Combination of Radiotherapy and Immunotherapy in Advanced Non–Small Cell Lung Cancer

In this cohort study, sequential iRT was associated with longer survival than concurrent iRT in patients with newly diagnosed advanced NSCLC, and chemotherapy was associated with longer survival. In patients with refractory NSCLC who survived at least 90 days, RT with ICI maintenance resulted in nonsignificantly longer survival and an unclear association with chemotherapy. These findings are hypothesis generating and support prospective randomized studies to define optimal sequencing of iRT and use of systemic treatment partners.

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Publication Details

Journal
JAMA Oncology
Published
2026-03-26
DOI
https://doi.org/10.1001/jamaoncol.2026.0392
Primary Topic
Lung Cancer Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Combination of Radiotherapy and Immunotherapy in Advanced Non–Small Cell Lung Cancer

Abraham Ka Chung Wai, Teddy Tai Loy Lee, Hong Zhou, Can-Bin Fang et al.
JAMA Oncology
Lung Cancer Diagnosis and Treatment
article

Combination of Radiotherapy and Immunotherapy in Advanced Non–Small Cell Lung Cancer

Abraham Ka Chung Wai, Teddy Tai Loy Lee, Hong Zhou, Can-Bin Fang, Zhenghao Ye, Si-Chao Wang, F. Kong, Chen Hu
article en

Abstract

In this cohort study, sequential iRT was associated with longer survival than concurrent iRT in patients with newly diagnosed advanced NSCLC, and chemotherapy was associated with longer survival. In patients with refractory NSCLC who survived at least 90 days, RT with ICI maintenance resulted in nonsignificantly longer survival and an unclear association with chemotherapy. These findings are hypothesis generating and support prospective randomized studies to define optimal sequencing of iRT and use of systemic treatment partners.

JAMA Oncology
Johns Hopkins University (US), Sun Yat-sen University (CN), Chinese University of Hong Kong (HK), Sun Yat-sen Memorial Hospital (CN), Prince of Wales Hospital (CN), Zhujiang Hospital (CN), University of Hong Kong - Shenzhen Hospital (CN), Southern Medical University (CN), University of Hong Kong (HK)
Good health and well-being
Openalex Percentile: Top 7%
Lung Cancer Diagnosis and Treatment
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