ES01.01 Chemotherapy Is Strictly Additive To Immunotherapy
October 2019
in “
Journal of Thoracic Oncology
”
TLDR Chemotherapy adds to, but doesn't enhance, the effects of immunotherapy in lung cancer treatment.
The document discussed the combination of chemotherapy and immune checkpoint inhibition (ICI) in treating advanced non-small cell lung cancer (NSCLC). It concluded that the interaction between chemotherapy and ICI was additive rather than synergistic, as evidenced by similar adverse event profiles in trials comparing chemo+ICI to chemo+placebo. Notably, immune-related adverse events were slightly higher in the chemo+ICI group. Despite chemotherapy's historical reputation as immunosuppressive, recent trials showed improved response rates, progression-free survival, and overall survival with the combination therapy. However, there was no definitive evidence favoring concurrent over sequential administration of chemo+ICI, and further research was needed to determine the optimal strategy.