Combination pembrolizumab plus chemotherapy: a new standard of care for patients with advanced non-small-cell lung cancer

被引:15
作者
Weinberg, Frank [1 ]
Gadgeel, Shirish [1 ]
机构
[1] Univ Michigan, Dept Med, Div Hematol & Oncol, Ann Arbor, MI 48109 USA
关键词
NSCLC; immunotherapy; chemotherapy; clinical trials; PLATINUM-BASED CHEMOTHERAPY; OPEN-LABEL; DOUBLET CHEMOTHERAPY; 1ST-LINE TREATMENT; ADVANCED NSCLC; NIVOLUMAB; ATEZOLIZUMAB; DOCETAXEL; THERAPY; MULTICENTER;
D O I
10.2147/LCTT.S176391
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Until recently, the treatment of patients with advanced non-small-cell lung cancer (NSCLC) whose tumors did not have a targetable genetic alteration was cytotoxic chemotherapy alone. This treatment provided only modest survival benefit. The introduction of immune checkpoint inhibitors targeting programmed cell death 1 protein (PD-1) signaling pathway in the treatment of patients with NSCLC has had significant effect on patient survival. Atezolizumab, nivolumab and pembrolizumab have been shown to be superior to chemotherapy in patients with recurrent NSCLC. Recently, pembrolizumab has been combined with chemotherapy in the front-line setting and has demonstrated an improvement in overall survival in NSCLC patients as compared to chemotherapy alone. In this review we will focus on the clinical trials that led to approval of combination pembrolizumab and chemotherapy as first-line treatment for patients with advanced NSCLC as well as discuss other combinations of immunotherapy and chemotherapy that have also been evaluated.
引用
收藏
页码:47 / 56
页数:10
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