New Indication: Neoadjuvant Nivolumab for NSCLC


  • Study

    Open-label, phase 3 trial
    Stage IB to IIIA resectable NSCLC
    Three cycles neoadjuvant treatment
    Nivolumab plus platinum-based chemotherapy (n=176) or platinum-based chemotherapy (n=176)



  • Efficacy

    mEFS: 31.6 m vs 20.8 m (HR:0.63; 97.38% CI, 0.43 to 0.91; P=0.005)
    pCR: 24.0% vs 2.2% (OR:13.94; 99% CI, 3.49 to 55.75; P<0.001)
    mOS: NR vs NR (HR: 0.57; 99.67% CI, 0.30 to 1.07; P=0.008)



  • Safety

    Grade >= 3 AEs: 33.5% vs 36.9%
    Grade >=3 AEs neutropenia:8.5% vs 11.9%
    Discontinuation of treatment 10.2% vs 9.7%



  • N Engl J Med 2022; 386:1973-1985

    Neoadjuvant Nivolumab plus Chemotherapy in Resectable Lung Cancer

    http://doi.org/10.1056/NEJMoa2202170

    Reviewed by Hasan Cagri Yildirim, MD on Sep 20, 2022