Table 4.
Questions not answered by the PACIFIC trial (testing durvalumab after the completion of concurrent chemoradiation in patients with unresectable and inoperable stage III lung cancers)
| • Applicability of the PACIFIC data to other population of patients? |
| • Resectable disease |
| • PS2 |
| • Elderly |
| • Individuals receiving sequential chemoradiotherapy |
| • Patients with EFGR L858R and exon 19 deletion mutations |
| • Can durvalumab be safely prescribed in patients who have received a high radiation dose to thoracic organs at risk (e.g. lung)? |
| • Can we create precise definitions of “operable and resectable”? How is this assessment best obtained? |
| • How soon should durvalumab start after CTRT? |
| • What is the optimal duration of durvalumab? |
| • What is the optimal timing durvalumab and CTRT: concomitant or sequential? |
| • Should we treat patients with durvalumab if PDL1 <1%? |
| • Do biomarkers exist to better select patients? |