Should durvalumab consolidation still be offered to Stage III NSCLC patients with PD-L1< 1%?
Do the results of the unplanned subset analysis of the PACIFIC trial showing no OS benefit in this population lean you away from consolidation?
Answer from: Medical Oncologist at Academic Institution
This is an extremely important question, but basing therapeutic decisions on this post-hoc, exploratory analysis is fraught with hazard. Still, the absence of OS benefit in this cohort (the HR heads in the wrong direction) gives me pause. For those with PD-L1 expression of 1% or higher, I enthusia...
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Medical Oncologist at Agnesian Cancer Center Would you offer consolidation chemo to PDL1<1% ...
Answer from: Medical Oncologist at Academic Institution
I believe so. As theMednet readers know, the preplanned analysis for PACIFIC included an analysis of those who had PDL1 greater or less than 25%, but further analysis (post-hoc, NOT pre-planned, and in my opinion not adequately powered) requested by regulatory authorities using a cutoff of 1% was pe...
Answer from: Medical Oncologist at Community Practice
In the PACIFIC trial, the primary endpoints were progression-free survival and overall survival in the intent-to-treat population. In a pre-planned subset analysis, PD-L1 expression was analyzed by at least 25% or less than 25%, and numerically more patients in the durvalumab arm had at least 25% PD...
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Medical Oncologist at Northwest Georgia Oncology Centers Thank you for the detailed answers. What if you ha...
Medical Oncologist at Texas Oncology @Yuesheng Qu, I have a patient currently who is in...
Medical Oncologist at The Ohio State University School of Medicine @Thomas B. Tucker, I am offering chemo-IO as first...
Would you offer consolidation chemo to PDL1<1% ...