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. Author manuscript; available in PMC: 2021 Jan 1.
Published in final edited form as: Am Soc Clin Oncol Educ Book. 2020 Mar;40:1–12. doi: 10.1200/EDBK_280807

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?