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Dr. Langer on the Impact of Frontline Immunotherapy in Lung Cancer

Corey J. Langer, MD
Published: Friday, Aug 03, 2018



Corey J. Langer, MD, director, Thoracic Oncology, Abramson Cancer Center, professor of medicine, Perelman School of Medicine, University of Pennsylvania, discusses the impact of frontline immunotherapy in lung cancer.

The introduction of immunotherapy upfront has changed the treatment paradigm, Langer says. Only a few years ago, the then standard of care docetaxel was either relegated to the third-line setting or rendered clinically irrelevant. In nonsquamous disease, platinum-based chemotherapy was generally administered in the frontline setting, followed by immunotherapy, regardless of PD-L1 status. If immunotherapy failed to show efficacy, the patient would go on to receive docetaxel and ramucirumab (Cyramza).

In the second-line setting, there are some cases where a physician would go with docetaxel alone—for example, if there’s ongoing bleeding. An agent such as gemcitabine could even be used as an alternative to ramucirumab.


Corey J. Langer, MD, director, Thoracic Oncology, Abramson Cancer Center, professor of medicine, Perelman School of Medicine, University of Pennsylvania, discusses the impact of frontline immunotherapy in lung cancer.

The introduction of immunotherapy upfront has changed the treatment paradigm, Langer says. Only a few years ago, the then standard of care docetaxel was either relegated to the third-line setting or rendered clinically irrelevant. In nonsquamous disease, platinum-based chemotherapy was generally administered in the frontline setting, followed by immunotherapy, regardless of PD-L1 status. If immunotherapy failed to show efficacy, the patient would go on to receive docetaxel and ramucirumab (Cyramza).

In the second-line setting, there are some cases where a physician would go with docetaxel alone—for example, if there’s ongoing bleeding. An agent such as gemcitabine could even be used as an alternative to ramucirumab.

View Conference Coverage
Online CME Activities
TitleExpiration DateCME Credits
Community Practice Connections™: 18th Annual International Lung Cancer Congress®Oct 31, 20181.5
Clinical Interchange™: Translating Research to Inform Changing Paradigms: Assessment of Emerging Immuno-Oncology Strategies and Combinations across Lung, Head and Neck, and Bladder CancersOct 31, 20182.0
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