
Patient Profiles
Could the patients below be eligible for Optune Lua?
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David
55 years old
25% PD-L1, stage IVa squamous cell NSCLC Durable response to IO + platinum-based chemo, now with slow progression during maintenance IO
“My doctor thinks IO is still working for me, although my cancer has shown signs of progression.*”
Patient History
• Coronary artery disease, hypertension; 30 pack-years smoking history
• ECOG PS 0
History of Present Illness
- 5-cm mass right upper lobe and a 1.5-cm nodule in the right middle lobe, with mediastinal and supraclavicular lymphadenopathy
- Squamous cell carcinoma with no targetable driver mutations
- 25% PD-L1 expression
Treatment History
- Pembrolizumab + carboplatin-paclitaxel Q3W for 4 cycles, with continuation of pembrolizumab Q3W for 25 cycles
Current Disease Status
- Demonstrated slow progression to the left lung after 75 weeks on pembrolizumab
- Now with a 1-cm left lung nodule and pleural-based progression, but remaining mostly asymptomatic

Laura
73 years old
PD-L1 negative, stage IVb squamous cell NSCLC
Motivated patient with rapidly progressing multiple new lesions
“I’m willing to try whatever treatment option my doctor recommends.*”
Patient History
- Married, adult children, retired
- Person with smoking history
- Coronary artery disease, hypertension, type 2 diabetes
- ECOG PS 1
History of Present Illness
- Stage IVb NSCLC: multiple small, bilateral lung nodules and a liver lesion
- Squamous cell carcinoma with no targetable driver mutations
- PD-L1 negative
Treatment History
- Nivolumab + ipilimumab + carboplatin-paclitaxel for 2 cycles, followed by nivolumab + ipilimumab for 6 cycles
Current Disease Status
- Five months after initiating treatment, the patient experienced progressive disease with new bone lesions in the lower spine and a few small liver lesions

Susan
60 years old
75% PD-L1, stage IVa nonsquamous NSCLC
Avoided 1L IO due to autoimmune comorbidity
“I am exploring treatment options that will extend my survival.*”
Patient History
- Widowed with a caregiver, adult children. First grandchild due in 6 months
- Never smoker
- On active treatment for her autoimmune comorbidity
- ECOG PS 1
History of Present Illness
- Stage IVa NSCLC: referred from rheumatologist. Single lung mass of 6 cm in diameter, with a 1.3-cm liver lesion
- Nonsquamous cell carcinoma with no targetable driver mutations
- 75% PD-L1 expression
Treatment History
- Carboplatin/pemetrexed for 4 cycles with continued pemetrexed. IO was avoided given the history of her autoimmune comorbidity
Current Disease Status
- Radiologic assessment showed stable disease for 3 months, but she now has progressive disease in the lung and liver

Actor portrayals.
Review guidelines for managing skin-related adverse reactions
1L, first line; ECOG PS, Eastern Cooperative Oncology Group performance status; IO, immuno-oncology; NSCLC, non–small cell lung cancer; PD-L1, programmed cell death 1 protein; PD-1/PD-L1, programmed cell death 1 protein/programmed cell death 1 ligand 1; Q3W, every 3 weeks.