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For which patients with resected NSCLC will you offer adjuvant atezolizumab after completion of cisplatin-based adjuvant chemotherapy?

Will degree of PD-L1 status impact your decision? Would you ever offer to stage IB patients as per study enrollment? Do AJCC v8 staging guidelines impact patient selection given study accrued by AJCC v7? Are there patients you would now include/exclude?
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Based off IMpower010, which patients with Stage IB-IIIA resected NSCLC will you offer adjuvant atezolizumab after completion of cisplatin-based adjuvant chemotherapy?

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4 Answers
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Medical Oncology · Henry Ford Cancer Institute/Henry Ford Hospital
Answered on

The initial results of IMpower010 were presented by Dr. @Dr. First Last at ASCO 2021. This study demonstrated that adjuvant atezolizumab following surgical resection and adjuvant platinum based chemotherapy improved disease free survival in stage II-IIIA NSCLC patients with tumors with PDL1 expressi...

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Medical Oncology · University of Virginia
Answered on

There were several primary endpoints in IMpower010 that met statistical significance including disease free survival (DFS) in the PDL1 positive (≥1%) stage II-IIIA subgroup (DFS HR 0.66, 95% CI 0.50-0.88, p=0.0039) and all patients stage II-IIIA subgroup (DFS HR 0.79, 95% CI 0.64-0.96, p=0.020). Tho...

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Medical Oncology · Case Comprehensive Cancer Center
Answered on

IMpower010 demonstrated a DFS benefit for patients with resected stage II-IIIA NSCLC expressing PD-L1 1% or greater (HR 0.66, 95% CI 0.50-0.88, p=0.00039). The secondary endpoint of DFS in patients with II-IIIA NSCLC high PD-L1 expression at 50% or more was met with an impressive HR of 0.43 (95% CI ...

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Thoracic Surgery · University of Michigan Medical School
Answered on

This is typically decided by our medical oncology colleagues.

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