Immune-checkpoint inhibition for resectable non-small-cell lung cancer - opportunities and challenges.


Journal

Nature reviews. Clinical oncology
ISSN: 1759-4782
Titre abrégé: Nat Rev Clin Oncol
Pays: England
ID NLM: 101500077

Informations de publication

Date de publication:
10 2023
Historique:
accepted: 19 06 2023
medline: 22 9 2023
pubmed: 25 7 2023
entrez: 24 7 2023
Statut: ppublish

Résumé

Therapeutic strategies harnessing the immune system to eliminate tumour cells have been successfully used for several cancer types, including in patients with advanced-stage non-small-cell lung cancer (NSCLC). In these patients, immune-checkpoint inhibitors (ICIs) can provide durable responses and improve overall survival either as monotherapy, or combined with chemotherapy or other immunotherapeutic agents. However, the implementation of ICIs in early stage NSCLC has been hampered by the continuous struggle to develop robust end points to assess their efficacy in this setting, especially those enabling a fast and reproducible evaluation of the clinical activity of neoadjuvant strategies. Several trials are testing ICIs, alone or in combination with chemotherapy, in early stage NSCLC as an adjuvant, neoadjuvant or perioperative approach. As a novelty, most trials in the neoadjuvant setting have adopted pathological response as a primary end point. ICIs have been approved for use in the neoadjuvant and adjuvant settings on the basis of event-free survival and disease-free survival benefit, respectively; however, the correlation of these end points with overall survival remains unclear in these settings. Unresolved challenges for the optimal use of ICIs with curative intent include concerns about their applicability in daily clinical practice and about improving patient selection based on predictive biomarkers or assessment of pathological response and minimal residual disease. In this Review, we discuss the rationale, available strategies and current trial landscape for the implementation of ICIs in patients with resectable NSCLC, and we further elaborate on future approaches to optimize their clinical benefit.

Identifiants

pubmed: 37488229
doi: 10.1038/s41571-023-00794-7
pii: 10.1038/s41571-023-00794-7
doi:

Substances chimiques

Immune Checkpoint Inhibitors 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

664-677

Informations de copyright

© 2023. Springer Nature Limited.

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Auteurs

Giannis Mountzios (G)

Fourth Department of Medical Oncology and Clinical Trials Unit, Henry Dunant Hospital Center, Athens, Greece. gmountzios@gmail.com.

Jordi Remon (J)

Department of Cancer Medicine, Gustave Roussy, Villejuif, France.

Lizza E L Hendriks (LEL)

Department of Respiratory Medicine, Maastricht University Medical Centre, GROW School for Oncology and Reproduction, Maastricht, Netherlands.

Rosario García-Campelo (R)

Department of Medical Oncology, Hospital Universitario A Coruña, A Coruña, Spain.

Christian Rolfo (C)

Center for Thoracic Oncology, The Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Paul Van Schil (P)

Department of Thoracic and Vascular Surgery, University Hospital of Antwerp, Antwerp, Belgium.

Patrick M Forde (PM)

Bloomberg~Kimmel Institute for Cancer Immunotherapy, Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD, USA.

Benjamin Besse (B)

Department of Cancer Medicine, Gustave Roussy, Villejuif, France.
Department of Cancer Medicine, Université Paris-Saclay, Orsay, France.

Vivek Subbiah (V)

Department of Cancer Medicine, Sarah Cannon Research Institute, Nashville, TN, USA.

Martin Reck (M)

Department of Thoracic Oncology, Airway Research Center North, German Center of Lung Research, Lung Clinic, Grosshansdorf, Germany.

Jean-Charles Soria (JC)

Department of Cancer Medicine, Université Paris-Saclay, Orsay, France.

Solange Peters (S)

Oncology Department, CHUV, Lausanne University, Lausanne, Switzerland.

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