A phase 3 trial shows that treatment-naive patients with stage III–IV nonsmall cell lung cancer receiving early time-of-day immunochemotherapy with sintilimab or pembrolizumab experienced longer progression-free survival. The study involved 210 patients and suggests that timing of treatment may enhance efficacy.
In this randomized phase 3 trial, patients with treatment-naive stage III–IV nonsmall cell lung cancer who received sintilimab or pembrolizumab in combination with chemotherapy early in the day (before 15:00 h) experienced longer progression-free survival compared with those receiving late ... In this randomized phase 3 trial, patients with treatment-naive stage III–IV nonsmall cell lung cancer who received sintilimab or pembrolizumab in combination with chemotherapy early in the day (before 15:00 h) experienced longer progression-free survival compared with those receiving late time-of-day infusions. Retrospective studies suggest that early time-of-day (ToD) infusions of immunochemotherapy may improve efficacy. However, prospective randomized controlled trials are needed to validate it. In this randomized phase 3 LungTIME-C01 trial, 210 patients with treatment naive stage IIIC–IV nonsmall cell lung cancer (NSCLC) lacking driver mutations were randomly assigned in a 1:1 ratio to either an early or late ToD group, defined by the administration of the first four cycles of an anti-PD-1 agent before or after 15:00 h. The primary endpoint was progression-free survival (PFS), while secondary endpoints included overall survival (OS) and objective response rate (ORR). Nature Medicine - In this randomized phase 3 trial, patients with treatment-naive stage III–IV nonsmall cell lung cancer who received sintilimab or pembrolizumab in combination with... Extended Data Table 1 Information about the clinical trial ... Extended Data Table 4 Baseline demographics and disease characteristics of patients included in the flow cytometry analysis by study group
Original title: “Time-of-day immunochemotherapy in nonsmall cell lung cancer: a randomized phase 3 trial | Nature Medicine”