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Introduction

  • Non-small cell lung cancer (NSCLC) accounts for ~85% of lung cancers and remains the leading cause of cancer death.
  • Surgery is curative for early-stage disease, but recurrence rates remain high.
  • CheckMate-816 trial established neoadjuvant chemo-immunotherapy (chemo-IO) as a new standard for resectable NSCLC, demonstrating improved pathologic response and event-free survival.
  • PACIFIC trial showed the survival benefit of consolidative immunotherapy after chemoradiotherapy (chemo-RT) in unresectable stage III NSCLC, highlighting the synergy between radiation and immune checkpoint blockade.
  • Despite these advances, there is little comparative data on the role of chemo-IO versus chemo-RT in the neoadjuvant, operable setting.
  • Objective: To compare clinical outcomes between patients treated with neoadjuvant chemo-IO and those treated with chemo-RT prior to surgery at a single institution.

Publication Date

9-22-2025

Keywords

NSCLC, neoadjuvant, chemoimmunotherapy, chemoradiotherapy

Disciplines

Medicine and Health Sciences | Oncology | Radiation Medicine

Comments

Presented at the 2025 Department of Radiation Oncology Research Symposium.

Clinical Outcomes of Neoadjuvant Chemoimmunotherapy vs. Chemoradiotherapy in Operable Non-Small Cell Lung Cancer

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