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Updated: Sep 1, 2025

Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
Published on: February 12, 2017
Abstract:
Although the treatment landscape for small cell lung cancer has hardly changed in decades, new possibilities are emerging. Long-term data from KEYNOTE-604 support incorporating immune checkpoint inhibition up front, as this provides durable benefit. A bispecific T-cell engager and other combination therapies also show signs of potential as second- or later-line therapies.
Insights
New small cell lung cancer treatments are emerging. Immune checkpoint inhibitors show durable benefit when used upfront, and other therapies show promise for later-stage treatment.
Area of Science:
- Oncology
- Immunotherapy
Background:
- Small cell lung cancer (SCLC) treatment has seen limited progress over decades.
- There is a critical need for novel therapeutic strategies in SCLC.
Purpose of the Study:
- To evaluate the long-term efficacy of immune checkpoint inhibition in SCLC.
- To explore emerging therapeutic options for second- or later-line treatment in SCLC.
Main Methods:
- Analysis of long-term data from the KEYNOTE-604 trial.
- Review of emerging clinical trial data for bispecific T-cell engagers and combination therapies.
Main Results:
- Long-term data from KEYNOTE-604 demonstrate durable benefit with upfront immune checkpoint inhibition.
- Bispecific T-cell engagers and other combination therapies show potential in later-line settings.
Conclusions:
- Upfront immune checkpoint inhibition is a supported strategy for durable benefit in SCLC.
- Novel agents like bispecific T-cell engagers offer new avenues for patients requiring second- or later-line SCLC therapy.
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