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SCLC — SCE Medical Oncology MCQ

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EasyLung CancerSCLCSCE Medical Oncology

A 65-year-old man with extensive-stage SCLC has completed 4 cycles of carboplatin-etoposide-atezolizumab with a partial response. What should the ongoing maintenance strategy be?

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Correct answer: CContinue atezolizumab maintenance until disease progression or unacceptable toxicity

After completion of induction carboplatin-etoposide-atezolizumab for ES-SCLC (NICE TA638, IMpower133), atezolizumab is continued as single-agent maintenance until disease progression or unacceptable toxicity. There is no role for maintenance chemotherapy. This maintenance strategy demonstrated the OS benefit seen in the trial.

Reference: NICE TA638 Atezolizumab with carboplatin and etoposide for ES-SCLC; IMpower133