Consolidation systemic treatment after radiochemotherapy for unresectable stage III non-small cell lung cancer.

Abstract:

:The majority of stage III NSCLC patients managed with a combination of radiotherapy and chemotherapy will develop a locoregional or distant relapse. Concomitant radiochemotherapy allows for improved local control but has no impact on extrathoracic recurrences. To ameliorate this inefficiency the concept of consolidation treatment has been put forward, whereby systemically active doses of chemotherapy, targeted therapy or immune therapy are administered after completion of radiochemotherapy. Randomized trials failed to provide support for consolidation chemotherapy or anti-EGFR therapies. Recently durvalumab, an anti-PD-L1 checkpoint inhibitor, administered as consolidation treatment, was shown to substantially improve progression-free survival. This article critically reviews major studies addressing the role of consolidation systemic therapies following definitive concurrent radiochemotherapy and discusses prospects for future research.

journal_name

Cancer Treat Rev

journal_title

Cancer treatment reviews

authors

Skrzypski M,Jassem J

doi

10.1016/j.ctrv.2018.04.001

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

114-121

eissn

0305-7372

issn

1532-1967

pii

S0305-7372(18)30034-3

journal_volume

66

pub_type

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