Research Article

Neoadjuvant Immunotherapy Improves Treatment for Early Resectable Non-Small-Cell Lung Cancer: A Systematic Review and Meta-analysis

Table 1

Summary of characteristics of studies on neoadjuvant immunotherapy in resectable NSCLC.

Clinical trailNCT numberStudy typeType of articleStudy phaseMain inclusion criteriaICISample sizeProportion of genderMedian ageMPRCPRIncidence of TRAEGrade 3 or higher TRAEsSurgical resection rateIncidence of surgical complicationsSurgical delay rateFirst authorPublished yearRef

CheckMate 816NCT02998528RCTConference abstractIIIResectable stage I-IIIA NSCLCNivolumab21NRNR45% (9/20)15% (3/20)NRNR95.2% (20/21)NR0Felip E2018[8]
NEOSTARNCT03158129Cohort studyArticleIIResectable stage I-IIIA (single N2) NSCLCNivolumab ± ipilimumab4416 (36%) women and 28 (64%) men66 (43–83) y29.4% (10/34)17.6% (6/34)NR12.2% (5/44)82.9% (34/41)29.4% (10/34)NRCascone2021[9]
NRNCT02716038Cohort studyArticleIIResectable stage IB-IIIA NSCLCAtezolizumab + chemo (nab-paclitaxel and carboplatin)3015 (50%) women and 15 (50%) men67 (62–74) y56.7% (17/30)33.3% (10/30)NRNR86.7% (26/30)NR0%Shu CA2020[10]
NRChiCTR-OIC-17,013,726Cohort studyArticleIbResectable stage IA-IIIB NSCLCSintilimab408 (20%) women and 32 (80%) men61.5 (48−70) y40.5% (15/37)16.2% (6/37)52.5% (21/40)10% (4/40)92.5% (37/40)10% (4/40)5% (2/40)Gao2020[11]
NRNCT02259621Cohort studyArticleIStage I-IIIA biopsy-proven NSCLCNivolumab2211 (52%) women and 10 (48%) men67 (55–84) y45% (9/20)10% (2/20)23% (5/22)4.5% (1/22)91.0% (20/22)50% (10/20)0%Bott MJ2019[12]
NRNCT02259621Cohort studyArticleNRResectable stage I-IIIA NSCLCNivolumab2111 (52%) women and 10 (48%) men67 (55–84) y45% (9/20)15% (3/20)23% (5/21)4.7% (1/21)95.2% (20/21)NR0%P.M. Forde2018[13]
NRNCT02994576Cohort studyConference abstractIIStage IA (≥2 cm)-IIIA non-N2, resectable, and untreated NSCLCAtezolizumab3015 (50%) women and 15 (50%) men64 y13.3% (4/30)0%3.3% (1/30)0%100% (30/30)NR0%Besse2020[14]
NADIMNCT03081689Cohort studyArticleIIResectable stage IIIA NSCLCNivolumab + chemo (paclitaxel and carboplatin)4612 (26%) women and 34 (74%) men63 (58–70) y83% (34/41)63% (26/41)93% (43/46)30% (14/46)89% (41/46)29% (12/41)NRProvencio2020[15]
NRNCT02259621Cohort studyArticleNRResectable stage IB –IIIA NSCLCnivolumab + ipilimumab92 (22%) women and 7 (78%) men61.7 (48–78) y33% (2/6)33% (2/6)66% (6/9)33% (3/9)66.7% (6/9)NR0%Reuss JE2020[16]
NRNCT02818920Cohort studyArticleIIUntreated clinical stage IB-IIIA NSCLCPembrolizumab3014 (47%) women and 16 (53%) men72 (47–81) y28% (7/25)12% (3/25)NR3.3% (1/30)83.3% (25/30)48% (12/25)4% (1/25)Tong, B. C.2021[17]
NEOMUNNCT03197467Cohort studyArticleIIResectable NSCLC stage II/IIIAPembrolizumab158 women, 7 men59.8 (40–83) y27% (4/15)13% (2/15)33% (5/15)13% (2/15)100% (15/15)7% (1/15)7% (1/15)Eichhorn, F.2021[18]
NRNRCohort studyArticleNRUntreated, surgically resectable stage IIB–IIIB LUSCPembrolizumab + chemo (nab-paclitaxel and carboplatin)372 (5.4%) women and 35 (94.6%) men62.8 (38–76) y64.9% (24/37)45.9% (17/37)70.3% (26/37)10.8% (4/37)100% (37/37)NR0%Shen, D.2021[19]
NRNRCohort studyArticleNRStages IIA–IIIB NSCLCPD-1 + chemo231 (4.3%) woman and 22 (95.7%) men61.83 y50% (10/20)30% (6/20)26% (6/23)4% (1/23)87% (20/23)25% (5/20)0%Duan, Ht2021[20]
NRNRCohort studyArticleNRStage IIIA NSCLCPD-1 + chemo (nab-paclitaxel and carboplatin)726 (8.3%) women and 66 (91.7%) men62.2 (42–76) y65.2% (47/72)29.1% (21/72)NR6.9% (5/72)100% (72/72)NR0Wang Jf2021[21]
NRNCT02904954RCTArticleIIResectable stage I-IIIA NSCLCDurvalumab ± RT (8 Gy × 3)6029 (48%) women and 31 (52%) men71.5 (64–75) y34.6% (18/52)15.3% (8/52)NR18.3% (11/60)87% (52/60)38.5% (20/52)3.8% (2/52)Altorki NK2021[22]
SAKK 16/14NCT02572843Cohort studyArticleIILocally advanced T1-3N2M0, stage IIIA (N2) NSCLCDurvalumab + chemo (docetaxel and cisplatin)6735 (52%) men and 32 (48%) women61 (41–74) y62% (34/55)18% (10/55)NR88% (59/67)82% (55/67)NRNRRothschild2021[23]
LCMC3NCT02927301Cohort studyConference abstractIIStages IB-selected IIIB resectable NSCLCAtezolizumab10154 (53.5%) women and 47 (46.5%) men64 y18% (15/82)4.9% (4/82)5.9% (6/101)NR98% (90/101)27.8% (25/90)NRKwiatkowski DJ2019[24]
MK3475−223NCT02938624Cohort studyConference abstractIStage I-II NSCLCPembrolizumab10NRNR40% (4/10)NRNRNR100% (10/10)0% (0/10)0%Bar J2019[25]