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CommunityRadiation Oncology

Do you consider additional chemotherapy or durvalumab after definitive concurrent chemo/RT for Stage II NSCLC for patients who are not surgical candidates?

Would PDL-1 status impact your decision?
Community PollStarted

Do you recommend adjuvant durvalumab after chemoradiation for unresectable Stage II NSCLC?

278 physicians have voted

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3 Answers
Mednet Member
Mednet Member
Radiation Oncology · Northeast Alabama Regional Medical Center
Answered on

Staging is man-made and somewhat capricious and as stands now essentially completely unmoored from biology in NSCLC. Durvalumab is obviously very moored to biology in NSCLC. There are times we "extrapolate" in oncology; it's tough not to do this in settings where no *specific* data exists but "adjac...

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Mednet Member
Mednet MemberInvited Expert
Medical Oncology · University of Minnesota
Answered on · Updated on

Intriguing given the results from the PACIFIC trial presented and published in 2017 (PFS benefit) and updated very recently (OS benefit). However, in the absence of definitive data in which the benefit clearly outweighs the potential harm, I would not recommend adjuvant durvalumab to patients treate...

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Mednet Member
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Medical Oncology · Fox Chase Cancer Center
Answered on

If a patient is not a candidate for surgery but has no contra indication to treatment with durvalumab, I would offer it.

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