Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Immune Checkpoint Inhibitors in “Special” NSCLC Populations: A Viable Approach?

Version 1 : Received: 9 June 2023 / Approved: 13 June 2023 / Online: 13 June 2023 (16:01:04 CEST)

A peer-reviewed article of this Preprint also exists.

Bronte, G.; Cosi, D.M.; Magri, C.; Frassoldati, A.; Crinò, L.; Calabrò, L. Immune Checkpoint Inhibitors in “Special” NSCLC Populations: A Viable Approach? Int. J. Mol. Sci. 2023, 24, 12622. Bronte, G.; Cosi, D.M.; Magri, C.; Frassoldati, A.; Crinò, L.; Calabrò, L. Immune Checkpoint Inhibitors in “Special” NSCLC Populations: A Viable Approach? Int. J. Mol. Sci. 2023, 24, 12622.

Abstract

Over the last decade, the therapeutic scenario for advanced non-small-cell lung cancer (NSCLC) has undergone a major paradigm shift. Immune checkpoint inhibitors (ICIs) have shown a meaningful clinical and survival improvement in different settings of the disease. However, the real benefit of this therapeutic approach remains controversial in selected NSCLC subsets, such as those of the elderly with active brain metastases or oncogene-addicted mutations. This is mainly due to the exclusion or underrepresentation of these patient subpopulations in most of the pivotal phase III studies; this precludes the generalization of the ICI efficacy in this context. Moreover, no predictive biomarkers of ICI response exist that can help with patient selection for this therapeutic approach. Here, we critically summarize the current state of ICI efficacy in the most common “special” NSCLC subpopulations.

Keywords

NSCLC,; Immunotherapy; Immune Checkpoint Inhibitors; Special populations

Subject

Medicine and Pharmacology, Oncology and Oncogenics

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