Immune-checkpoint inhibition in stage III unresectable NSCLC: Challenges and opportunities in the post-PACIFIC era

被引:9
作者
Passiglia, Francesco [1 ,2 ]
Leone, Gianmarco [1 ,2 ]
Olmetto, Emanuela [1 ,2 ]
Delcuratolo, Marco Donatello [1 ,2 ]
Tabbo, Fabrizio [1 ,2 ]
Reale, Maria Lucia [1 ,2 ]
Bertaglia, Valentina [1 ,2 ]
Consito, Lorena [1 ,2 ]
Bironzo, Paolo [1 ,2 ]
Capelletto, Enrica [1 ,2 ]
Novello, Silvia [1 ,2 ]
机构
[1] Univ Turin, S Luigi Gonzaga Hosp, Dept Oncol, Reg Gonzole 10, I-10034 Orbassano, TO, Italy
[2] Univ Turin, AOU San Luigi Gonzaga, Dept Oncol, Orbassano, TO, Italy
关键词
Immune-checkpoint inhibitors; PD-1; PD-L1; Consolidation; Stage III; Non-small cell lung cancer; PHASE-II; PEMBROLIZUMAB PEMBRO; LUNG; DURVALUMAB; CHEMORADIOTHERAPY; RADIOTHERAPY; IMMUNOTHERAPY; ATEZOLIZUMAB; CHEMOTHERAPY; THERAPY;
D O I
10.1016/j.lungcan.2021.05.009
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The PACIFIC trial marked a new era in the treatment of stage III unresectable NSCLC, establishing durvalumab consolidation as new standard of care worldwide, with about 14 % increase of long-term survival and half of the patients alive at 4 years. A series of intensified immune-checkpoint inhibition regimens are currently under investigation in clinical trials in order to optimize the therapeutic benefit obtained in this population, while the identification of personalized approaches as well as the development of effective treatments in the postdurvalumab progression setting represent an actual and controversial topic for clinical lung cancer research. This review describes the current real-word treatment scenario for stage III unresectable NSCLC in Italy, and provides an updated overview of the upcoming therapeutic strategies under clinical investigation, discussing the most relevant challenges and opportunities featuring the post-PACIFIC era.
引用
收藏
页码:85 / 91
页数:7
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