Immunotherapy and Vaccination in Surgically Resectable Non-Small Cell Lung Cancer (NSCLC)

Early-stage NSCLC (stages I and II, and some IIIA diseases) accounts for approximately 30% of non-small cell lung cancer (NSCLC) cases, with surgery being its main treatment modality. The risk of disease recurrence and cancer-related death, however, remains high among NSCLC patients after complete s...

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Main Authors: Li-Chung Chiu, Shu-Min Lin, Yu-Lun Lo, Scott Chih-Hsi Kuo, Cheng-Ta Yang, Ping-Chih Hsu
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/9/7/689
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author Li-Chung Chiu
Shu-Min Lin
Yu-Lun Lo
Scott Chih-Hsi Kuo
Cheng-Ta Yang
Ping-Chih Hsu
author_facet Li-Chung Chiu
Shu-Min Lin
Yu-Lun Lo
Scott Chih-Hsi Kuo
Cheng-Ta Yang
Ping-Chih Hsu
author_sort Li-Chung Chiu
collection DOAJ
description Early-stage NSCLC (stages I and II, and some IIIA diseases) accounts for approximately 30% of non-small cell lung cancer (NSCLC) cases, with surgery being its main treatment modality. The risk of disease recurrence and cancer-related death, however, remains high among NSCLC patients after complete surgical resection. In previous studies on the long-term follow-up of post-operative NSCLC, the results showed that the five-year survival rate was about 65% for stage IB and about 35% for stage IIIA diseases. Platinum-based chemotherapy with or without radiation therapy has been used as a neoadjuvant therapy or post-operative adjuvant therapy in NSCLC, but the improvement of survival is limited. Immune checkpoint inhibitors (ICIs) have effectively improved the 5-year survival of advanced NSCLC patients. Cancer vaccination has also been explored and used in the prevention of cancer or reducing disease recurrence in resected NSCLC. Here, we review studies that have focused on the use of immunotherapies (i.e., ICIs and vaccination) in surgically resectable NSCLC. We present the results of completed clinical trials that have used ICIs as neoadjuvant therapies in pre-operative NSCLC. Ongoing clinical trials investigating ICIs as neoadjuvant and adjuvant therapies are also summarized.
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spelling doaj.art-ba6f2ca440c44b9b95b7e1533bc25f462023-11-22T01:22:59ZengMDPI AGVaccines2076-393X2021-06-019768910.3390/vaccines9070689Immunotherapy and Vaccination in Surgically Resectable Non-Small Cell Lung Cancer (NSCLC)Li-Chung Chiu0Shu-Min Lin1Yu-Lun Lo2Scott Chih-Hsi Kuo3Cheng-Ta Yang4Ping-Chih Hsu5Division of Thoracic Medicine, Department of Internal Medicine, College of Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, TaiwanDivision of Thoracic Medicine, Department of Internal Medicine, College of Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, TaiwanDivision of Thoracic Medicine, Department of Internal Medicine, College of Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, TaiwanDivision of Thoracic Medicine, Department of Internal Medicine, College of Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, TaiwanDivision of Thoracic Medicine, Department of Internal Medicine, College of Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, TaiwanDivision of Thoracic Medicine, Department of Internal Medicine, College of Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, TaiwanEarly-stage NSCLC (stages I and II, and some IIIA diseases) accounts for approximately 30% of non-small cell lung cancer (NSCLC) cases, with surgery being its main treatment modality. The risk of disease recurrence and cancer-related death, however, remains high among NSCLC patients after complete surgical resection. In previous studies on the long-term follow-up of post-operative NSCLC, the results showed that the five-year survival rate was about 65% for stage IB and about 35% for stage IIIA diseases. Platinum-based chemotherapy with or without radiation therapy has been used as a neoadjuvant therapy or post-operative adjuvant therapy in NSCLC, but the improvement of survival is limited. Immune checkpoint inhibitors (ICIs) have effectively improved the 5-year survival of advanced NSCLC patients. Cancer vaccination has also been explored and used in the prevention of cancer or reducing disease recurrence in resected NSCLC. Here, we review studies that have focused on the use of immunotherapies (i.e., ICIs and vaccination) in surgically resectable NSCLC. We present the results of completed clinical trials that have used ICIs as neoadjuvant therapies in pre-operative NSCLC. Ongoing clinical trials investigating ICIs as neoadjuvant and adjuvant therapies are also summarized.https://www.mdpi.com/2076-393X/9/7/689immunotherapyprogrammed death-ligand 1 (PD-L1)cytotoxic T-lymphocyte-associated protein 4 (CTLA-4)immune checkpoint inhibitornon-small cell lung cancer (NSCLC)cancer vaccination
spellingShingle Li-Chung Chiu
Shu-Min Lin
Yu-Lun Lo
Scott Chih-Hsi Kuo
Cheng-Ta Yang
Ping-Chih Hsu
Immunotherapy and Vaccination in Surgically Resectable Non-Small Cell Lung Cancer (NSCLC)
Vaccines
immunotherapy
programmed death-ligand 1 (PD-L1)
cytotoxic T-lymphocyte-associated protein 4 (CTLA-4)
immune checkpoint inhibitor
non-small cell lung cancer (NSCLC)
cancer vaccination
title Immunotherapy and Vaccination in Surgically Resectable Non-Small Cell Lung Cancer (NSCLC)
title_full Immunotherapy and Vaccination in Surgically Resectable Non-Small Cell Lung Cancer (NSCLC)
title_fullStr Immunotherapy and Vaccination in Surgically Resectable Non-Small Cell Lung Cancer (NSCLC)
title_full_unstemmed Immunotherapy and Vaccination in Surgically Resectable Non-Small Cell Lung Cancer (NSCLC)
title_short Immunotherapy and Vaccination in Surgically Resectable Non-Small Cell Lung Cancer (NSCLC)
title_sort immunotherapy and vaccination in surgically resectable non small cell lung cancer nsclc
topic immunotherapy
programmed death-ligand 1 (PD-L1)
cytotoxic T-lymphocyte-associated protein 4 (CTLA-4)
immune checkpoint inhibitor
non-small cell lung cancer (NSCLC)
cancer vaccination
url https://www.mdpi.com/2076-393X/9/7/689
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