Abstract

SBRT is a treatment modality for intracranial lesions of oligometastatic NSCLC. Combined with immune checkpoint inhibitors (ICIs), SBRT can improve the anti-tumor effect and the systemic response to immunotherapy via the abscopal effect in brain metastases (BMs) NSCLC patients. Meanwhile, the combination of anlotinib(a novel multi-target tyrosine kinase inhibitor)and ICIs can promote the infiltration of the innate immune cells and conferred potentially synergistic anti-tumor activity. Therefore, triple therapy of SBRT, anlotinib, and toripalimab (anti-PD-1 antibody) may be more effective in driver mutation-negative NSCLC patients with untreated oligometastatic BMs.

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