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2024 World Conference on Lung Cancer (WCLC) - ePos ...
EP.07C.11 Adjuvant Immunotherapy for Patients with ...
EP.07C.11 Adjuvant Immunotherapy for Patients with Resectable NSCLC after Pathologic Complete Response
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This study investigates the efficacy of adjuvant immunotherapy in patients with resectable non-small cell lung cancer (NSCLC) who achieved a pathologic complete response (pCR) following neoadjuvant immunochemotherapy. Conducted at Xiangya Hospital, Central South University, China, the research evaluated patients with stage IB-IIIB NSCLC who, after achieving pCR, either received adjuvant immunotherapy for one year or did not receive further treatment.<br /><br />The study involved 63 patients, categorized into two groups: 36 patients received adjuvant immunotherapy, while 27 did not. Their primary outcome was disease-free survival (DFS). Over a median follow-up period of 24 to 25.5 months, results indicated that two patients (5.6%) in the adjuvant group experienced recurrence, compared to one patient (3.7%) in the non-adjuvant group. The DFS survival curves for both groups largely overlapped, showing no significant difference in outcomes (P=0.6325). Additionally, no severe treatment-related adverse events were reported in the adjuvant group.<br /><br />The preliminary findings suggest that, within the 24-month follow-up period, adjuvant immunotherapy did not substantially enhance DFS in patients who attained pCR post-neoadjuvant therapy. The study concludes that a longer follow-up period may be necessary to accurately compare DFS benefits between the groups.<br /><br />These findings add to the ongoing debate on the utility of adjuvant immunotherapy for patients with resected NSCLC who achieve pCR, indicating that further research with extended follow-up is necessary to determine its true benefit.
Asset Subtitle
Min Li
Meta Tag
Speaker
Min Li
Topic
Early-Stage Non-small Cell Lung Cancer
Keywords
adjuvant immunotherapy
non-small cell lung cancer
NSCLC
pathologic complete response
neoadjuvant immunochemotherapy
disease-free survival
DFS
Xiangya Hospital
treatment outcomes
cancer recurrence
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