Evidence map›Paper›PMID 41068447›Full record

ReviewNature reviews. Clinical oncology2026

Unresectable stage III non-small-cell lung cancer: state of the art and challenges.

Jordi Remon, Antonin Levy, Romane Gille, Isabelle Martel-Lafay, Martina Bortolot, Lizza E L Hendriks, Corinne Faivre-Finn, Natasha Leighl, Martin Reck, Maurice Pérol

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Review
  6. Article
  7. Article
  8. Observational
  9. Review
  10. Article
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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

10 authors.

Jordi RemonDepartment of Cancer Medicine, Gustave Roussy, Villejuif, France. JORDI.REMON-MASIP@gustaveroussy.fr.ORCID http://orcid.org/0000-0002-9462-875X
Antonin LevyDepartment of Radiation Oncology, Gustave Roussy, Université Paris-Saclay, Villejuif, France.ORCID http://orcid.org/0000-0003-4798-8899
Romane GilleDepartment of Medical Oncology, Centre Léon Bérard, Lyon, France.
Isabelle Martel-LafayDepartment of Radiotherapy, Centre Léon Bérard, Lyon, France.
Martina BortolotDepartment of Pulmonary Diseases, Maastricht University Medical Centre (+), GROW Research Institute for Oncology and Reproduction, Maastricht, The Netherlands.ORCID http://orcid.org/0009-0005-1364-5478
Lizza E L HendriksDepartment of Pulmonary Diseases, Maastricht University Medical Centre (+), GROW Research Institute for Oncology and Reproduction, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-3521-2535
Corinne Faivre-FinnRadiotherapy Related Research, University of Manchester and The Christie NHS Foundation, Manchester, UK.
Natasha LeighlDivision of Medical Oncology, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-3249-4602
Martin ReckAirway Research Center North, German Center of Lung Research, Lung Clinic, Grosshansdorf, Germany.ORCID http://orcid.org/0000-0002-5348-4462
Maurice PérolDepartment of Medical Oncology, Centre Léon Bérard, Lyon, France.ORCID http://orcid.org/0000-0002-3296-423X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite advances in immunotherapy, unresectable stage III non-small-cell lung cancer (NSCLC) remains a highly challenging disease, with only around one-third of patients remaining disease-free at 5 years. The PACIFIC trial established consolidation with the anti-PD-L1 antibody durvalumab after concurrent chemoradiotherapy as the standard-of-care approach. Furthermore, the LAURA trial has redefined the treatment of patients with stage III unresectable EGFR-mutant NSCLC, demonstrating unprecedented progression-free survival durations with osimertinib consolidation. Despite these advances, novel approaches are urgently needed. Circulating tumour DNA-based monitoring of minimal residual disease is emerging as a personalized method of tailoring treatment duration and escalation strategies. Novel radiotherapy techniques have the potential to provide synergy with immunotherapy while minimizing toxicities. Additionally, ongoing trials evaluating chemoimmunotherapy combinations adapted from the neoadjuvant setting with the potential for conversion to resectable disease might, in the near future, redefine the boundary of surgical resectability. In this Review, we describe the rapidly evolving field of unresectable stage III NSCLC, providing a state-of-the-art overview that includes challenging topics such as biomarkers, personalization of therapy and the role of immunotherapy rechallenge.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsHumansImmunotherapyNeoplasm Staging

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.