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Radiation therapy for augmenting the efficacy of immunotherapy in advanced non-small cell lung cancer: a case-controlled study

Chinthaka B. Samaranayake, Elizabeth McCaffrey, John Coucher, Margot Lehman, G. Tao Mai, Michelle A. Murphy
ERJ Open Research 2020 6: 00189-2019; DOI: 10.1183/23120541.00189-2019
Chinthaka B. Samaranayake
1Dept of Respiratory and Sleep Medicine, Princess Alexandra Hospital Health Service District, Woolloongabba, Australia
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  • ORCID record for Chinthaka B. Samaranayake
  • For correspondence: chinthaka.samaranayake@health.qld.gov.au
Elizabeth McCaffrey
2Dept of Medical Oncology, Princess Alexandra Hospital Health Service District, Woolloongabba, Australia
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John Coucher
3Dept of Diagnostic Radiology, Princess Alexandra Hospital Health Service District, Woolloongabba, Australia
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Margot Lehman
4Dept of Radiation Oncology, Princess Alexandra Hospital Health Service District, Woolloongabba, Australia
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G. Tao Mai
4Dept of Radiation Oncology, Princess Alexandra Hospital Health Service District, Woolloongabba, Australia
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Michelle A. Murphy
1Dept of Respiratory and Sleep Medicine, Princess Alexandra Hospital Health Service District, Woolloongabba, Australia
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Tables

  • TABLE 1

    Baseline characteristics

    CategoryRadiation therapy groupNon-radiation therapy groupp-value
    Patients n2323
    Age at diagnosis years63 (41–77)62 (43–79)0.26
    Females13 (57)15 (65.1)0.14
    Smoking history18 (90)19 (95)0.26
    Smoking pack-years43.2±23.444.5±21.60.85
    Body mass index kg·m−225.6±4.925.8±5.40.86
    Serum LDH U·L−1264.8±64.4380.5±80.10.08
    FEV1 % pred76.75±24.461.4±27.90.10
    FVC %87.4±21.392.5±12.50.72
    Lung disease on CT scan0.89
     Emphysema14 (60.9)12 (52.2)
     Interstitial lung disease2 (8.7)1 (4.3)
     Bronchiectasis00
    Histology of tumour
     Adenocarcinoma16 (69.6)16 (69.6)
     Squamous cell carcinoma7 (30.4)7 (30.4)
    Stage at the time of inclusion#0.75
     Stage IV19 (82.6)21 (91.3)
     Stage IIIB4 (17.4)2 (8.7)
    Previous chemotherapy cycles6 (1–18)4 (2–10)0.11
    Lines of chemotherapy prior to nivolumab1 (1–3)1 (1–3)
    Previous chemotherapy0.59
     Carboplatin22 (95.7)22 (95.7)
     Cisplatin1 (4.4)1 (4.4)
     Gemcitabine12 (52.2)19 (82.6)
     Paclitaxel14 (90.9)4 (17.4)
     Vinorelbine1 (4.4)1 (4.4)
     Pemetrexed2 (8.7)3 (13.0)
    Previous radiation therapy
     Thoracic23 (100)
     Extrathoracic4 (17.4)
    Previous radiation therapy intent
     Previous definitive concurrent chemoradiation18 (78.3)
     Previous palliative radiotherapy5 (21.7)
    ECOG score at the start of nivolumab2 (1–2)2 (1–2)
    Nivolumab cycles9 (1–47)*5 (1–34)*0.01

    Data are presented as median (range), mean±sd or n (%), unless otherwise stated. LDH: lactate dehydrogenase; FEV1: forced expiratory volume in 1 s; % pred: % predicted; FVC: forced vital capacity; CT: computed tomography; ECOG: Eastern Cooperative Oncology Group performance status score. #: stage of non-small cell lung cancer prior to initiation of nivolumab was based on the seventh Tumour, Node, Metastasis classification of lung cancer. *: p<0.05.

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    Radiation therapy for augmenting the efficacy of immunotherapy in advanced non-small cell lung cancer: a case-controlled study
    Chinthaka B. Samaranayake, Elizabeth McCaffrey, John Coucher, Margot Lehman, G. Tao Mai, Michelle A. Murphy
    ERJ Open Research Jan 2020, 6 (1) 00189-2019; DOI: 10.1183/23120541.00189-2019

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    Radiation therapy for augmenting the efficacy of immunotherapy in advanced non-small cell lung cancer: a case-controlled study
    Chinthaka B. Samaranayake, Elizabeth McCaffrey, John Coucher, Margot Lehman, G. Tao Mai, Michelle A. Murphy
    ERJ Open Research Jan 2020, 6 (1) 00189-2019; DOI: 10.1183/23120541.00189-2019
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