119P Prospective trial of immuno-(chemo)therapy (IO) prior to resection, definitive chemo-radiotherapy, or palliative therapy in patients with borderline resectable non-small cell lung cancer (NSCLC) including oligometastatic disease (KOMPASSneo)
نویسندگان
چکیده
Recent trials of IO prior to resection in locally advanced NSCLC report high rates pathological response. However, primarily irresectable patients were excluded from most studies. Moreover, there is no data on chemo-radiotherapy (CRT) after who are not amenable CRT. We hypothesized that induction may enable more receive curative treatment. enrolled 78 with borderline resectable including oligometastatic disease into a prospective real-world trial followed by morphologic and metabolic reassessment multidisciplinary board-guided treatment (resection [preferred] or CRT) palliative therapy. 1° endpoint was the proportion completing 2° endpoints included response survival. Furthermore, assessed resected patients. Exploratory predictive role PD-L1-TPS TP53-mutation status. 73 (94%) received (32 complete resections, 41 CRT). 18 (56%) had major 13 (41%) In curatively treated patients, 23 recurrences (32%) 15 tumor-related deaths (21%): 5 (16%) (44%) (37%) CRT-patients (median follow-up months). There two treatment-related (one postoperative due sepsis, one CRT pneumonitis). Patients deeper longer Resected poorer numerically than those without TP53-mutation. disease, resulted rate promising achieved prognostically favorable
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ژورنال
عنوان ژورنال: Journal of Thoracic Oncology
سال: 2023
ISSN: ['1556-0864', '1556-1380']
DOI: https://doi.org/10.1016/s1556-0864(23)00374-x