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This combination regimen, often referred to as the CheckMate 9LA protocol, is a first-line chemo-immunotherapy treatment for metastatic non-small cell lung cancer (NSCLC). It consists of two immune checkpoint inhibitors—nivolumab (a PD-1 inhibitor) and ipilimumab (a CTLA-4 inhibitor)—combined with two cycles of platinum-based chemotherapy (cisplatin or carboplatin) and pemetrexed (specifically for non-squamous histology). The regimen is designed to provide the rapid cytoreductive benefits of chemotherapy alongside the durable immune response associated with dual checkpoint blockade. The specific context provided relates to the PROMOTING study, an observational pharmacological trial led by IRCCS San Raffaele, which evaluates the impact of patient-reported outcome measurements (PROMs) on clinical outcomes in patients receiving this first-line therapy.
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