Neoadjuvant and Adjuvant Immunotherapy in Early-Stage Non-Small-Cell Lung Cancer, Past, Present, and Future

Lung cancer is worldwide the most common malignancy. Standard of care treatments for early-stage non-small-cell lung cancer (NSCLC) include surgery and adjuvant chemotherapy. However, these patients continue to have poor prognosis due to systemic or local relapse. Immunotherapy has been considered a...

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Main Authors: Chun Ho Szeto, Walid Shalata, Alexander Yakobson, Abed Agbarya
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/23/5614
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author Chun Ho Szeto
Walid Shalata
Alexander Yakobson
Abed Agbarya
author_facet Chun Ho Szeto
Walid Shalata
Alexander Yakobson
Abed Agbarya
author_sort Chun Ho Szeto
collection DOAJ
description Lung cancer is worldwide the most common malignancy. Standard of care treatments for early-stage non-small-cell lung cancer (NSCLC) include surgery and adjuvant chemotherapy. However, these patients continue to have poor prognosis due to systemic or local relapse. Immunotherapy has been considered as a novel approach to improve survival in patients with early-stage NSCLC. Since immune checkpoint inhibitors have transformed the treatment of advanced NSCLC, there is a growing interest in the role of immunotherapy in early-stage NSCLC. In this review, we summarize reported and ongoing clinical trials of immunotherapy in both neoadjuvant and adjuvant settings. We also highlight unaddressed issues in this field of research, such as the predictive markers, the optimal combination therapy, and the need for adjuvant immunotherapy. More studies are needed to optimize the treatment regimen of immunotherapy in patients with early-stage NSCLC.
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spelling doaj.art-211c42d8941c4a41879a9654fb5aa29c2023-11-23T02:36:45ZengMDPI AGJournal of Clinical Medicine2077-03832021-11-011023561410.3390/jcm10235614Neoadjuvant and Adjuvant Immunotherapy in Early-Stage Non-Small-Cell Lung Cancer, Past, Present, and FutureChun Ho Szeto0Walid Shalata1Alexander Yakobson2Abed Agbarya3Medical School for International Health, Ben-Gurion University of the Negev, Beer Sheva 84101, IsraelThe Legacy Heritage Oncology Center & Dr. Larry Norton Institute, Soroka Medical Center & Ben-Gurion University, Beer Sheva 84105, IsraelThe Legacy Heritage Oncology Center & Dr. Larry Norton Institute, Soroka Medical Center & Ben-Gurion University, Beer Sheva 84105, IsraelOncology Department, Bnai Zion Medical Centre, Haifa 31048, IsraelLung cancer is worldwide the most common malignancy. Standard of care treatments for early-stage non-small-cell lung cancer (NSCLC) include surgery and adjuvant chemotherapy. However, these patients continue to have poor prognosis due to systemic or local relapse. Immunotherapy has been considered as a novel approach to improve survival in patients with early-stage NSCLC. Since immune checkpoint inhibitors have transformed the treatment of advanced NSCLC, there is a growing interest in the role of immunotherapy in early-stage NSCLC. In this review, we summarize reported and ongoing clinical trials of immunotherapy in both neoadjuvant and adjuvant settings. We also highlight unaddressed issues in this field of research, such as the predictive markers, the optimal combination therapy, and the need for adjuvant immunotherapy. More studies are needed to optimize the treatment regimen of immunotherapy in patients with early-stage NSCLC.https://www.mdpi.com/2077-0383/10/23/5614adjuvantimmune checkpoint inhibitorsimmunotherapyneoadjuvantnon-small-cell lung cancer (NSCLC)
spellingShingle Chun Ho Szeto
Walid Shalata
Alexander Yakobson
Abed Agbarya
Neoadjuvant and Adjuvant Immunotherapy in Early-Stage Non-Small-Cell Lung Cancer, Past, Present, and Future
Journal of Clinical Medicine
adjuvant
immune checkpoint inhibitors
immunotherapy
neoadjuvant
non-small-cell lung cancer (NSCLC)
title Neoadjuvant and Adjuvant Immunotherapy in Early-Stage Non-Small-Cell Lung Cancer, Past, Present, and Future
title_full Neoadjuvant and Adjuvant Immunotherapy in Early-Stage Non-Small-Cell Lung Cancer, Past, Present, and Future
title_fullStr Neoadjuvant and Adjuvant Immunotherapy in Early-Stage Non-Small-Cell Lung Cancer, Past, Present, and Future
title_full_unstemmed Neoadjuvant and Adjuvant Immunotherapy in Early-Stage Non-Small-Cell Lung Cancer, Past, Present, and Future
title_short Neoadjuvant and Adjuvant Immunotherapy in Early-Stage Non-Small-Cell Lung Cancer, Past, Present, and Future
title_sort neoadjuvant and adjuvant immunotherapy in early stage non small cell lung cancer past present and future
topic adjuvant
immune checkpoint inhibitors
immunotherapy
neoadjuvant
non-small-cell lung cancer (NSCLC)
url https://www.mdpi.com/2077-0383/10/23/5614
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AT walidshalata neoadjuvantandadjuvantimmunotherapyinearlystagenonsmallcelllungcancerpastpresentandfuture
AT alexanderyakobson neoadjuvantandadjuvantimmunotherapyinearlystagenonsmallcelllungcancerpastpresentandfuture
AT abedagbarya neoadjuvantandadjuvantimmunotherapyinearlystagenonsmallcelllungcancerpastpresentandfuture