%0 Journal Article %A Zhou, Xiaojuan %A Zhou, Laiyan %A Yao, Zhuoran %A Huang, Meijuan %A Gong, Youling %A Zou, Bingwen %A Zhu, Jiang %A Liu, Yongmei %A Peng, Feng %A Zhang, Yan %A Yu, Min %A Li, Yanying %A Na, Feifei %A Wu, Yijun %A Kang, Kai %A Xiu, Weigang %A Zhang, Xuanwei %A Zhou, Lin %A Xu, Yong %A Wang, Jin %A Wang, Yan %A Yang, Xue %A Wu, Yuanjun %A Li, Rui %A Zhang, Yu %A Yang, Zhenzhou %A Zhou, Zhipeng %A Bai, Jing %A Yi, Xin %A Tong, Ruizhan %A Yin, Limei %A Chen, Chong %A Niedermann, Gabriele %A Lu, You %A Xue, Jianxin %T Safety and Tolerability of Low-Dose Radiation and Stereotactic Body Radiotherapy + Sintilimab for Treatment-Naive Stage IV PD-L1+ Non-Small-Cell Lung Cancer Patients. %J Clinical cancer research %V 29 %N 20 %@ 1078-0432 %C Philadelphia, Pa. [u.a.] %I AACR %M DKFZ-2023-01663 %P 4098-4108 %D 2023 %Z 2023 Oct 13;29(20):4098-4108 %X Low-dose radiation therapy (LDRT) may enhance the synergistic anti-tumor effect of combined immunotherapy and stereotactic body radiation therapy (SBRT). The safety and efficacy of this novel triple-combination therapy were evaluated for the first time as first-line treatment for patients with metastatic non-small-cell lung cancer (NSCLC).This prospective phase 1 study enrolled 29 patients and included a dose-escalation and dose-expansion phase. Patients received SBRT (30 Gy/3f) to small lesions and LDRT (2 Gy/1f, 4 Gy/2f, or 10 Gy/5f) to a large lesion concurrently, followed by sintilimab (a PD-1 inhibitor). The primary endpoint was safety and tolerability; secondary endpoints included objective response rate (ORR), progression-free survival (PFS), and overall survival (OS).No dose-limiting toxicities were observed during the dose-escalation phase; 4 Gy/2f was the recommended LDRT dose. Median follow-up was 15.6 months. Treatment-related adverse events (TRAEs) occurred in 96.6 %F PUB:(DE-HGF)16 %9 Journal Article %$ pmid:37581611 %R 10.1158/1078-0432.CCR-23-0315 %U https://inrepo02.dkfz.de/record/278582