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- A phase III trial showed that adding toripalimab to chemotherapy significantly improved progression-free survival in extensive-stage small cell lung cancer. - The combination of toripalimab and chemotherapy also led to a statistically significant improvement in overall survival compared to chemotherapy alone. - Genomic analysis identified potential biomarkers, such as mutations in the FA-PI3K-Akt and IL-7 signaling pathways, associated with improved outcomes with toripalimab. - The addition of toripalimab to chemotherapy showed an acceptable safety profile, supporting its use as a new treatment option.