiotherapy
    Aredo, Jacqueline V.
    Mambetsariev, Isa
    Hellyer, Jessica A.
    Amini, Arya
    Neal, Joel W.
    Padda, Sukhmani K.
    McCoach, Caroline E.
    Riess, Jonathan W.
    Cabebe, Elwyn C.
    Naidoo, Jarushka
    Abuali, Tariq
    Salgia, Ravi
    Loo Jr, Billy W.
    Diehn, Maximilian
    Han, Summer S.
    Wakelee, Heather A.
    [J]. JOURNAL OF THORACIC ONCOLOGY, 2021, 16 (06) : 1030 - 1041
  • [9] Concomitant radio-chemotherapy based on platin compounds in patients with locally advanced non-small cell lung cancer (NSCLC):: A meta-analysis of individual data from 1764 patients
    Aupérin, A
    Le Péchoux, C
    Pignon, JP
    Koning, C
    Jeremic, B
    Clamon, G
    Einhorn, L
    Ball, D
    Trovo, MG
    Groen, HJM
    Bonner, JA
    Le Chevalier, T
    Arriagada, R
    [J]. ANNALS OF ONCOLOGY, 2006, 17 (03) : 473 - 483
  • [10] Meta-Analysis of Concomitant Versus Sequential Radiochemotherapy in Locally Advanced Non-Small-Cell Lung Cancer
    Auperin, Anne
    Le Pechoux, Cecile
    Rolland, Estelle
    Curran, Walter J.
    Furuse, Kiyoyuki
    Fournel, Pierre
    Belderbos, Jose
    Clamon, Gerald
    Ulutin, Hakki Cuneyt
    Paulus, Rebecca
    Yamanaka, Takeharu
    Bozonnat, Marie-Cecile
    Uitterhoeve, Apollonia
    Wang, Xiaofei
    Stewart, Lesley
    Arriagada, Rodrigo
    Burdett, Sarah
    Pignon, Jean-Pierre
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2010, 28 (13) : 2181 - 2190