Immunotherapy in the First-Line Setting in Wild-Type NSCLC

Treatment algorithms in the treatment of advanced non-small cell lung cancer (NSCLC) continue to evolve as new therapeutics show positive efficacy improvements. This review article summarizes the data for the use of immunotherapy for treatment in first-line stage IV NSCLC, organized by the following...

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Main Authors: Marie-Hélène Denault, Barbara Melosky
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Current Oncology
Subjects:
Online Access:https://www.mdpi.com/1718-7729/28/6/378
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author Marie-Hélène Denault
Barbara Melosky
author_facet Marie-Hélène Denault
Barbara Melosky
author_sort Marie-Hélène Denault
collection DOAJ
description Treatment algorithms in the treatment of advanced non-small cell lung cancer (NSCLC) continue to evolve as new therapeutics show positive efficacy improvements. This review article summarizes the data for the use of immunotherapy for treatment in first-line stage IV NSCLC, organized by the following four sections: single-agent immunotherapy, immunotherapy and chemotherapy, dual immunotherapy, and dual immunotherapy and chemotherapy. The results are summarized and tabulated. Finally, application of the trial data is illustrated in four clinical scenarios depending on the programmed death-ligand 1 (PD-L1) expression levels. Single checkpoint inhibitors have become an easy and excellent treatment in patients whose tumors have high PD-L1 expression. Adding chemotherapy to immunotherapy benefits our patients. Immunotherapy, with or without chemotherapy, is now the standard of care in the first-line setting in patients without EGFR, ALK, or ROS driver mutations.
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spelling doaj.art-81a712c7214a45ba90c8938de6cff35c2023-11-23T07:50:14ZengMDPI AGCurrent Oncology1198-00521718-77292021-11-012864457447010.3390/curroncol28060378Immunotherapy in the First-Line Setting in Wild-Type NSCLCMarie-Hélène Denault0Barbara Melosky1BC Cancer, Vancouver Centre, 600 West 10th Avenue, Vancouver, BC V5Z 4E6, CanadaBC Cancer, Vancouver Centre, 600 West 10th Avenue, Vancouver, BC V5Z 4E6, CanadaTreatment algorithms in the treatment of advanced non-small cell lung cancer (NSCLC) continue to evolve as new therapeutics show positive efficacy improvements. This review article summarizes the data for the use of immunotherapy for treatment in first-line stage IV NSCLC, organized by the following four sections: single-agent immunotherapy, immunotherapy and chemotherapy, dual immunotherapy, and dual immunotherapy and chemotherapy. The results are summarized and tabulated. Finally, application of the trial data is illustrated in four clinical scenarios depending on the programmed death-ligand 1 (PD-L1) expression levels. Single checkpoint inhibitors have become an easy and excellent treatment in patients whose tumors have high PD-L1 expression. Adding chemotherapy to immunotherapy benefits our patients. Immunotherapy, with or without chemotherapy, is now the standard of care in the first-line setting in patients without EGFR, ALK, or ROS driver mutations.https://www.mdpi.com/1718-7729/28/6/378NSCLCPD-L1first-lineimmunotherapynon-small cell lung cancersquamous
spellingShingle Marie-Hélène Denault
Barbara Melosky
Immunotherapy in the First-Line Setting in Wild-Type NSCLC
Current Oncology
NSCLC
PD-L1
first-line
immunotherapy
non-small cell lung cancer
squamous
title Immunotherapy in the First-Line Setting in Wild-Type NSCLC
title_full Immunotherapy in the First-Line Setting in Wild-Type NSCLC
title_fullStr Immunotherapy in the First-Line Setting in Wild-Type NSCLC
title_full_unstemmed Immunotherapy in the First-Line Setting in Wild-Type NSCLC
title_short Immunotherapy in the First-Line Setting in Wild-Type NSCLC
title_sort immunotherapy in the first line setting in wild type nsclc
topic NSCLC
PD-L1
first-line
immunotherapy
non-small cell lung cancer
squamous
url https://www.mdpi.com/1718-7729/28/6/378
work_keys_str_mv AT mariehelenedenault immunotherapyinthefirstlinesettinginwildtypensclc
AT barbaramelosky immunotherapyinthefirstlinesettinginwildtypensclc