Effectiveness of durvalumab consolidation in stage III non-small-cell lung cancer: focus on treatment selection and prognostic factors

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Maja Guberina - , Universität Duisburg-Essen (Autor:in)
  • Nika Guberina - , Universität Duisburg-Essen (Autor:in)
  • Christoph Pöttgen - , Universität Duisburg-Essen (Autor:in)
  • Thomas Gauler - , Universität Duisburg-Essen (Autor:in)
  • Cedric Richlitzki - , Universität Duisburg-Essen (Autor:in)
  • Martin Metzenmacher - , Universität Duisburg-Essen (Autor:in)
  • Marcel Wiesweg - , Universität Duisburg-Essen (Autor:in)
  • Till Plönes - , Universität Duisburg-Essen (Autor:in)
  • Michael Forsting - , Universität Duisburg-Essen (Autor:in)
  • Axel Wetter - , Universität Duisburg-Essen (Autor:in)
  • Ken Herrmann - , Universität Duisburg-Essen (Autor:in)
  • Hubertus Hautzel - , Universität Duisburg-Essen (Autor:in)
  • Kaid Darwiche - , Universität Duisburg-Essen (Autor:in)
  • Dirk Theegarten - , Universität Duisburg-Essen (Autor:in)
  • Clemens Aigner - , Universität Duisburg-Essen (Autor:in)
  • Martin Schuler - , Universität Duisburg-Essen (Autor:in)
  • Martin Stuschke - , Universität Duisburg-Essen (Autor:in)
  • Wilfried E.E. Eberhardt - , Universität Duisburg-Essen (Autor:in)

Abstract

The pivotal PACIFIC trial defined durvalumab consolidation as the new standard of care in patients with stage III non-small-cell lung cancer treated with definitive radiochemotherapy. The authors characterized the durvalumab effect after induction chemotherapy according to the ESPATUE trial and definitive radiochemotherapy. All consecutive patients with stage III non-small-cell lung cancer receiving definitive radiochemotherapy between January 2017 and February 2020 were included. Primary end points were progression-free survival and overall survival. Altogether, 160 patients (75 PD-L1-positive, 62 PD-L1-negative, 23 unknown) received definitive radiochemotherapy, 146 (91%) of whom received prior induction chemotherapy. Durvalumab consolidation showed high effectiveness overall and in the good-risk group according to the PACIFIC trial (log-rank test: p < 0.005). Hazard ratios for progression-free survival and overall survival were at the lower limits of those in the PACIFIC trial. These results were robust to adjustment for potential confounders by propensity score weighting. Eastern Cooperative Oncology Group (ECOG) performance status was the most important pretreatment prognostic factor.

Details

OriginalspracheEnglisch
Seiten (von - bis)927-944
Seitenumfang18
FachzeitschriftImmunotherapy
Jahrgang14
Ausgabenummer12
PublikationsstatusElektronische Veröffentlichung vor Drucklegung - 13 Juli 2022
Peer-Review-StatusJa
Extern publiziertJa

Externe IDs

PubMed 35822656

Schlagworte

Ziele für nachhaltige Entwicklung

Schlagwörter

  • cisplatin, durvalumab, ESPATUE trial, immunotherapy, induction chemotherapy, non-small-cell lung cancer, PACIFIC trial, PD-L1, radiochemotherapy, stage III

Bibliotheksschlagworte