Department of Radiation Oncology, Gustave Roussy, Villejuif, France.
Medical Oncology Department, Gustave Roussy, Villejuif, France.
Ther Adv Respir Dis. 2019 Jan-Dec;13:1753466619885530. doi: 10.1177/1753466619885530.
Stage III non-small cell lung cancer (NSCLC) has a dismal prognosis, with only 15-20% of patients alive at 5 years after concomitant chemo-radiotherapy, which represents the standard treatment. Targeting immune-checkpoint inhibitors represents a standard option for advanced NSCLC. Improvements in understanding of the immune profile of NSCLC has led to the development of immunotherapeutic strategies, including inhibitory molecules responsible for abrogating an anticancer immune response such as programmed cell-death 1 and programmed cell-death ligand 1. A recently published phase III trial (PACIFIC) showed for the first time an improved overall survival in stage III NSCLC patients with consolidative durvalumab. The aim of this review is to summarize and discuss the clinical evidence for the use of durvalumab in stage III NSCLC, with a brief overview on future perspectives in this setting.
III 期非小细胞肺癌(NSCLC)预后较差,同期放化疗后仅有 15-20%的患者在 5 年内存活,这是标准治疗方法。免疫检查点抑制剂靶向治疗是晚期 NSCLC 的标准选择。对 NSCLC 免疫特征的认识不断提高,导致了免疫治疗策略的发展,包括抑制细胞程序性死亡 1 和程序性死亡配体 1 等负责消除抗肿瘤免疫反应的抑制性分子。最近发表的一项 III 期试验(PACIFIC)首次显示,在 III 期 NSCLC 患者中,使用巩固性 durvalumab 可提高总生存期。本综述旨在总结和讨论 durvalumab 在 III 期 NSCLC 中的临床应用证据,并简要概述该领域的未来展望。