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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

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

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

Original languageEnglish
Pages (from-to)927-944
Number of pages18
JournalImmunotherapy
Volume14
Issue number12
Publication statusE-pub ahead of print - 13 Jul 2022
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 35822656

Keywords

Sustainable Development Goals

Keywords

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

Library keywords