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UNDERSTANDING STAGE 3 NSCLC

Lung cancer develops when cells within the lungs become abnormal and begin to grow. As more of these cancerous cells grow, they form tumors. And those tumors can also grow or spread to other areas of the body.

While there are different types of lung cancer, the most common type is non-small cell lung cancer (NSCLC). There are four main stages of NSCLC. If your doctor has diagnosed you with Stage 3 NSCLC, that means your cancer has not spread beyond the lungs and the nearby lymph nodes.

You’re not in this alone

YOU’RE NOT IN THIS ALONE

In the US, nearly 25% of people with NSCLC are diagnosed at Stage 3.

What is unresectable?

WHAT IS UNRESECTABLE?

The majority of tumors found in people with Stage 3 are determined to be unresectable, which means the cancer cannot be removed with surgery.

TYPES OF STAGE 3 LUNG CANCER

Stage 3 lung cancer is divided into three separate substages: 3A, 3B, and 3C. In all substages, the primary tumor, which is the initial tumor, may have grown or spread to one or more of the following areas:

Lungs

Lungs

Nerves

Nerves

Other organs located in the chest

Other organs located in the chest

Blood vessels

Blood vessels

Chest wall

Chest wall

HOW IS EACH SUBSTAGE DIFFERENT?

The differences between each substage are based on the size of the tumor, where it is located, and whether it has spread to the lymph nodes or not.

LEARN ABOUT THE SUBSTAGES OF STAGE 3 NSCLC

Primary tumorprimary tumor

Cancerous lymph nodescancerous lymph nodes

Collarbonecollarbone

Heartheart

Diaphragmdiaphragm

Substages of Stage 3 NSCLC: stage 3A

Stage 3A

The primary tumor may have spread to the lymph nodes on the same side of the chest where it started. There may be many tumors of various sizes.

Substages of Stage 3 NSCLC: stage 3B

Stage 3B

The primary tumor may have spread to the lymph nodes on the same or opposite side of the chest where it started, above the collarbone, or in the space between the lungs. There may be many tumors of various sizes.

Substages of Stage 3 NSCLC: stage 3C

Stage 3C

The large primary tumor may have grown and spread to lymph nodes on the opposite side of the chest from where it started, above the collarbone, or in the space between the lungs. There are now 2 or more tumors on the same side of the chest. There may be many tumors of various sizes.

The graphic above is simplified to help you better understand the stage of your lung cancer and should not take the place of talking with your treatment team. If you have questions about Stage 3 non-small cell lung cancer, ask your doctor about IMFINZI, download the Doctor Discussion Guide and take it to your next appointment.

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Important Safety Information

What is the most important information I should know about IMFINZI?

IMFINZI is a medicine that may treat certain cancers by working with your immune system. IMFINZI can cause your immune system to attack normal organs and tissues in any area of your body and can affect the way they work. These problems can sometimes become severe or life-threatening and can lead to death. You can have more than one of these problems at the same time. These problems may happen anytime during treatment or even after your treatment has ended.

What is IMFINZI?

IMFINZI® (durvalumab) is a prescription medicine used to treat adults with a type of lung cancer called non-small cell lung cancer (NSCLC). IMFINZI may be used when your NSCLC has not spread outside your chest, cannot be removed by surgery, and has responded or stabilized with initial treatment with chemotherapy that contains platinum, given at the same time as radiation therapy.

It is not known if IMFINZI is safe and effective in children.

Call or see your healthcare provider right away if you develop any new or worsening signs or symptoms, including:

  • Lung problems icon

    Lung problems: cough, shortness of breath, and chest pain

  • Intestinal problems icon

    Intestinal problems: diarrhea (loose stools) or more frequent bowel movements than usual; stools that are black, tarry, sticky, or have blood or mucus; and severe stomach-area (abdomen) pain or tenderness

  • Liver problems icon

    Liver problems: yellowing of your skin or the whites of your eyes, severe nausea or vomiting, pain on the right side of your stomach-area (abdomen), dark urine (tea colored), and bleeding or bruising more easily than normal

  • Hormone gland problems icon

    Hormone gland problems: headaches that will not go away or unusual headaches; eye sensitivity to light; eye problems; rapid heartbeat; increase sweating; extreme tiredness; weight gain or weight loss; feeling more hungry or thirsty than usual; urinating more often than usual; hair loss; feeling cold; constipation; your voice gets deeper; dizziness or fainting; and changes in mood or behavior, such as decreased sex drive, irritability, or forgetfulness

  • Kidney problems icon

    Kidney problems: decrease in your amount of urine, blood in your urine, swelling of your ankles, and loss of appetite

  • Skin problems icon

    Skin problems: rash; itching; skin blistering or peeling; painful sores or ulcers in mouth or nose, throat, or genital area; fever or flu-like symptoms; swollen lymph nodes

  • Other organ problems icon

    Problems can also happen in other organs and tissues. These are not all of the signs and symptoms of immune system problems that can happen with IMFINZI. Call or see your healthcare provider right away for any new or worsening signs or symptoms, which may include: Chest pain, irregular heartbeats, shortness of breath or swelling of ankles; confusion, sleepiness, memory problems, changes in mood or behavior, stiff neck, balance problems, tingling or numbness of the arms or legs; double vision, blurry vision, sensitivity to light, eyepain, changes in eyesight; persistent or severe muscle pain or weakness, muscle cramps; and low red blood cells, bruising

  • Severe infections icon

    Infusion reactions that can sometimes be severe or life-threatening. Signs and symptoms of infusion reactions may include: chills or shaking, itching or rash, flushing, shortness of breath or wheezing, dizziness, feel like passing out, fever, and back or neck pain

Complications, including graft-versus-host disease (GVHD), in people who have received a bone marrow (stem cell) transplant that uses donor stem cells (allogeneic). These complications can be serious and can lead to death. These complications may happen if you underwent transplantation either before or after being treated with IMFINZI. Your healthcare provider will monitor you for these complications.

Getting medical treatment right away may help keep these problems from becoming more serious. Your healthcare provider will check you for these problems during your treatment with IMFINZI. Your healthcare provider may treat you with corticosteroid or hormone replacement medicines. Your healthcare provider may also need to delay or completely stop treatment with IMFINZI if you have severe side effects.

Before you receive IMFINZI, tell your healthcare provider about all of your medical conditions, including if you:

  • have immune system problems such as Crohn's disease, ulcerative colitis, or lupus
  • have received an organ transplant
  • have received or plan to receive a stem cell transplant that uses donor stem cells (allogeneic)
  • have received radiation treatment to your chest area
  • have a condition that affects your nervous system, such as myasthenia gravis or Guillain-Barré syndrome
  • are pregnant or plan to become pregnant. IMFINZI can harm your unborn baby

Females who are able to become pregnant

    • You should use an effective method of birth control during your treatment and for at least 3 months after the last dose of IMFINZI. Talk to your healthcare provider about birth control methods that you can use during this time.
    • Tell your healthcare provider right away if you become pregnant or think you may be pregnant during treatment with IMFINZI.
  • are breastfeeding or plan to breastfeed. It is not known if IMFINZI passes into your breast milk. Do not breastfeed during treatment and for at least 3 months after the last dose of IMFINZI.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

What are the possible side effects of IMFINZI?

IMFINZI can cause serious side effects (see above):

The most common side effects in people with non-small cell lung cancer (NSCLC) include cough, feeling tired, inflammation in the lungs, upper respiratory tract infections, shortness of breath, and rash.

Tell your doctor if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of IMFINZI. Ask your healthcare provider or pharmacist for more information.

Call your doctor for medical advice about side effects. You may report side effects related to AstraZeneca products by clicking here. If you prefer to report these to the FDA, either visit www.FDA.gov/medwatch or call 1-800-FDA-1088.

What is IMFINZI?

IMFINZI® (durvalumab) is a prescription medicine used to treat adults with a type of lung cancer called non-small cell lung cancer (NSCLC). IMFINZI may be used when your NSCLC has not spread outside your chest, cannot be removed by surgery, and has responded or stabilized with initial treatment with chemotherapy that contains platinum, given at the same time as radiation therapy.

It is not known if IMFINZI is safe and effective in children.

Please click here for complete Prescribing Information, including Patient Information (Medication Guide).

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Important Safety Information +

What is the most important information I should know about IMFINZI?

IMFINZI is a medicine that may treat certain types of lung cancer by working with your immune system.

What is IMFINZI?

IMFINZI® (durvalumab) is a prescription medicine used to treat adults with a type of lung cancer called non-small cell lung cancer (NSCLC). IMFINZI may be used when your NSCLC has not spread outside your chest, cannot be removed by surgery, and has responded or stabilized with initial treatment with chemotherapy that contains platinum, given at the same time as radiation therapy.

It is not known if IMFINZI is safe and effective in children.