Dissemin is shutting down on January 1st, 2025

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Wiley Open Access, Thoracic Cancer, 34(14), p. 3421-3429, 2023

DOI: 10.1111/1759-7714.15157

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Clinical definition of secondary resistance to immunotherapy in non‐small cell lung cancer

Journal article published in 2023 by Dingzhi Huang ORCID, Gen Lin ORCID, Qian Chu, Yi Hu ORCID, Jun Wang ORCID, Zhijie Wang, Fan Yang, Wenzhao Zhong ORCID, Chengzhi Zhou ORCID, Bo Zhu, Xinghao Ai, Baoshan Cao, Yabing Cao, Mingqiu Chen, Xiaohui Chen and other authors.
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Data provided by SHERPA/RoMEO

Abstract

AbstractImmune checkpoint inhibitors (PD‐1/PD‐L1 and CTLA‐4 blockade) have revolutionized the treatment landscape in non‐small cell lung cancer (NSCLC). Secondary resistance to immunotherapy (IO), which poses a substantial challenge in clinical settings, occurs in several initial responders. Currently, new treatment approaches have been extensively evaluated in investigational studies for these patients to tackle this difficult problem; however, the lack of consistency in clinical definition, uniform criteria for enrollment in clinical trials, and interpretation of results remain significant hurdles to progress. Thus, our expert panel comprehensively synthesized data from current studies to propose a practical clinical definition of secondary resistance to immunotherapy in NSCLC in metastatic and neoadjuvant settings. In addition to patients who received IO alone (including IO‐IO combinations), we also generated a definition for patients treated with chemotherapy plus IO. This consensus aimed to provide guidance for clinical trial design and facilitate future discussions with investigators. It should be noted that additional updates in this consensus are required when new data is available.