Evidence map›Paper›PMID 41685302›Full record

ReviewFrontiers in immunology2026

Neoadjuvant immunotherapy for lung cancer: current limitations and future prospects.

Kunpeng Yang, Lei Wang, Zhe Wang, Peiyun Lv, Chenglun Cai, Hui Zhao, Wenjuan Sun, Bao Wang

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  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

8 authors.

Kunpeng YangDepartment of Thoracic Oncology Surgery II, Jilin Cancer Hospital, Changchun, Jilin, China.
Lei WangDepartment of Thoracic Oncology Surgery II, Jilin Cancer Hospital, Changchun, Jilin, China.
Zhe WangDepartment of Thoracic Oncology Surgery II, Jilin Cancer Hospital, Changchun, Jilin, China.
Peiyun LvDepartment of Thoracic Oncology Surgery II, Jilin Cancer Hospital, Changchun, Jilin, China.
Chenglun CaiDepartment of Thoracic Oncology Surgery II, Jilin Cancer Hospital, Changchun, Jilin, China.
Hui ZhaoDepartment of Thoracic Oncology Surgery II, Jilin Cancer Hospital, Changchun, Jilin, China.
Wenjuan SunSchool of Clinical Medicine, Changchun University of Chinese Medicine, Changchun, China.
Bao WangDepartment of Thoracic Oncology Surgery II, Jilin Cancer Hospital, Changchun, Jilin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lung cancer is the leading cause of cancer-related mortality globally, with non-small cell lung cancer (NSCLC) accounting for the majority of cases. For resectable early-stage NSCLC, surgery and adjuvant chemotherapy remain the standard treatments, but the recurrence rate is high, and long-term survival outcomes are suboptimal. In recent years, immunotherapy, particularly immune checkpoint inhibitors (ICIs), has revolutionized the treatment of advanced NSCLC and is gradually being extended to early-stage disease. Neoadjuvant immunotherapy, as an emerging strategy, aims to activate anti-tumor immune responses preoperatively, eliminate microscopic metastases, and downstage tumors, thereby improving surgical resectability and enhancing long-term survival for patients. Several clinical trials have demonstrated that neoadjuvant immunotherapy, either alone or in combination with chemotherapy, significantly increases the major pathological response (MPR) and pathological complete response (pCR) rates, translating into improvements in event-free survival (EFS). However, this promising therapeutic approach faces numerous challenges, including the lack of precise biomarkers for efficacy prediction, unclear treatment strategies for patients with driver gene-positive tumors, primary and secondary resistance, management of immune-related adverse events (irAEs), and the complexities of post-treatment efficacy evaluation. This review aims to comprehensively summarize the latest clinical evidence on neoadjuvant immunotherapy for lung cancer, delve into the main challenges and opportunities encountered in clinical practice, and explore its future directions, including novel combination therapies, personalized treatment strategies, and the application of innovative technologies, with the goal of optimizing clinical management for early-stage lung cancer patients and advancing research in this field.

Indexed as

Carcinoma, Non-Small-Cell LungImmune Checkpoint InhibitorsImmunotherapyLung NeoplasmsNeoadjuvant TherapyAnimalsBiomarkers, TumorHumansTreatment OutcomeBiomarkers, TumorImmune Checkpoint Inhibitorsbiomarkersneoadjuvant immunotherapy for lung cancernon-small cell lung cancerpathological responsepersonalized treatment

Identifiers

PMID41685302
PMCPMC12891178

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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.