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  1. Article ; Online: Safety Monitoring Activity During EGFR or Anaplastic Lymphoma Kinase Inhibitor Therapy for Patients With Lung Cancer.

    Singh, Avani M / Rubiera-Pebe, Rafael / Ahmad, Yaser / Shafique, Michael / Hicks, J Kevin / Tanvetyanon, Tawee

    JCO oncology practice

    2023  Volume 19, Issue 6, Page(s) 345–351

    Abstract: Epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitors (TKIs) are highly effective for treatment ... ...

    Abstract Epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitors (TKIs) are highly effective for treatment of
    MeSH term(s) Humans ; Anaplastic Lymphoma Kinase/therapeutic use ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Retrospective Studies ; Lung Neoplasms/drug therapy ; Protein Kinase Inhibitors/pharmacology ; Protein Kinase Inhibitors/therapeutic use ; ErbB Receptors/therapeutic use ; Lactams, Macrocyclic/adverse effects
    Chemical Substances lorlatinib (OSP71S83EU) ; Anaplastic Lymphoma Kinase (EC 2.7.10.1) ; Protein Kinase Inhibitors ; ErbB Receptors (EC 2.7.10.1) ; Lactams, Macrocyclic ; EGFR protein, human (EC 2.7.10.1)
    Language English
    Publishing date 2023-04-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3028198-2
    ISSN 2688-1535 ; 2688-1527
    ISSN (online) 2688-1535
    ISSN 2688-1527
    DOI 10.1200/OP.22.00787
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Enhanced Efficacy of Chemotherapy by Addition of Immune Checkpoint Inhibitors in Stage IV Large Cell Neuroendocrine Carcinoma of the Lung: A Real-World Analysis.

    Meng, Lingbin / Cao, Biwei / Ji, Rui / Chen, Dung-Tsa / Laber, Damian A / Shafique, Michael

    Journal of Cancer

    2023  Volume 14, Issue 17, Page(s) 3169–3175

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2023-09-25
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2573318-7
    ISSN 1837-9664
    ISSN 1837-9664
    DOI 10.7150/jca.87052
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Durvalumab: a potential maintenance therapy in surgery-ineligible non-small-cell lung cancer.

    Shafique, Michael R / Robinson, Lary A / Antonia, Scott

    Cancer management and research

    2018  Volume 10, Page(s) 931–940

    Abstract: Lung cancer is the most common cancer worldwide and the most common cause of cancer-related death. Non-small-cell lung cancer comprises ~87% of newly diagnosed cases of lung cancer, and nearly one-third of these patients have stage III disease. Despite ... ...

    Abstract Lung cancer is the most common cancer worldwide and the most common cause of cancer-related death. Non-small-cell lung cancer comprises ~87% of newly diagnosed cases of lung cancer, and nearly one-third of these patients have stage III disease. Despite improvements in the treatment of stage IV lung cancer, particularly with the introduction and dissemination of checkpoint inhibitors, very little progress has been made in the treatment of stage III lung cancer. In this article, we discuss the general staging criteria and treatment options for stage III lung cancer. We review how concurrent radiation and chemotherapy can have immunomodulatory effects, supporting the rationale for incorporating immunotherapy into existing treatment paradigms. Finally, we discuss the results of the PACIFIC trial and implications for the treatment of stage III lung cancer. In the PACIFIC trial, adding durvalumab as a maintenance therapy following the completion of chemoradiotherapy improved progression-free survival in patients with locally advanced unresectable stage III lung cancer. On the strength of these results, durvalumab has been approved by the US Food and Drug Administration for use in this setting, representing the first advance in the treatment of stage III lung cancer in nearly a decade.
    Language English
    Publishing date 2018-05-01
    Publishing country New Zealand
    Document type Journal Article ; Review
    ZDB-ID 2508013-1
    ISSN 1179-1322
    ISSN 1179-1322
    DOI 10.2147/CMAR.S148009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Treatment of the Pregnant Patient with Breast Cancer.

    Shafique, Michael R / Lee, Marie Catherine / Han, Hyo Sook

    Southern medical journal

    2017  Volume 110, Issue 10, Page(s) 627–631

    Abstract: Pregnancy-associated breast cancer is defined as invasive breast cancer diagnosed during gestation, within 1 year postpartum, or during lactation. Of particular interest is the treatment of invasive breast cancer during gestation; standard treatment ... ...

    Abstract Pregnancy-associated breast cancer is defined as invasive breast cancer diagnosed during gestation, within 1 year postpartum, or during lactation. Of particular interest is the treatment of invasive breast cancer during gestation; standard treatment protocols must take into account the health of the fetus. This article reviews the literature and emerging data regarding the treatment of pregnancy-associated breast cancer. Existing staging and treatment practices need slight modification in the setting of pregnancy. The timing of surgery and the administration of cytotoxic chemotherapy must take into account age of gestation, but these modalities are safe in pregnancy.
    MeSH term(s) Antineoplastic Agents/therapeutic use ; Breast Neoplasms/pathology ; Breast Neoplasms/therapy ; Chemotherapy, Adjuvant/methods ; Female ; Gestational Age ; Humans ; Lactation ; Mastectomy/methods ; Neoadjuvant Therapy/methods ; Neoplasm Staging ; Postpartum Period ; Pregnancy ; Pregnancy Complications, Neoplastic/pathology ; Pregnancy Complications, Neoplastic/therapy
    Chemical Substances Antineoplastic Agents
    Language English
    Publishing date 2017-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 185329-6
    ISSN 1541-8243 ; 0038-4348
    ISSN (online) 1541-8243
    ISSN 0038-4348
    DOI 10.14423/SMJ.0000000000000702
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A phase I/IB trial of binimetinib in combination with erlotinib in NSCLC harboring activating KRAS or EGFR mutations.

    Saltos, Andreas N / Creelan, Ben C / Tanvetyanon, Tawee / Chiappori, Alberto A / Antonia, Scott J / Shafique, Michael R / Ugrenovic-Petrovic, Milijana / Sansil, Samer / Neuger, Anthony / Ozakinci, Hilal / Boyle, Theresa A / Kim, Jongphil / Haura, Eric B / Gray, Jhanelle E

    Lung cancer (Amsterdam, Netherlands)

    2023  Volume 183, Page(s) 107313

    Abstract: Background: Activating mutations in EGFR or KRAS are highly prevalent in NSCLC, share activation of the MAPK pathway and may be amenable to combination therapy to prevent negative feedback activation.: Methods: In this phase 1/1B trial, we tested the ...

    Abstract Background: Activating mutations in EGFR or KRAS are highly prevalent in NSCLC, share activation of the MAPK pathway and may be amenable to combination therapy to prevent negative feedback activation.
    Methods: In this phase 1/1B trial, we tested the combination of binimetinib and erlotinib in patients with advanced NSCLC with at least 1 prior line of treatment (unless with activating EGFR mutation which could be treatment-naïve). A subsequent phase 1B expansion accrued patients with either EGFR- or KRAS-mutation using the recommended phase 2 dose (RP2D) from Phase 1. The primary objective was to evaluate the safety of binimetinib plus erlotinib and establish the RP2D.
    Results: 43 patients enrolled (dose-escalation = 23; expansion = 20). 17 harbored EGFR mutation and 22 had KRAS mutation. The RP2D was erlotinib 100 mg daily and binimetinib 15 mg BID × 5 days/week. Common AEs across all doses included diarrhea (69.8%), rash (44.2%), fatigue (32.6%), and nausea (32.6%), and were primarily grade 1/2. Among KRAS mutant patients, 1 (5%) had confirmed partial response and 8 (36%) achieved stable disease as best overall response. Among EGFR mutant patients, 9 were TKI-naïve with 8 (89%) having partial response, and 8 were TKI-pretreated with no partial responses and 1 (13%) stable disease as best overall response.
    Conclusions: Binimetinib plus erlotinib demonstrated a manageable safety profile and modest efficacy including one confirmed objective response in a KRAS mutant patient. While clinical utility of this specific combination was limited, these results support development of combinations using novel small molecule inhibitors of RAS, selective EGFR- and other MAPK pathway inhibitors, many of which have improved therapeutic indices.
    Clinical trial registration: NCT01859026.
    MeSH term(s) Humans ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Carcinoma, Non-Small-Cell Lung/genetics ; ErbB Receptors/genetics ; Erlotinib Hydrochloride/therapeutic use ; Lung Neoplasms/drug therapy ; Lung Neoplasms/genetics ; Mutation ; Protein Kinase Inhibitors/adverse effects ; Proto-Oncogene Proteins p21(ras)/genetics
    Chemical Substances binimetinib (181R97MR71) ; EGFR protein, human (EC 2.7.10.1) ; ErbB Receptors (EC 2.7.10.1) ; Erlotinib Hydrochloride (DA87705X9K) ; KRAS protein, human ; Protein Kinase Inhibitors ; Proto-Oncogene Proteins p21(ras) (EC 3.6.5.2)
    Language English
    Publishing date 2023-07-22
    Publishing country Ireland
    Document type Clinical Trial, Phase I ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632771-0
    ISSN 1872-8332 ; 0169-5002
    ISSN (online) 1872-8332
    ISSN 0169-5002
    DOI 10.1016/j.lungcan.2023.107313
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Osimertinib

    Gilardone, Sophia / Thapa, Ram / Laborde, José / Shafique, Michael / Saltos, Andreas / Creelan, Ben / Tanvetyanon, Tawee / Chiappori, Alberto / Simon, George / Haura, Eric B / Gray, Jhanelle E / Chen, Dung-Tsa / Melzer, Daniel / Pellini, Bruna

    Journal of thoracic disease

    2023  Volume 15, Issue 11, Page(s) 6115–6125

    Abstract: Background: The optimal treatment sequencing for patients with metastatic epidermal growth factor receptor (: Methods: This retrospective, single-institution study examined 86 patients with metastatic : Results: There was no difference in the PFS ( ...

    Abstract Background: The optimal treatment sequencing for patients with metastatic epidermal growth factor receptor (
    Methods: This retrospective, single-institution study examined 86 patients with metastatic
    Results: There was no difference in the PFS (median: 27.9
    Conclusions: In this real-world retrospective study, there were no differences in PFS or OS between patients treated with afatinib or osimertinib in the first-line setting. These findings should be further investigated in larger prospective studies.
    Language English
    Publishing date 2023-11-08
    Publishing country China
    Document type Journal Article
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd-23-686
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Dose-Limiting Pulmonary Toxicity in a Phase 1/2 Study of Radiation and Chemotherapy with Ipilimumab Followed by Nivolumab for Patients With Stage 3 Unresectable Non-Small Cell Lung Cancer.

    Liveringhouse, Casey L / Latifi, Kujtim / Asous, Amalin G / Lam, Nghi B / Rosenberg, Stephen A / Dilling, Thomas J / MacMillan, Gretchen V / Chiappori, Alberto A / Haura, Eric B / Creelan, Ben / Gray, Jhanelle E / Tanvetyanon, Tawee / Shafique, Michael R / Saltos, Andreas N / Weiner, Ashley A / Clarke, Jeffrey / Kelsey, Christopher R / Kim, Sungjune / Caudell, James J /
    Rose, Trevor A / Conejo-Garcia, Jose R / Li, Jiannong / Schell, Michael J / Antonia, Scott J / Perez, Bradford A

    International journal of radiation oncology, biology, physics

    2023  Volume 116, Issue 4, Page(s) 837–848

    Abstract: Purpose: We hypothesized that concurrent ipilimumab with chemoradiationtherapy (chemoRT) followed by maintenance nivolumab would be safe for patients with unresectable stage III non-small cell lung cancer (NSCLC). We aimed to assess the safety (phase 1) ...

    Abstract Purpose: We hypothesized that concurrent ipilimumab with chemoradiationtherapy (chemoRT) followed by maintenance nivolumab would be safe for patients with unresectable stage III non-small cell lung cancer (NSCLC). We aimed to assess the safety (phase 1) and the 12-month progression-free survival (PFS) (phase 2) in a multi-institution prospective trial.
    Methods and materials: Eligible patients had unresectable stage III NSCLC. The treatment included platinum doublet chemotherapy with concurrent thoracic radiation therapy to 60 Gy in 30 fractions and ipilimumab (1 mg/kg) delivered during weeks 1 and 4. After chemoRT, maintenance nivolumab (480 mg) was given every 4 weeks for up to 12 cycles. Adverse events (AEs) were assessed according to the Common Terminology Criteria for Adverse Events, version 5.0. Survival analyses were performed with Kaplan Meier (KM) methods and log-rank tests.
    Results: The trial was discontinued early after enrolling 19 patients without proceeding to the phase 2 component because of unacceptable toxicity. Sixteen patients (84%) had grade ≥3 (G3+) possible treatment-related toxicity, most commonly pulmonary AEs (n = 8, 42%). Fourteen patients (74%) discontinued study therapy early because of AEs (n = 12, 63%) or patient choice (n = 2, 11%). Eleven patients (58%) experienced G2+ pulmonary toxicity with median time to onset 4.1 months (95% CI 2.6-not reached [NR]), and 12-month freedom from G2+ pulmonary toxicity 37% (95% CI, 16-59). Five patients had G5 AEs, including 3 with G5 pulmonary AEs (1 respiratory failure with pneumonitis and pulmonary embolism, 1 pneumonia/chronic obstructive pulmonary disease exacerbation, 1 pulmonary fibrosis). Despite toxicities, the median PFS was 19.2 months (95% CI 6.1-NR) and the median overall survival was NR (95% CI 6.1-NR) with median follow-up of 30.1 months by the reverse KM method.
    Conclusions: Concurrent ipilimumab with chemoRT for unresectable stage III NSCLC is associated with pulmonary toxicity that may limit opportunities for improved outcomes. Future studies aiming to incorporate ipilimumab or other anti-CTLA4 therapies into management of unresectable stage III NSCLC should consider careful measures to minimize toxicity risk.
    MeSH term(s) Humans ; Nivolumab/adverse effects ; Ipilimumab/therapeutic use ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Melanoma/pathology ; Prospective Studies ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Neoplasm Staging ; Lung Neoplasms/drug therapy
    Chemical Substances Nivolumab (31YO63LBSN) ; Ipilimumab
    Language English
    Publishing date 2023-01-17
    Publishing country United States
    Document type Clinical Trial, Phase II ; Clinical Trial, Phase I ; Journal Article
    ZDB-ID 197614-x
    ISSN 1879-355X ; 0360-3016
    ISSN (online) 1879-355X
    ISSN 0360-3016
    DOI 10.1016/j.ijrobp.2023.01.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Europe PMC in 2023.

    Rosonovski, Summer / Levchenko, Maria / Bhatnagar, Rajat / Chandrasekaran, Umamageswari / Faulk, Lynne / Hassan, Islam / Jeffryes, Matt / Mubashar, Syed Irtaza / Nassar, Maaly / Jayaprabha Palanisamy, Madhumiethaa / Parkin, Michael / Poluru, Jagadeeswararao / Rogers, Frances / Saha, Shyamasree / Selim, Mohamed / Shafique, Zunaira / Ide-Smith, Michele / Stephenson, David / Tirunagari, Santosh /
    Venkatesan, Aravind / Xing, Lijun / Harrison, Melissa

    Nucleic acids research

    2023  Volume 52, Issue D1, Page(s) D1668–D1676

    Abstract: Europe PMC (https://europepmc.org/) is an open access database of life science journal articles and preprints, which contains over 42 million abstracts and over 9 million full text articles accessible via the website, APIs and bulk download. This ... ...

    Abstract Europe PMC (https://europepmc.org/) is an open access database of life science journal articles and preprints, which contains over 42 million abstracts and over 9 million full text articles accessible via the website, APIs and bulk download. This publication outlines new developments to the Europe PMC platform since the last database update in 2020 (1) and focuses on five main areas. (i) Improving discoverability, reproducibility and trust in preprints by indexing new preprint content, enriching preprint metadata and identifying withdrawn and removed preprints. (ii) Enhancing support for text and data mining by expanding the types of annotations provided and developing the Europe PMC Annotations Corpus, which can be used to train machine learning models to increase their accuracy and precision. (iii) Developing the Article Status Monitor tool and email alerts, to notify users about new articles and updates to existing records. (iv) Positioning Europe PMC as an open scholarly infrastructure through increasing the portion of open source core software, improving sustainability and accessibility of the service.
    MeSH term(s) Biological Science Disciplines ; Data Mining ; Europe ; Software ; Databases, Bibliographic/standards ; Internet
    Language English
    Publishing date 2023-11-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 186809-3
    ISSN 1362-4962 ; 1362-4954 ; 0301-5610 ; 0305-1048
    ISSN (online) 1362-4962 ; 1362-4954
    ISSN 0301-5610 ; 0305-1048
    DOI 10.1093/nar/gkad1085
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: A Phase Ib/II Study of Pepinemab in Combination with Avelumab in Advanced Non-Small Cell Lung Cancer.

    Shafique, Michael R / Fisher, Terrence L / Evans, Elizabeth E / Leonard, John E / Pastore, Desa Rae E / Mallow, Crystal L / Smith, Ernest / Mishra, Vikas / Schröder, Andreas / Chin, Kevin M / Beck, Joseph T / Baumgart, Megan A / Govindan, Ramaswamy / Gabrail, Nashat Y / Spira, Alexander I / Seetharamu, Nagashree / Lou, Yanyan / Mansfield, Aaron S / Sanborn, Rachel E /
    Goldman, Jonathan W / Zauderer, Maurice

    Clinical cancer research : an official journal of the American Association for Cancer Research

    2021  Volume 27, Issue 13, Page(s) 3630–3640

    Abstract: Purpose: The CLASSICAL-Lung clinical trial tested the combination of pepinemab, an IgG4 humanized mAb targeting semaphorin 4D, with the PD-L1 inhibitor avelumab to assess the effects of coupling increased T-cell infiltration and reversal of immune ... ...

    Abstract Purpose: The CLASSICAL-Lung clinical trial tested the combination of pepinemab, an IgG4 humanized mAb targeting semaphorin 4D, with the PD-L1 inhibitor avelumab to assess the effects of coupling increased T-cell infiltration and reversal of immune suppression via pepinemab with sustained T-cell activation via checkpoint inhibition.
    Patients and methods: This phase Ib/II, single-arm study was designed to evaluate the safety, tolerability, and efficacy of pepinemab in combination with avelumab in 62 patients with advanced non-small cell lung cancer (NSCLC), including immunotherapy-naïve (ION) patients and patients whose tumors progressed following anti-PD-1/L1 monotherapy (IOF). The main objectives were to evaluate safety/tolerability, establish a recommended phase 2 dose (RP2D), obtain a preliminary evaluation of antitumor activity, and investigate candidate biomarker activity.
    Results: The combination was well tolerated with no major safety signals identified. Pepinemab, 10 mg/kg with avelumab, 10 mg/kg, every 2 weeks, was selected as the RP2D. Among 21 evaluable ION patients, 5 patients experienced partial responses (PR), 4 patients evidenced clinical benefit ≥1 year, and the disease control rate (DCR) was 81%. Notably, overall response rate with the combination therapy was higher than previously reported for single-agent avelumab in the PD-L1-negative/low population. Among 29 evaluable IOF patients, the combination resulted in a DCR of 59%, including 2 PR and 7 patients with durable clinical benefit of ≥23 weeks. Biomarker analysis of biopsies demonstrated increased CD8 T-cell density correlating with RECIST response criteria.
    Conclusions: The combination of pepinemab with avelumab was well tolerated in NSCLC and showed signs of antitumor activity in immunotherapy-resistant and PD-L1-negative/low tumors.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Antibodies, Monoclonal/administration & dosage ; Antibodies, Monoclonal, Humanized/administration & dosage ; Antineoplastic Agents, Immunological/administration & dosage ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Carcinoma, Non-Small-Cell Lung/pathology ; Lung Neoplasms/drug therapy ; Lung Neoplasms/pathology ; Neoplasm Staging
    Chemical Substances Antibodies, Monoclonal ; Antibodies, Monoclonal, Humanized ; Antineoplastic Agents, Immunological ; avelumab (KXG2PJ551I) ; pepinemab
    Language English
    Publishing date 2021-04-05
    Publishing country United States
    Document type Clinical Trial, Phase I ; Clinical Trial, Phase II ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1225457-5
    ISSN 1557-3265 ; 1078-0432
    ISSN (online) 1557-3265
    ISSN 1078-0432
    DOI 10.1158/1078-0432.CCR-20-4792
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  10. Article ; Online: Prospective Single-Arm Phase 1 and 2 Study: Ipilimumab and Nivolumab With Thoracic Radiation Therapy After Platinum Chemotherapy in Extensive-Stage Small Cell Lung Cancer.

    Perez, Bradford A / Kim, Sungjune / Wang, Minhsuan / Karimi, Ahmad M / Powell, Chase / Li, Jiannong / Dilling, Thomas J / Chiappori, Alberto / Latifi, Kujtim / Rose, Trevor / Lannon, Austin / MacMillan, Gretchen / Saller, James / Grass, G Daniel / Rosenberg, Stephen / Gray, Jhanelle / Haura, Eric / Creelan, Ben / Tanvetyanon, Tawee /
    Saltos, Andreas / Shafique, Michael / Boyle, Theresa A / Schell, Michael J / Conejo-Garcia, Jose R / Antonia, Scott J

    International journal of radiation oncology, biology, physics

    2020  Volume 109, Issue 2, Page(s) 425–435

    Abstract: Purpose: Consolidative thoracic radiation therapy (TRT) has been shown to improve outcomes for patients with extensive stage small cell lung cancer. We hypothesized that the addition of ipilimumab (IPI) and nivolumab (NIVO) after TRT would improve ... ...

    Abstract Purpose: Consolidative thoracic radiation therapy (TRT) has been shown to improve outcomes for patients with extensive stage small cell lung cancer. We hypothesized that the addition of ipilimumab (IPI) and nivolumab (NIVO) after TRT would improve outcomes for patients with extensive stage small cell lung cancer.
    Methods and materials: Eligibility required stable disease or better after platinum doublet chemotherapy. Study therapy included consolidative TRT to 30 Gy in 10 fractions, targeting residual primary tumor and initially involved regional lymph nodes. Two weeks after TRT, patients received concurrent IPI (3 mg/kg) and NIVO (1 mg/kg) every 3 weeks for 4 doses followed by NIVO monotherapy (480 mg) every 4 weeks until progression or up to 1 year.
    Results: The study enrolled 21 patients, with 6-month progression-free survival (PFS) of 24% (90% confidence interval [CI], 11%-40%) and a median PFS of 4.5 months (95% CI, 2.7%-4.6%). The 12-month overall survival (OS) was 48% (95% CI, 29%-64%) with a median OS of 11.7 months (95% CI, 4.7%-16.0%). Fifty-two percent of patients had ≥1 possibly related grade 3 to 4 immune-related adverse event. Grade 3 pulmonary and gastrointestinal immune-related adverse events were recorded in 19% and 24% of patients, respectively. Exploratory analysis showed increased cytotoxic T cell (CD3+CD8+) tumor infiltration was associated with favorable PFS (P = .01) and OS (P = .02). Reduction in peripheral blood CD3+CD8+ from baseline to after first dose of IPI/NIVO was associated with improved PFS (P = .02) and OS (P = .02).
    Conclusions: Consolidative IPI and NIVO after platinum-based chemotherapy and TRT demonstrated a toxicity profile consistent with the known adverse events attributable to IPI and NIVO. Although the study regimen did not significantly improve PFS, the OS was higher than historic expectations. CD3+CD8+ tumor infiltration and migration may identify patients most likely to have improved outcomes in small cell lung cancer.
    MeSH term(s) Aged ; Antineoplastic Combined Chemotherapy Protocols ; Combined Modality Therapy ; Female ; Humans ; Ipilimumab/therapeutic use ; Lung Neoplasms/drug therapy ; Lung Neoplasms/pathology ; Lung Neoplasms/radiotherapy ; Male ; Middle Aged ; Neoplasm Staging ; Nivolumab/therapeutic use ; Platinum/therapeutic use ; Progression-Free Survival ; Prospective Studies ; Small Cell Lung Carcinoma/drug therapy ; Small Cell Lung Carcinoma/pathology ; Small Cell Lung Carcinoma/radiotherapy ; Thorax/radiation effects
    Chemical Substances Ipilimumab ; Nivolumab (31YO63LBSN) ; Platinum (49DFR088MY)
    Language English
    Publishing date 2020-09-28
    Publishing country United States
    Document type Clinical Trial, Phase I ; Clinical Trial, Phase II ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 197614-x
    ISSN 1879-355X ; 0360-3016
    ISSN (online) 1879-355X
    ISSN 0360-3016
    DOI 10.1016/j.ijrobp.2020.09.031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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