The phase III ADAURA trial previously found that adjuvant use of osimertinib improved disease-free survival for completely resected EGFR-mutated non–small cell lung cancer (NSCLC) in patients with stage IB, II, or IIIA disease.1 The final analysis of ADAURA, which was presented at the 2023 ASCO Annual Meeting,2 showed a statistically significant and clinically meaningful improvement in overall survival, according to lead investigator Roy S. Herbst, MD, PhD, Deputy Director of Yale Cancer Center. Survival results from ADAURA were published in The New England Journal of Medicine to coincide with the presentation at the ASCO meeting.3
Neoadjuvant therapy with pembrolizumab plus platinum-based chemotherapy followed by surgery and then adjuvant pembrolizumab led to significantly improved event-free survival in patients with resectable stage II and III non–small cell lung cancer (NSCLC) compared with platinum-based chemotherapy plus placebo in the randomized phase III KEYNOTE-671 trial. Overall survival trended higher in the pembrolizumab-containing arm, although longer-follow-up is needed. The results of KEYNOTE-671 were presented at the 2023 ASCO Annual Meeting and published simultaneously in The New England Journal of Medicine.
Findings from a phase III, randomized trial highlight the benefit derived from perioperative immunotherapy in patients with early-stage resectable non–small cell lung cancer (NSCLC), according to data presented during the ASCO Plenary Series: April 2023 Session.
As reported in The New England Journal of Medicine by Masahiro Tsuboi, MD, and colleagues, the planned final overall survival analysis of the phase III ADAURA trial has shown a significant benefit with osimertinib vs placebo in patients with resected EGFR-mutant non–small cell lung cancer (NSCLC).
In a phase III trial (LASER301) reported in the Journal of Clinical Oncology, Byoung Chul Cho, MD, PhD, and colleagues found that lazertinib improved progression-free survival vs gefitinib in the first-line treatment of EGFR-mutated advanced non–small cell lung cancer (NSCLC).