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. 2021 Sep 26;13(19):4811. doi: 10.3390/cancers13194811

Table 6.

Studies evaluating immunotherapy with concurrent CRT in stage III NSCLC.

Study Phase Patients Immunotherapy RT/ChT Primary Outcome
Maasilta et al., 1992 II 20 Alpha-INT with RT
vs.
RT alone
66 Gy, 1.25 Gy/fx tw Moderate/severe pneumonitis and/or oesophagitis in experimental arm
McDonald et al., 1993 I/II 39 Beta-INF with RT 54–59.4 Gy, 1.8 Gy/fx ORR: 81%
CR: 44%
5-y OS 51%
No serious AE
Shaw et al., 1995 I 18 Gamma-INF with RT 60 Gy, 1.5 Gy/fx tw 50% life threatening or fatal AE
mOS: 7.8 m
RTOG 93-04
Bradley et al., 2002
III 123 Beta-INF with RT
vs.
RT
60 Gy, 2 Gy/fx G3-4 AE higher on beta-INF arm p = 0.024
1-y OS: 44% vs. 42% (p = ns)
DETERRED
Lin et al., 2018
II 40 Atezolizumab + CRT 60–66 Gy, 30–33 fx, concurrently with ChT ≥G3 atezo-related toxicity in 6 pts 30%; G5 fistula (n = 1) 5%. G3 radiation pneumonitis (n = 1)
NICOLAS
Peters et al., 2019
IA/II 79 Nivolumab with CRT 66 Gy/33 fx, concurrently with ChT No ≥G3 post-RT pneumonitis
1-y PFS 50% and 1-y OS 79%
KEYNOTE 779
Jabbour et al., 2021
II 185 Pembrolizumab with CRT 60 Gy, 2 Gy/fx/carboplatin–paclitaxel (A) or cisplatin-pemetrexed (B) G ≧ 3:AE A: 64.3; B: 41,
pneumonitis > 3 A: 8%, B: 5.5%
2020 AFT-16
Ross et al.
II 64 Atezolizumab before and after CRT 60 Gy, 2 Gy/fx+ carboplatin–paclitaxel AE ≧ 3: 20%
12-week-DCR: 77.4%
Lemmon et al., 2020 I 9 Pembrolizumab with CRT + Surgery 45 Gy, 1.8 fx with cisplatin-etoposide pCR 67%
2 G5 AE
Trial halted

RT = radiotherapy; ChT = chemotherapy; CRT = chemoradiotherapy; AE = adverse event; INF = interferon; ns = not significant; Gy = grays; fx = fraction-s; ORR = overall response rate; CR = complete response; DCR = disease control rate; pCR = pathologic complete response; OS = overall survival; PFS = progression-free survival; tw = twice; G = grade; m = months.