TY - JOUR
T1 - Efficacy of immune check-point inhibitors (ICPi) in large cell neuroendocrine tumors of lung (LCNEC)
AU - Sherman, Shira
AU - Rotem, Ofer
AU - Shochat, Tzippy
AU - Zer, Alona
AU - Moore, Assaf
AU - Dudnik, Elizabeth
N1 - Publisher Copyright:
© 2020 Elsevier B.V.
PY - 2020/5
Y1 - 2020/5
N2 - Objectives: Little is known regarding the ICPi efficacy in LCNEC. We explored the efficacy and safety of ICPi in LCNEC and assessed its impact on OS. Materials and methods: Thirty-seven consecutive patients with advanced LCNEC were selected from the Davidoff Cancer Center database. These were divided into groups A1 (patients treated with ICPi, n-23) and A2 (patients not treated with ICPi, n-14). Additionally, group A1* was introduced (patients treated with ICPi as a monotherapy, n-21). Another cohort of advanced non-LCNEC lung cancer patients treated with nivolumab at five Israeli cancer centers was chosen as a comparator (group B, n-270). ORR, PFS with ICPi in group A1* were assessed (RECIST 1.1), OS with ICPi was compared between groups A1* and B. OS since advanced disease diagnosis (OSDx) was compared between groups A1 and A2. Results: In group A1*, ORR and median PFS with ICPi were 33 %, and 4.2 months (95 % CI, 2.4–8.1), respectively. With median follow-up since start of ICPi of 6.2 months [IQR 2.2–12.1] and 4.9 months [IQR 2.3–8.9] in groups A1* and B, respectively, 52 % and 64 % of patients died in groups A1* and B, respectively. Median OS with ICPi comprised 11.8 months (95 % CI, 3.7-NR) and 6.9 months (95 % CI, 5.5–8.1) in groups A1* and B, respectively (p-0.23). Median OSDx was 14.5 months (95 % CI, 10.1–38.9) and 10.3 months (95 % CI, 2.6-NR), in groups A1 and A2, respectively (p-0.54). Conclusion: In advanced LCNEC, ICPi outcomes are comparable to the outcomes observed in advanced NSCLC. Future research is needed to clarify the impact of ICPi on OS, and to correlate its benefit with tumor mutational landscape.
AB - Objectives: Little is known regarding the ICPi efficacy in LCNEC. We explored the efficacy and safety of ICPi in LCNEC and assessed its impact on OS. Materials and methods: Thirty-seven consecutive patients with advanced LCNEC were selected from the Davidoff Cancer Center database. These were divided into groups A1 (patients treated with ICPi, n-23) and A2 (patients not treated with ICPi, n-14). Additionally, group A1* was introduced (patients treated with ICPi as a monotherapy, n-21). Another cohort of advanced non-LCNEC lung cancer patients treated with nivolumab at five Israeli cancer centers was chosen as a comparator (group B, n-270). ORR, PFS with ICPi in group A1* were assessed (RECIST 1.1), OS with ICPi was compared between groups A1* and B. OS since advanced disease diagnosis (OSDx) was compared between groups A1 and A2. Results: In group A1*, ORR and median PFS with ICPi were 33 %, and 4.2 months (95 % CI, 2.4–8.1), respectively. With median follow-up since start of ICPi of 6.2 months [IQR 2.2–12.1] and 4.9 months [IQR 2.3–8.9] in groups A1* and B, respectively, 52 % and 64 % of patients died in groups A1* and B, respectively. Median OS with ICPi comprised 11.8 months (95 % CI, 3.7-NR) and 6.9 months (95 % CI, 5.5–8.1) in groups A1* and B, respectively (p-0.23). Median OSDx was 14.5 months (95 % CI, 10.1–38.9) and 10.3 months (95 % CI, 2.6-NR), in groups A1 and A2, respectively (p-0.54). Conclusion: In advanced LCNEC, ICPi outcomes are comparable to the outcomes observed in advanced NSCLC. Future research is needed to clarify the impact of ICPi on OS, and to correlate its benefit with tumor mutational landscape.
KW - Immune checkpoint inhibitors
KW - LCNEC
KW - LCNET
KW - Large cell neuroendocrine carcinoma
KW - Large-cell neuroendocrine lung carcinoma
UR - http://www.scopus.com/inward/record.url?scp=85081724885&partnerID=8YFLogxK
U2 - 10.1016/j.lungcan.2020.03.008
DO - 10.1016/j.lungcan.2020.03.008
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C2 - 32203769
AN - SCOPUS:85081724885
SN - 0169-5002
VL - 143
SP - 40
EP - 46
JO - Lung Cancer
JF - Lung Cancer
ER -