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

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
Angelica D'Aiello , Brendon Stiles , Nitin Ohri , Benjamin Levy , Perry Cohen , Balazs Halmos
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引用次数: 0

Abstract

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 perioperative clinical trials, 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.

非小细胞肺癌围手术期免疫疗法:新兴数据的实际应用与新挑战
免疫检查点抑制与化疗或不化疗是治疗转移性非小细胞肺癌(NSCLC)的既定标准。对于接受放化疗的局部晚期非小细胞肺癌患者,巩固免疫疗法可显著改善疗效。最近,免疫疗法也被确定为治疗可切除 NSCLC 的重要组成部分,pembrolizumab、atezolizumab 和 nivolumab 都已获准用于这种治疗。随着正在进行的围手术期临床试验取得更多成果,对于肿瘤医生来说,治疗方案的选择可能会变得越来越复杂。在本文中,我们提炼了主要围手术期试验的关键结果,并强调了当前的知识差距。此外,我们还提供了将围手术期免疫疗法纳入可手术 NSCLC 临床治疗的实用注意事项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
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