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How do you choose between neoadjuvant and adjuvant chemo-immunotherapy for patients with resectable stage II-IIIA NSCLC?

In light of CheckMate 816 and IMpower010 and FDA approval for neoadjuvant chemo-nivolumab and adjuvant chemo-atezolizumab, how do you decide which systemic therapy/order to offer? Does the shorter duration of immunotherapy with nivolumab play a role in your decision making?
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What is your preferred neoadjuvant/perioperative/adjuvant chemoimmunotherapy approach for patients with resectable Stage II/III non-mutated NSCLC?

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3 Answers
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Medical Oncology · Albert Einstein College of Medicine at Montefiore Medical Center
Answered on

The billion dollar question. For patients with resectable stage II-IIIA NSCLC, how do you choose between neoadjuvant and adjuvant chemo-immunotherapy in light of the recent FDA approval of the CheckMate-816 regimen? Of course, this approval quickly followed in the footsteps of the FDA approval of at...

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Medical Oncology · Baptist Cancer Center
Answered on

Important to keep in mind that we've had no head-to-head comparison of neoadjuvant versus adjuvant immunotherapy, nor has there been an appetite to address this important question thus far. In parsing the existing data, it is important that we remember what we don't know, to avoid extinguishing inte...

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Medical Oncology · Stephenson Cancer Center
Answered on

In potentially resectable non-small cell lung cancer (NSCLC) patients, phase 3 randomized studies in the adjuvant setting (IMpower010 and KEYNOTE-091), neoadjuvant setting (CheckMate 816) and perioperative setting (KEYNOTE-671, AEGEAN, and CheckMate 77T) have shown statistically significant and clin...

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