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‹ Sat · 13 Jun 2026
Novel or significantly improved treatment

Cadonilimab plus chemotherapy as first-line treatment in PD-L1-negative advanced non-small cell lung cancer: a phase II clinical trial

An experimental immune-boosting antibody combined with chemotherapy helped advanced lung cancer patients previously resistant to immunotherapy, with early response prediction.

Phase II trial of cadonilimab, a PD-1/CTLA-4 bispecific antibody, plus platinum doublet chemotherapy produced 66% ORR and 100% disease control in PD-L1-negative NSCLC — a major immunotherapy-resistant subgroup — with an integrated cfDNA methylation biomarker providing early response prediction. Results published in Nature Communications warrant confirmatory phase III evaluation.

What the study was

Study design
Phase II single-arm clinical trial (ChiCTR2300071681)
Population
PD-L1-negative advanced NSCLC patients
Sample size
50
Category
Treatment Innovation
Maturity
Validated
Journal
Nature Communications

Why it surfaced

PD-L1-neg NSCLC is one of the largest unmet immunotherapy subpopulations; phase II Nat Commun showing 66% ORR with PD-1/CTLA-4 bispecific + chemo; cfDNA methylation early-response biomarker adds dual innovation value.

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