Summary
In this article, we summarize our personal non-small cell lung cancer (NSCLC) highlights from the ESMO 2022 meeting, covering developments in early- and advanced-stage NSCLC. In early-stage disease, many studies underlined possibilities of neoadjuvant and adjuvant treatment, including neoadjuvant immunotherapy combination strategies (INCREASE trial) or adjuvant targeted therapy with osimertinib in epidermal growth factor receptor (EGFR)-mutated NSCLC (updated results of ADAURA), both promoting interesting concepts to further improve outcomes in early-stage NSCLC. In late-stage disease, results from CodeBreak200, the first randomized phase III trial investigating the selective KRAS-G12C inhibitor sotorasib, define this agent as the new standard-of-care in a molecular-defined patient population after progression on platinum-doublet and immunotherapy. The IPSOS study supports atezolizumab as preferred first-line therapy in unfit older patients.
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References
Forde PM, Spicer J, Lu S, et al. Neoadjuvant nivolumab plus chemotherapy in resectable lung cancer. n Engl J Med. 2022;386(21):1973–85. https://doi.org/10.1056/NEJMoa2202170.
Dickhoff C, Senan S, Schneiders FL, et al. Ipilimumab plus nivolumab and chemoradiotherapy followed by surgery in patients with resectable and borderline resectable T3-4N0‑1 non-small cell lung cancer: the INCREASE trial. BMC Cancer. 2020;20(1):764. https://doi.org/10.1186/s12885-020-07263-9.
Bahce I, Dickhoff C, Schneiders FL, et al. 950O Ipilimumab plus nivolumab and chemoradiotherapy followed by surgery in patients with resectable and borderline resectable lung cancer: The INCREASE trial. Ann Oncol. 2022;33:S982. https://doi.org/10.1016/j.annonc.2022.07.1076.
Herbst RS, Tsuboi M, John T, et al. Osimertinib as adjuvant therapy in patients (pts) with stage IB–IIIA EGFR mutation positive (EGFRm) NSCLC after complete tumor resection: ADAURA. J Clin Oncol. 2020;38(18_suppl):LBA5. https://doi.org/10.1200/JCO.2020.38.18_suppl.LBA5.
Tsuboi M, Wu YL, Grohe C, et al. LBA47 Osimertinib as adjuvant therapy in patients (pts) with resected EGFR-mutated (EGFRm) stage IB-IIIA non-small cell lung cancer (NSCLC): Updated results from ADAURA. Ann Oncol. 2022;33:S1413–S4. https://doi.org/10.1016/j.annonc.2022.08.047.
Skoulidis F, Li BT, Dy GK, et al. Sotorasib for lung cancers with. N Engl J Med. 2021;384(25):2371–81. https://doi.org/10.1056/NEJMoa2103695.
Johnson ML, de Langen AJ, Waterhouse DM, et al. LBA10 Sotorasib versus docetaxel for previously treated non-small cell lung cancer with KRAS G12C mutation: CodeBreaK 200 phase III study. Ann Oncol. 2022;33:S1417–S8. https://doi.org/10.1016/j.annonc.2022.08.051.
Herbst RS, Giaccone G, de Marinis F, et al. Atezolizumab for first-line treatment of PD-L1-selected patients with NSCLC. N Engl J Med. 2020;383(14):1328–39. https://doi.org/10.1056/NEJMoa1917346.
Reck M, Rodríguez-Abreu D, Robinson AG, et al. Pembrolizumab versus chemotherapy for PD-L1-positive non-small-cell lung cancer. N Engl J Med. 2016;375(19):1823–33. https://doi.org/10.1056/NEJMoa1606774.
Lee SM, Schulz C, Prabhash K, et al. LBA11 IPSOS: results from a phase III study of first-line (1L) atezolizumab (atezo) vs single-agent chemotherapy (chemo) in patients (pts) with NSCLC not eligible for a platinum-containing regimen. Ann Oncol. 2022;33:S1418–S9. https://doi.org/10.1016/j.annonc.2022.08.052.
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L. Horvath has no conflicts of interest to declare. G. Pall has is advisory board member and has received speakers honoraria from Roche, Amgen, BMS, and Astra-Zeneca.
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Horvath, L., Pall, G. ESMO 2022 personal non-small lung cancer (NSCLC) highlights. memo 16, 97–99 (2023). https://doi.org/10.1007/s12254-023-00887-0
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DOI: https://doi.org/10.1007/s12254-023-00887-0