Current Approaches to Neoadjuvant Immunotherapy in Resectable Non-small Cell Lung Cancer

Curr Oncol Rep. 2023 Aug;25(8):913-922. doi: 10.1007/s11912-023-01430-4. Epub 2023 May 30.

Abstract

Purpose of review: For decades, early-stage resectable non-small cell lung cancer (NSCLC), while potentially curable, has been marred by unacceptably high recurrence rates.

Recent findings: Anti-PD(L)1 immune checkpoint blockade (ICB) has revolutionized the treatment of advanced NSCLC, and with recent approvals in the peri-operative space, is now poised to transform the systemic treatment paradigm for localized and locally-advanced NSCLC. In this review, we focus on neoadjuvant ICB in resectable NSCLC, highlighting the pre-clinical rationale for neoadjuvant ICB, early clinical trials, randomized phase 3 trial data, and future directions for resectable NSCLC.

Keywords: Early lung cancer; NCSCL; Neoadjuvant treatment.

Publication types

  • Review

MeSH terms

  • Carcinoma, Non-Small-Cell Lung* / drug therapy
  • Carcinoma, Non-Small-Cell Lung* / surgery
  • Clinical Trials, Phase III as Topic
  • Humans
  • Immunotherapy
  • Lung Neoplasms* / drug therapy
  • Lung Neoplasms* / surgery
  • Neoadjuvant Therapy
  • Randomized Controlled Trials as Topic