Evidence map›Paper›PMID 41638870›Full record

ReviewJournal for immunotherapy of cancer2026

Neoadjuvant chemoimmunotherapy in non-small cell lung cancer: evolving resectability criteria, biomarker-driven postoperative management, and emerging therapeutic strategies.

Akshay Patel, Elliot Wakeam, Eleni Josephides, Savvas Lampridis, Eleni Karapanagiotou, Gary Middleton, Babu Naidu, Marc De Perrot, Andrea Bille

Abstract readReview
In one paragraph

Review in Journal for immunotherapy of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

9 authors.

Akshay PatelInstitute of Immunology and Immunotherapy (III), College of Medicine and Health, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK a.patel.2@bham.ac.uk.
Elliot WakeamThoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Eleni JosephidesRadiation Oncology, Guy's Hospital, London, UK.
Savvas LampridisThoracic Surgery, 424 General Military Hospital, Thessaloniki, Greece.
Eleni KarapanagiotouMedical Oncology, Guy's Hospital, London, UK.
Gary MiddletonInstitute of Immunology and Immunotherapy (III), College of Medicine and Health, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Babu NaiduThoracic Surgery, University Hospitals Birmingham, Birmingham, UK.
Marc De PerrotThoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Andrea BilleThoracic Surgery, Guy's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neoadjuvant chemoimmunotherapy (chemo-IO) has fundamentally reshaped the treatment paradigm for resectable non-small cell lung cancer (NSCLC), challenging long-held surgical boundaries and redefining what constitutes "resectable" disease. Trials such as CheckMate-816, KEYNOTE-671, and AEGEAN have demonstrated that integrating immune checkpoint blockade with chemotherapy yields unprecedented rates of pathological response and event-free survival, positioning chemo-IO as the new global standard for stage IB-IIIA NSCLC. Yet these advances bring new complexities; how do we define resectability in an era of immunotherapeutic downstaging, and how should multidisciplinary teams adapt to evolving biology? Traditional radiological and anatomic criteria now sit alongside immune-mediated regression and circulating tumor DNA (ctDNA) kinetics as measures of treatment success. ctDNA clearance and pathological response serve as powerful surrogates for long-term survival, with ongoing studies such as MERMAID-1/2 exploring their potential to guide adjuvant therapy and spare overtreatment. The modern challenge lies in integrating these biomarkers into surgical decision-making and developing standardized, biology-informed resectability frameworks. Future progress will depend on close collaboration between surgeons, oncologists, and translational scientists to expand surgical candidacy safely and define the next generation of curative strategies in lung cancer.

Indexed as

Biomarkers, TumorCarcinoma, Non-Small-Cell LungImmunotherapyLung NeoplasmsNeoadjuvant TherapyHumansPostoperative CareBiomarkers, TumorAdenocarcinomaChemotherapyImmune Checkpoint InhibitorLung CancerNeoadjuvant

Identifiers

PMID41638870
PMCPMC12878408

What OpenQuestion holds

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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.