Evidence map›Paper›PMID 40075721›Full record

ReviewCancers2025

Real-World Insights into the Impact of Durvalumab on Stage III Unresectable Non-Small Cell Lung Cancer-A Narrative Review.

Giorgio Facheris, Gianluca Cossali, Jessica Imbrescia, Salvatore La Mattina, Eneida Mataj, Nicole Meli, Giulia Volpi, Luca Triggiani, Andrea Emanuele Guerini, Guido Levi and 3 more

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Giorgio FacherisRadiation Oncology Department, ASST Spedali Civili and University of Brescia, 25123 Brescia, Italy.ORCID 0000-0002-4555-1725
Gianluca CossaliRadiation Oncology Department, ASST Spedali Civili and University of Brescia, 25123 Brescia, Italy.
Jessica ImbresciaRadiation Oncology Unit, Department of Oncology and Hematology, University Hospital of Modena, 41124 Modena, Italy.
Salvatore La MattinaDepartement of Radiation Oncology, San Matteo Hospital Foundation Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 27100 Pavia, Italy.ORCID 0009-0008-0137-5142
Eneida MatajRadiation Oncology Department, ASST Spedali Civili and University of Brescia, 25123 Brescia, Italy.
Nicole MeliOncology, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health Medical, ASST-Spedali Civili, University of Brescia, 25123 Brescia, Italy.
Giulia VolpiAzienda Ospedaliera Universitaria Integrata Verona, Radiation Oncology, 37126 Verona, Italy.
Luca TriggianiRadiation Oncology Department, ASST Spedali Civili and University of Brescia, 25123 Brescia, Italy.ORCID 0000-0003-0168-3432
Andrea Emanuele GueriniRadiation Oncology Department, ASST Spedali Civili and University of Brescia, 25123 Brescia, Italy.
Guido LeviPulmonology Department, ASST Spedali Civili di Brescia, 25123 Brescia, Italy.ORCID 0000-0002-7163-2270
Salvatore GrisantiOncology, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health Medical, ASST-Spedali Civili, University of Brescia, 25123 Brescia, Italy.ORCID 0000-0001-6922-1934
Michela Buglione di Monale E BastiaRadiation Oncology Department, ASST Spedali Civili and University of Brescia, 25123 Brescia, Italy.ORCID 0000-0002-5485-1260
Paolo BorghettiRadiation Oncology Department, ASST Spedali Civili and University of Brescia, 25123 Brescia, Italy.ORCID 0000-0001-7275-7908

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION AND

aimStage III Non-Small Cell Lung Cancer (NSCLC) has a poor prognosis, with median survival ranging from 9 to 34 months. The PACIFIC trial demonstrated that durvalumab after platinum-based chemoradiotherapy (CRT) improves overall survival (OS) and progression-free survival (PFS). This review evaluates real-world evidence (RWE) on durvalumab's efficacy and safety, focusing on patient characteristics, prognostic factors, treatment protocols, and outcomes beyond progression. MATERIALS AND

methodsA literature search of PubMed, Embase, and Google Scholar identified 49 observational studies published from January 2017 to August 2024 on unresectable stage III NSCLC. Clinical trials, early-stage disease, and alternative treatments were excluded.

resultsCompared to the PACIFIC trial, real-world patients were older, had poorer ECOG performance (≥2), and more comorbidities like COPD. Despite this, durvalumab provided consistent survival benefits. Positive prognostic factors included non-squamous histology, high PD-L1 expression, and timely durvalumab initiation (≤42 days post-CRT). Most radiotherapy regimens mirrored PACIFIC (54-66 Gy). Concomitant CRT was used in 90% of cases, with sequential CRT for frail patients. Chemotherapy regimens varied. Immune-mediated pneumonitis was a major adverse event, with incidence rates between 15% and 100%. Severe cases led to treatment discontinuation, impacting survival. Treatment beyond progression remains uncertain, with limited benefits from immunotherapy rechallenge.

conclusionsRWE supports durvalumab's efficacy, emphasizing the need for personalized treatment strategies and further research to improve long-term outcomes.

Indexed as

chemotherapydurvalumabimmunotherapylung cancernarrative reviewNSCLCpacificradiotherapyreal world

Identifiers

PMID40075721
PMCPMC11899213

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.