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Would you consider adding atezolizumab to a different chemotherapy/platinum-doublet backbone from the IMpower 133 trial for a new ES-SCLC patient?

Would you consider adding atezolizumab to a cisplatin/irinotecan regimen, or cisplatin instead of carboplatin?
1 Answer
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Cleveland Clinic
Answered on · Updated on

No I would not, primarily for these reasons:

1) There are no clinical data of which I am aware regarding the addition of atezolizumab to irinotecan and cisplatin for any tumor type.

2) Irinotecan/cisplatin is more toxic than etoposide/platinum regimens, with no improvement in efficacy in 1L extensiv...

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