The earlier, the better? A review of neoadjuvant immunotherapy in resectable non‐small‐cell lung cancer

Abstract Immune checkpoint inhibitors (ICIs) have revolutionized the approach to advanced and locally advanced non‐small‐cell lung cancer (NSCLC). Antibodies blocking inhibitory immune checkpoints, such as programmed death 1 (PD‐1) and its ligand (PD‐L1), have remarkable antitumor efficacy and have...

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Main Authors: Fajiu Li, Ying Chen, Juanjuan Wu, Chenghong Li, Shi Chen, Ziyang Zhu, Wei Qin, Min Liu, Bingzhu Hu, Shuang Liu, Wenzhao Zhong
Format: Article
Language:English
Published: Wiley 2022-06-01
Series:Chronic Diseases and Translational Medicine
Subjects:
Online Access:https://doi.org/10.1002/cdt3.19
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author Fajiu Li
Ying Chen
Juanjuan Wu
Chenghong Li
Shi Chen
Ziyang Zhu
Wei Qin
Min Liu
Bingzhu Hu
Shuang Liu
Wenzhao Zhong
author_facet Fajiu Li
Ying Chen
Juanjuan Wu
Chenghong Li
Shi Chen
Ziyang Zhu
Wei Qin
Min Liu
Bingzhu Hu
Shuang Liu
Wenzhao Zhong
author_sort Fajiu Li
collection DOAJ
description Abstract Immune checkpoint inhibitors (ICIs) have revolutionized the approach to advanced and locally advanced non‐small‐cell lung cancer (NSCLC). Antibodies blocking inhibitory immune checkpoints, such as programmed death 1 (PD‐1) and its ligand (PD‐L1), have remarkable antitumor efficacy and have been approved as a standard first‐ or second‐line treatment in non‐oncogene‐addicted advanced NSCLC. The successful application of immunotherapy in advanced lung cancer has motivated researchers to further evaluate its clinical role as a neoadjuvant setting for resectable NSCLC and for improved long‐term overall survival and curative rates. In this review, we discuss the efforts that incorporate ICIs into the treatment paradigm for surgically resectable lung cancer. We reviewed the early‐phase results from neoadjuvant clinical trials, the landscape of the majority of ongoing phase III trials, and discuss the prospects of ICIs as a curative therapy for resectable lung cancer. We also summarized the potential biomarkers and beneficiaries involved in the current study, as well as the remaining unresolved challenges for neoadjuvant immunotherapy.
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spelling doaj.art-99580d1e6dba48c09b62e6fc5eeafb2d2023-04-25T08:06:27ZengWileyChronic Diseases and Translational Medicine2589-05142022-06-018210011110.1002/cdt3.19The earlier, the better? A review of neoadjuvant immunotherapy in resectable non‐small‐cell lung cancerFajiu Li0Ying Chen1Juanjuan Wu2Chenghong Li3Shi Chen4Ziyang Zhu5Wei Qin6Min Liu7Bingzhu Hu8Shuang Liu9Wenzhao Zhong10Department of Pulmonary and Critical Care Medicine Affiliated Hospital of Jianghan University Wuhan Hubei ChinaDepartment of Pulmonary and Critical Care Medicine Affiliated Hospital of Jianghan University Wuhan Hubei ChinaDepartment of Pulmonary and Critical Care Medicine Affiliated Hospital of Jianghan University Wuhan Hubei ChinaDepartment of Pulmonary and Critical Care Medicine Affiliated Hospital of Jianghan University Wuhan Hubei ChinaDepartment of Pulmonary and Critical Care Medicine Affiliated Hospital of Jianghan University Wuhan Hubei ChinaDepartment of Pulmonary and Critical Care Medicine Affiliated Hospital of Jianghan University Wuhan Hubei ChinaDepartment of Pulmonary and Critical Care Medicine Affiliated Hospital of Jianghan University Wuhan Hubei ChinaDepartment of Pulmonary and Critical Care Medicine Affiliated Hospital of Jianghan University Wuhan Hubei ChinaDepartment of Pulmonary and Critical Care Medicine Affiliated Hospital of Jianghan University Wuhan Hubei ChinaDepartment of Pulmonary and Critical Care Medicine Affiliated Hospital of Jianghan University Wuhan Hubei ChinaGuangdong Provincial Key Laboratory of Translational Medicine in Lung Cancer, Guangdong Lung Cancer Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences Guangzhou Guangdong ChinaAbstract Immune checkpoint inhibitors (ICIs) have revolutionized the approach to advanced and locally advanced non‐small‐cell lung cancer (NSCLC). Antibodies blocking inhibitory immune checkpoints, such as programmed death 1 (PD‐1) and its ligand (PD‐L1), have remarkable antitumor efficacy and have been approved as a standard first‐ or second‐line treatment in non‐oncogene‐addicted advanced NSCLC. The successful application of immunotherapy in advanced lung cancer has motivated researchers to further evaluate its clinical role as a neoadjuvant setting for resectable NSCLC and for improved long‐term overall survival and curative rates. In this review, we discuss the efforts that incorporate ICIs into the treatment paradigm for surgically resectable lung cancer. We reviewed the early‐phase results from neoadjuvant clinical trials, the landscape of the majority of ongoing phase III trials, and discuss the prospects of ICIs as a curative therapy for resectable lung cancer. We also summarized the potential biomarkers and beneficiaries involved in the current study, as well as the remaining unresolved challenges for neoadjuvant immunotherapy.https://doi.org/10.1002/cdt3.19immune checkpoint inhibitorsneoadjuvant treatmentnon‐small‐cell lung cancer
spellingShingle Fajiu Li
Ying Chen
Juanjuan Wu
Chenghong Li
Shi Chen
Ziyang Zhu
Wei Qin
Min Liu
Bingzhu Hu
Shuang Liu
Wenzhao Zhong
The earlier, the better? A review of neoadjuvant immunotherapy in resectable non‐small‐cell lung cancer
Chronic Diseases and Translational Medicine
immune checkpoint inhibitors
neoadjuvant treatment
non‐small‐cell lung cancer
title The earlier, the better? A review of neoadjuvant immunotherapy in resectable non‐small‐cell lung cancer
title_full The earlier, the better? A review of neoadjuvant immunotherapy in resectable non‐small‐cell lung cancer
title_fullStr The earlier, the better? A review of neoadjuvant immunotherapy in resectable non‐small‐cell lung cancer
title_full_unstemmed The earlier, the better? A review of neoadjuvant immunotherapy in resectable non‐small‐cell lung cancer
title_short The earlier, the better? A review of neoadjuvant immunotherapy in resectable non‐small‐cell lung cancer
title_sort earlier the better a review of neoadjuvant immunotherapy in resectable non small cell lung cancer
topic immune checkpoint inhibitors
neoadjuvant treatment
non‐small‐cell lung cancer
url https://doi.org/10.1002/cdt3.19
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