Treatment Considerations for Unresectable Locally Advanced NSCLC
Treatment Considerations for Unresectable Locally Advanced NSCLC
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A 64-year-old man presented with shortness of breath and persistent cough of 18 months’ duration; recently, he has experienced chest pain, fatigue, and blood in his sputum. After consulting with his primary care physician, he was referred for oncology evaluation
Patient history includes
Current smoker (1/2 pack day)
Hypertension
Acute MI at age 60
Evaluation and follow up testing reveal
Non-small cell lung cancer in left lung and 2 lymph nodes (Stage IIIa)
WHO performance status: 1
Histology: adenocarcinoma
EFGR, BRAF,andALK/ROS1mutation status: wild-type
PD-L1 status: ≥25%
He underwent multidisciplinary evaluation and was not a candidate for surgery; he was treated with chemoradiotherapy:
Concurrent carboplatin-paclitaxel doublet chemotherapy and radiotherapy (60 Gy)
Achieved partial response
He had no disease progression 20 days after his last radiotherapy treatment, and began treatment with durvalumab
The COPERNICUS study of amivantamab/lazertinib showed lower rates of adverse events and discontinuation with supportive care regimens in patients with EGFR-mutated non–small cell lung cancer.
David DiBardino, MD, explains how intratumoral radioenhancer therapy works, why standardization remains a challenge, and what early CONVERGE study data suggest for locally advanced NSCLC.