Title |
Successes and failures: what did we learn from recent first-line treatment immunotherapy trials in non-small cell lung cancer?
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Published in |
BMC Medicine, March 2017
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DOI | 10.1186/s12916-017-0819-3 |
Pubmed ID | |
Authors |
Jordi Remon, Benjamin Besse, Jean-Charles Soria |
Abstract |
The immune checkpoint inhibitors have significantly modified the therapeutic landscape of advanced non-small cell lung cancer in second-line and, more recently, first-line settings. Because of the superior outcome with pembrolizumab as an upfront strategy, PD-L1 status should now be considered a new reflex biomarker for guiding first-line treatment in patients with advanced non-small cell lung cancer. Improved responses have also been reported with the combination of immune checkpoint inhibitors and chemotherapy as the first-line treatment; however, this strategy has not yet been validated by phase III trial data and its interplay with PD-L1 status still requires clarification.In this manuscript we review the contradictory results of recent phase III trials with immune checkpoint inhibitors in the first-line setting, the potential reasons for discrepancies, and some of the remaining open questions related to the positioning of immune checkpoint inhibitors in the first-line setting of non-small cell lung cancer. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
France | 8 | 18% |
United States | 5 | 11% |
Ireland | 3 | 7% |
Spain | 2 | 4% |
United Kingdom | 2 | 4% |
Canada | 1 | 2% |
India | 1 | 2% |
Singapore | 1 | 2% |
Unknown | 22 | 49% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 26 | 58% |
Scientists | 11 | 24% |
Practitioners (doctors, other healthcare professionals) | 8 | 18% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
France | 1 | <1% |
Unknown | 132 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 27 | 20% |
Student > Bachelor | 18 | 14% |
Other | 13 | 10% |
Student > Master | 13 | 10% |
Student > Ph. D. Student | 10 | 8% |
Other | 22 | 17% |
Unknown | 30 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 45 | 34% |
Agricultural and Biological Sciences | 15 | 11% |
Biochemistry, Genetics and Molecular Biology | 13 | 10% |
Pharmacology, Toxicology and Pharmaceutical Science | 12 | 9% |
Nursing and Health Professions | 4 | 3% |
Other | 8 | 6% |
Unknown | 36 | 27% |