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LetterLetter
Open Access

Induction immunochemotherapy followed by definitive radiotherapy in patients with limited-stage small cell lung cancer: a multicenter study

Junxu Wen, Qian Wang, Xinrui Yu, Yang Liu, Xiaoyan Yin, Shanshan Li, Heng Zhao, Zhaoqin Huang, Yu Chen and Xiangjiao Meng
Cancer Biology & Medicine May 2026, 20250800; DOI: https://doi.org/10.20892/j.issn.2095-3941.2025.0800
Junxu Wen
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China
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Qian Wang
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China
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Xinrui Yu
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China
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Yang Liu
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China
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Xiaoyan Yin
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China
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Shanshan Li
2Department of Radiation Oncology, Zibo Municipal Hospital, Zibo 255400, China
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Heng Zhao
3Department of Radiation Oncology, Affiliated Hospital of Jining Medical University, Jining 272029, China
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Zhaoqin Huang
4Department of Radiology, Shandong Provincial Hospital, Shandong First Medical University, Jinan 250021, China
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  • ORCID record for Zhaoqin Huang
  • For correspondence: devin813{at}163.com chenyu{at}sd-cancer.com mengxiangjiao{at}sina.com
Yu Chen
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China
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  • ORCID record for Yu Chen
  • For correspondence: devin813{at}163.com chenyu{at}sd-cancer.com mengxiangjiao{at}sina.com
Xiangjiao Meng
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China
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  • For correspondence: devin813{at}163.com chenyu{at}sd-cancer.com mengxiangjiao{at}sina.com
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  • Efficacy of the induction immunochemotherapy followed by definitive radiotherapy and exploratory subgroup survival analysis. (A, B) PFS and OS of patients in the I-CRT and CRT groups. (C) Tumor response of patients in the I-CRT and CRT groups. (D) Waterfall plot of the best overall response from baseline in the I-CRT group. (E, F) PFS and OS of patients in the CCRT and SCRT groups. (G, H) PFS and OS of patients in the “once-daily” and “twice-daily” groups. (I, J) PFS and OS of patients in the “1–3 cycles” and “4–6 cycles” groups. (K–N) Dosimetric parameters of patients in the “1–3 cycles” and “4–6 cycles” groups, including MLD (K), V5 (L), V20 (M), and V30 (N). CCRT, concurrent chemoradiotherapy; MLD, mean lung dose; OS, overall survival; PFS, progression-free survival; SCRT, sequential chemoradiotherapy; V5, volume of lung parenchyma receiving ≥ 5 Gy; V20, volume of lung parenchyma receiving ≥ 20 Gy; V30, volume of lung parenchyma receiving ≥ 30 Gy.
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    Efficacy of the induction immunochemotherapy followed by definitive radiotherapy and exploratory subgroup survival analysis. (A, B) PFS and OS of patients in the I-CRT and CRT groups. (C) Tumor response of patients in the I-CRT and CRT groups. (D) Waterfall plot of the best overall response from baseline in the I-CRT group. (E, F) PFS and OS of patients in the CCRT and SCRT groups. (G, H) PFS and OS of patients in the “once-daily” and “twice-daily” groups. (I, J) PFS and OS of patients in the “1–3 cycles” and “4–6 cycles” groups. (K–N) Dosimetric parameters of patients in the “1–3 cycles” and “4–6 cycles” groups, including MLD (K), V5 (L), V20 (M), and V30 (N). CCRT, concurrent chemoradiotherapy; MLD, mean lung dose; OS, overall survival; PFS, progression-free survival; SCRT, sequential chemoradiotherapy; V5, volume of lung parenchyma receiving ≥ 5 Gy; V20, volume of lung parenchyma receiving ≥ 20 Gy; V30, volume of lung parenchyma receiving ≥ 30 Gy.
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    Figure 1

    Efficacy of the induction immunochemotherapy followed by definitive radiotherapy and exploratory subgroup survival analysis. (A, B) PFS and OS of patients in the I-CRT and CRT groups. (C) Tumor response of patients in the I-CRT and CRT groups. (D) Waterfall plot of the best overall response from baseline in the I-CRT group. (E, F) PFS and OS of patients in the CCRT and SCRT groups. (G, H) PFS and OS of patients in the “once-daily” and “twice-daily” groups. (I, J) PFS and OS of patients in the “1–3 cycles” and “4–6 cycles” groups. (K–N) Dosimetric parameters of patients in the “1–3 cycles” and “4–6 cycles” groups, including MLD (K), V5 (L), V20 (M), and V30 (N). CCRT, concurrent chemoradiotherapy; MLD, mean lung dose; OS, overall survival; PFS, progression-free survival; SCRT, sequential chemoradiotherapy; V5, volume of lung parenchyma receiving ≥ 5 Gy; V20, volume of lung parenchyma receiving ≥ 20 Gy; V30, volume of lung parenchyma receiving ≥ 30 Gy.

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    Table 1

    Adverse events

    No. (%) of patients in the I-CRT group (n = 98)No. (%) of patients in the CRT group (n = 284)
    All gradesGrade ≥3All gradesGrade ≥3
    Any adverse event of any cause95 (96.9)63 (64.3)280 (98.6)168 (59.2)
    Nausea/vomiting46 (46.9)2 (2.0)190 (66.9)2 (0.7)
    Leucopenia86 (87.8)29 (29.6)259 (91.2)87 (30.6)
    Neutropenia78 (79.6)57 (58.2)256 (90.1)144 (50.7)
    Thrombocytopenia29 (29.6)8 (8.2)87 (30.6)17 (6.0)
    Rash9 (9.2)018 (6.3)0
    Elevated ALT/AST30 (30.6)0102 (35.9)1 (0.4)
    Esophagitis42 (42.9)1 (1.0)138 (48.6)0
    Pneumonia47 (48.0)10 (10.2)112 (39.4)16 (5.6)

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Cancer Biology & Medicine: 23 (6)
Cancer Biology & Medicine
Vol. 23, Issue 6
15 Jun 2026
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Induction immunochemotherapy followed by definitive radiotherapy in patients with limited-stage small cell lung cancer: a multicenter study
Junxu Wen, Qian Wang, Xinrui Yu, Yang Liu, Xiaoyan Yin, Shanshan Li, Heng Zhao, Zhaoqin Huang, Yu Chen, Xiangjiao Meng
Cancer Biology & Medicine May 2026, 20250800; DOI: 10.20892/j.issn.2095-3941.2025.0800

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Induction immunochemotherapy followed by definitive radiotherapy in patients with limited-stage small cell lung cancer: a multicenter study
Junxu Wen, Qian Wang, Xinrui Yu, Yang Liu, Xiaoyan Yin, Shanshan Li, Heng Zhao, Zhaoqin Huang, Yu Chen, Xiangjiao Meng
Cancer Biology & Medicine May 2026, 20250800; DOI: 10.20892/j.issn.2095-3941.2025.0800
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    • Patient characteristics
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