2024
DOI: 10.1093/oncolo/oyae107
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The ASCENT Trial: a phase 2 study of induction and consolidation afatinib and chemoradiation with or without surgery in stage III EGFR-mutant NSCLC

Allison E B Chang,
Andrew J Piper-Vallillo,
Raymond H Mak
et al.

Abstract: Background The role of tyrosine kinase inhibitors (TKIs) in early-stage and metastatic oncogene-driven non–small cell lung cancer (NSCLC) is established, but it remains unknown how best to integrate TKIs with concurrent chemoradiotherapy (cCRT) in locally advanced disease. The phase 2 ASCENT trial assessed the efficacy and safety of afatinib and cCRT with or without surgery in locally advanced epidermal growth factor receptor (EGFR)-mutant NSCLC. … Show more

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“…Despite the advent of check-point inhibitors, overall survival of stage III patients treated with definitive radiochemotherapy remains limited according to real-world data on progression-free survival, which was 48.2% in the PACIFIC-trial 5 . In patients with stage III EGFR-mutant NSCLC the combination with newer-generation tyrosine kinase inhibitors and radiochemotherapy are promising but recurrences can occur predominantly in the brain 6 . Likewise immunotherapy has determined unprecedented long-term responses in NSCLC 7 and concomitant therapies can highly influence its impact 8 .…”
Section: Introductionmentioning
confidence: 99%
“…Despite the advent of check-point inhibitors, overall survival of stage III patients treated with definitive radiochemotherapy remains limited according to real-world data on progression-free survival, which was 48.2% in the PACIFIC-trial 5 . In patients with stage III EGFR-mutant NSCLC the combination with newer-generation tyrosine kinase inhibitors and radiochemotherapy are promising but recurrences can occur predominantly in the brain 6 . Likewise immunotherapy has determined unprecedented long-term responses in NSCLC 7 and concomitant therapies can highly influence its impact 8 .…”
Section: Introductionmentioning
confidence: 99%