(PACIFIC-R) Durvalumab inNSCLC Real world data
27th
NOV 2025/LUNG
A. R. Filippi/ESMO OPEN/2023
Parameter Result
Study type
Real-world,
retrospective,
1154 patients
Median fup 38.7 months
Median OS Not reached
2-year OS 72.3%
3-year OS 63.2%
Median
PFS
24.1 months
2-year PFS 50.1%
3-year PFS 42.2%
PD-L1 ≥1% (3-yr OS) 67.0%
PD-L1 <1% (3-yr OS) 54.4%
cCRT (3-yr OS) 64.8%
sCRT (3-yr OS) 57.9%
Durva ≤42 days (3-yr OS) 66.0%
Durva >42 days (3-yr OS) 61.8%
Non-squamous (3-yr OS) 68.0%
Squamous (3-yr OS) 53.2%
TTDM – median 35.5
months
TDLR – median Not
reached
TFST – median 35.9
months
16.
(PACIFIC - 6)CTRT seq. Durvalumab in stag. lll NSCLC
28th
NOV 2025/LUNG
Jeffrey D. Bradle/JCO/2025
Parameter Key Findings
Grade 3–4 AEs (any cause) 27.4%
Grade 3–4 treatment-related AEs (PRAEs) 6.0%
Any-grade pneumonitis 18.8%
Grade 3–4 pneumonitis 1.7%
Fatal AEs (any cause) 2.6% (1 death due to pneumonitis)
Discontinuation due to AEs 27.4%
Most common AEs (any grade) Cough (38.5%), Fatigue (20.5%), Dyspnea (24.8%), Pneumonitis (18.8%)
Objective response rate (ORR) 20.5%
Complete response 2.6%
Partial response 17.9%
Median PFS 13.1 months
2-year PFS rate 35.3%
Median OS 39.0 months
3-year OS rate 56.5%
17.
MOA DIFFERENCE BETWEENDURVALUMAB AND PEMBRO
29th
NOV 2025/IMMUNO
Jeffrey D. Bradle/JCO/2025
SYSUCC-001 TRIAL –10-YEAR UPDATE – EXTENDED CAPECITABINE
3rd
DEC 2025/BREAST
Zan Hou/LANCET ONCOLOGY/2025
Clinical Implications & Takeaways
1. Durable DFS benefit: Extended metronomic Capecitabine reduces recurrence risk by 40% at
10 years in early TNBC
2. Biomarker-driven selection: FOXC1-high status identifies patients who derive the greatest
DFS and OS benefit
3. Actionable strategy: Consider FOXC1 testing to prioritize extended capecitabine in
appropriate patients
4. Safety profile: 1-year metronomic dosing (650 mg/m² twice daily) is manageable with
appropriate monitoring
5. Future validation: Prospective studies needed to confirm FOXC1 predictive utility in non-
Chinese TNBC cohorts
6. Extended 1-year metronomic capecitabine offers durable DFS benefit at 10 years in early
TNBC.
7. OS improvement trends positive but does not reach significance.
8. FOXC1-high tumours appear to derive the greatest survival benefit, suggesting FOXC1 may
help tailor adjuvant therapy.
9. Conclusions should be cautious because FOXC1 findings are exploratory and require
validation.
22.
Intraoperative Radiation Therapy(IORT) in Pancreatic Cancer
4th
DEC 2025/PANCREAS
AhmedElguindy/SEMINARS IN RADIATION ONCOLOGY/2025