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Adding Neoadjuvant Nivolumab to Chemo Improved Survival in Resectable NSCLC

  • The phase 3 CheckMate 816 trial, reported on June 2, 2025, demonstrated that administering nivolumab combined with chemotherapy prior to surgery enhanced long-term survival outcomes in individuals worldwide diagnosed with surgically removable non-small cell lung cancer.
  • This trial addressed the high relapse risk, as more than 50% of patients with stage 2 or 3 NSCLC typically experience cancer recurrence despite surgery.
  • CheckMate 816 enrolled 358 patients randomly assigned to receive either chemotherapy alone or with nivolumab, demonstrating a higher pathologic complete response rate of 24% versus 2% without increased surgical complications.
  • At five years, overall survival was 65% with nivolumab plus chemotherapy versus 55% with chemotherapy alone, showing a 28% reduction in death risk , and no lung cancer deaths occurred among patients achieving pCR.
  • These findings have led to the adoption of nivolumab combined with chemotherapy before surgery as the new worldwide treatment standard for suitable patients, driving ongoing studies such as NeoCOAST-2 that aim to optimize immunotherapy approaches for resectable NSCLC.
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This is a phase 3 clinical trial whose results have just published the journal The Lancet coinciding with the presentation of the study in one of the most important citations of oncology, the Congress of the American Society of Oncology (ASCO) held in Chicago, where the latest advances in cancer research are presented. This new combination of treatment, a type of immunotherapy (atezolizumab Tecentriq®) plus the Lurbinectedin inhibitor, developed…

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Medical Xpress broke the news in on Monday, June 2, 2025.
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