Neoadjuvant PD-1 Blockade in Non-Small Cell Lung Cancer: Current perspectives and Moving Forward

Kanako Shinada1, Shuji Murakami1

  • 1Department of Thoracic Oncology, Kanagawa Cancer Center, Yokohama, Japan.

Oncotargets and Therapy
|February 23, 2023
PubMed

Insights

Neoadjuvant anti-programmed death 1/programmed death-ligand 1 (PD-1/PD-L1) blockade shows promise for non-small cell lung cancer. Further research is needed to confirm long-term survival benefits and optimize patient monitoring with biomarkers.

Area of Science:

  • Oncology
  • Immunotherapy
  • Cancer Research

Background:

  • Non-small cell lung cancer (NSCLC) has a high relapse rate after surgery, necessitating improved perioperative therapies.
  • Immune checkpoint inhibitors, specifically anti-programmed death 1/programmed death-ligand 1 (PD-1/PD-L1) blockade, have improved survival in advanced lung cancer.

Purpose of the Study:

  • To review recent findings on neoadjuvant PD-1/PD-L1 blockade therapy for NSCLC.
  • To discuss the potential benefits, challenges, and future directions of this immunotherapy strategy.

Main Methods:

  • Review of recent scientific literature and clinical reports on neoadjuvant PD-1/PD-L1 blockade in NSCLC.
  • Analysis of efficacy data, immunological benefits, and concerns regarding long-term outcomes and biomarkers.

Main Results:

  • Neoadjuvant PD-1/PD-L1 blockade demonstrates potential immunological benefits for NSCLC patients.
  • Current evidence on long-term survival remains limited, and the adequacy of existing biomarkers for prognosis is unclear.

Conclusions:

  • Neoadjuvant PD-1/PD-L1 blockade represents a promising avenue for NSCLC treatment, potentially revolutionizing cancer immunotherapy.
  • Further investigation is crucial to address uncertainties in long-term survival and biomarker development for patient monitoring.