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| DOI | 10.1093/ANNONC/MDY545 | ||||
| Año | 2019 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Background: In KEYNOTE-010, pembrolizumab versus docetaxel improved overall survival (OS) in patients with programmed death-1 protein (PD)-L1-positive advanced non-small-cell lung cancer (NSCLC). A prespecified exploratory analysis compared outcomes in patients based on PD-L1 expression in archival versus newly collected tumor samples using recently updated survival data. Patients and methods: PD-L1 was assessed centrally by immunohistochemistry (22C3 antibody) in archival or newly collected tumor samples. Patients received pembrolizumab 2 or 10 mg/kg Q3W or docetaxel 75 mg/m2 Q3W for 24 months or until progression/intolerable toxicity/other reason. Response was assessed by RECIST v1.1 every 9 weeks, survival every 2 months. Primary end points were OS and progression-free survival (PFS) in tumor proportion score (TPS) 50% and 1%; pembrolizumab doses were pooled in this analysis. Results: At date cut-off of 24 March 2017, median follow-up was 31 months (range 23-41) representing 18 additional months of follow-up from the primary analysis. Pembrolizumab versus docetaxel continued to improve OS in patients with previously treated, PD-L1-expressing advanced NSCLC; hazard ratio (HR) was 0.66 [95% confidence interval (CI): 0.57, 0.77]. Of 1033 patients analyzed, 455(44%) were enrolled based on archival samples and 578 (56%) on newly collected tumor samples. Approximately 40% of archival samples and 45% of newly collected tumor samples were PD-L1 TPS 50%. For TPS 50%, the OS HRs were 0.64 (95% CI: 0.45, 0.91) and 0.40 (95% CI: 0.28, 0.56) for archival and newly collected samples, respectively. In patients with TPS 1%, OS HRs were 0.74 (95% CI: 0.59, 0.93) and 0.59 (95% CI: 0.48, 0.73) for archival and newly collected samples, respectively. In TPS 50%, PFS HRs were similar across archival [0.63 (95% CI: 0.45, 0.89)] and newly collected samples [0.53 (95% CI: 0.38, 0.72)]. In patients with TPS 1%, PFS HRs were similar across archival [0.82 (95% CI: 0.66, 1.02)] and newly collected samples [0.83 (95% CI: 0.68, 1.02)]. Conclusion: Pembrolizumab continued to improve OS over docetaxel in intention to treat population and in subsets of patients with newly collected and archival samples.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Herbst, R. S. | Hombre |
YALE UNIV - Estados Unidos
Yale Cancer Center - Estados Unidos |
| 2 | Baas, P. | Hombre |
Netherlands Canc Inst - Países Bajos
The Netherlands Cancer Institute - Países Bajos |
| 3 | Perez-Gracia, Jose L. | Hombre |
Clin Univ Navarra - España
Universidad de Navarra - España Clínica Universidad de navarra - España |
| 4 | Felip, E. | Mujer |
Vall dHebron Univ Hosp - España
Vall dHebron Inst Oncol - España Hospital Universitari Vall d'Hebron - España Vall d‘Hebron Institut de Oncologia - España |
| 5 | Kim, Dae-Won | Hombre |
Seoul Natl Univ Hosp - Corea del Sur
Seoul National University Hospital - Corea del Sur |
| 6 | Han, Ji Youn | Mujer |
Natl Canc Ctr - Corea del Sur
National Cancer Center, Gyeonggi - Corea del Sur National Cancer Center - Corea del Sur |
| 7 | MOLINA-MARTINEZ, JUAN RAMON | Hombre |
Mayo Clin - Estados Unidos
Mayo Clinic - Estados Unidos |
| 8 | Hori, M. | Hombre |
CHA Univ - Corea del Sur
CHA University - Corea del Sur |
| 9 | Dubos Arvis, C. | - |
Centre François Baclesse - Francia
|
| 9 | Arvis, Catherine Dubos | Mujer |
Ctr Francois Baclesse - Francia
|
| 10 | Ahn, Myung Ju | - |
Sungkyunkwan Univ - Corea del Sur
SungKyunKwan University, School of Medicine - Corea del Sur SKKU School of Medicine - Corea del Sur |
| 11 | Majem, Margarita | Mujer |
Hosp Santa Creu & Sant Pau - España
Hospital de La Santa Creu I Sant Pau - España |
| 12 | Fidler, Mary J. | Mujer |
Rush Univ - Estados Unidos
Rush University Medical Center - Estados Unidos |
| 13 | Surmont, V. | Mujer |
Univ Ziekenhuis Ghent - Bélgica
Universitair Ziekenhuis Gent - Bélgica |
| 14 | de Castro Jr, Gilberto | Hombre |
Inst Canc Estado Sao Paulo - Brasil
Instituto do Câncer do Estado de São Paulo - Brasil |
| 15 | GARRIDO-GONZALEZ, MARCELO ISMAEL | Hombre |
Pontificia Universidad Católica de Chile - Chile
|
| 16 | Shentu, Y. | - |
Merck & Co Inc - Estados Unidos
Merck & Co., Inc. - Estados Unidos |
| 17 | Emancipator, K. | Hombre |
Merck & Co Inc - Estados Unidos
Merck & Co., Inc. - Estados Unidos |
| 18 | Samkari, Ayman | Hombre |
Merck & Co Inc - Estados Unidos
Merck & Co., Inc. - Estados Unidos |
| 19 | Jensen, E. H. | Mujer |
Merck & Co Inc - Estados Unidos
Merck & Co., Inc. - Estados Unidos |
| 20 | Lubiniecki, Gregory M. | Hombre |
Merck & Co Inc - Estados Unidos
Merck & Co., Inc. - Estados Unidos |
| 21 | Garon, Edward B. | Hombre |
UNIV CALIF LOS ANGELES - Estados Unidos
David Geffen School of Medicine at UCLA - Estados Unidos |
| Fuente |
|---|
| Novartis |
| Bristol-Myers Squibb |
| National Cancer Institute |
| Pfizer |
| AstraZeneca |
| ONO Pharmaceutical |
| Meso Scale Diagnostics |
| Boehringer Ingelheim |
| Merck |
| Genentech |
| Merck Sharp Dohme Corp. |
| Yale SPORE in Lung Cancer |
| Merck & Co |
| Roche |
| Merck Sharp and Dohme |
| Fundación Merck Salud |
| Agradecimiento |
|---|
| This work was supported by Merck Sharp & Dohme Corp., a subsidiary of Merck & Co. Inc., Kenilworth, NJ, USA. No grant number is applicable for this funding source. This work was also supported by Yale SPORE in Lung Cancer (grant number P50CA196530-03). |
| The authors thank the patients and their families and all investigators and site personnel who participated in this study. The authors gratefully acknowledge Roger Dansey (Merck & Co., Kenilworth, NJ, USA) for providing critical review of the manuscript. The authors also wish to thank LabCorp Clinical Trials (Los Angeles, CA, USA) for performing the PD-L1 screening. Editorial assistance was provided by Amy O. Johnson-Levonas, Jennifer Rotonda and Sheila Erespe (all of MSD, Kenilworth, NJ, USA). This assistance was funded by Merck Sharp & Dohme Corp., a subsidiary of Merck & Co. Inc., Kenilworth, NJ, USA. |