Biomarker-directed, pembrolizumab-based combination therapy in non-small cell lung cancer: phase 2 KEYNOTE-495/KeyImPaCT trial interim results.
Humans
Antineoplastic Combined Chemotherapy Protocols
/ therapeutic use
Biomarkers, Tumor
Carcinoma, Non-Small-Cell Lung
/ drug therapy
Lung Neoplasms
/ drug therapy
Prospective Studies
Tumor Microenvironment
Antibodies, Monoclonal, Humanized
/ therapeutic use
Antineoplastic Agents, Immunological
/ therapeutic use
Journal
Nature medicine
ISSN: 1546-170X
Titre abrégé: Nat Med
Pays: United States
ID NLM: 9502015
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
received:
31
10
2022
accepted:
03
05
2023
medline:
20
7
2023
pubmed:
11
7
2023
entrez:
10
7
2023
Statut:
ppublish
Résumé
Although pembrolizumab confers clinical benefit in non-small cell lung cancer (NSCLC), only a subset of patients will respond due to a heterogenous tumor microenvironment. KEYNOTE-495/KeyImPaCT is an ongoing biomarker-directed, adaptively randomized phase 2 study investigating first-line pembrolizumab (200 mg every 3 weeks) + lenvatinib (20 mg daily), anti-CTLA-4 quavonlimab (25 mg every 6 weeks) or anti-LAG-3 favezelimab (200 mg or 800 mg every 3 weeks) in advanced NSCLC. Patients were categorized by T-cell-inflamed gene expression profile (Tcell
Identifiants
pubmed: 37429923
doi: 10.1038/s41591-023-02385-6
pii: 10.1038/s41591-023-02385-6
doi:
Substances chimiques
Biomarkers, Tumor
0
lenvatinib
EE083865G2
pembrolizumab
DPT0O3T46P
Antibodies, Monoclonal, Humanized
0
Antineoplastic Agents, Immunological
0
Banques de données
ClinicalTrials.gov
['NCT03516981']
Types de publication
Randomized Controlled Trial
Clinical Trial, Phase II
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1718-1727Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Nature America, Inc.
Références
Bristol Myers Squibb. OPDIVO (nivolumab) injection, for intravenous use (US prescribing information). https://packageinserts.bms.com/pi/pi_opdivo.pdf (2022).
Genentech. TECENTRIQ (atezolizumab) injection, for intravenous use (US prescribing information). https://www.gene.com/download/pdf/tecentriq_prescribing.pdf (2022).
Merck. KEYTRUDA (pembrolizumab) injection, for intravenous use. (US prescribing information). https://www.merck.com/product/usa/pi_circulars/k/keytruda/keytruda_pi.pdf (2023).
Mok, T. S. K. et al. Pembrolizumab versus chemotherapy for previously untreated, PD-L1-expressing, locally advanced or metastatic non-small-cell lung cancer (KEYNOTE-042): a randomised, open-label, controlled, phase 3 trial. Lancet 393, 1819–1830 (2019).
doi: 10.1016/S0140-6736(18)32409-7
pubmed: 30955977
Gandhi, L. et al. Pembrolizumab plus chemotherapy in metastatic non-small-cell lung cancer. N. Engl. J. Med. 378, 2078–2092 (2018).
doi: 10.1056/NEJMoa1801005
pubmed: 29658856
Reck, M. et al. Pembrolizumab versus chemotherapy for PD-L1-positive non-small-cell lung cancer. N. Engl. J. Med. 375, 1823–1833 (2016).
doi: 10.1056/NEJMoa1606774
pubmed: 27718847
Cristescu, R. et al. Pan-tumor genomic biomarkers for PD-1 checkpoint blockade-based immunotherapy. Science 362, eaar3593 (2018).
doi: 10.1126/science.aar3593
pubmed: 30309915
pmcid: 6718162
Ayers, M. et al. IFN-γ-related mRNA profile predicts clinical response to PD-1 blockade. J. Clin. Invest. 127, 2930–2940 (2017).
doi: 10.1172/JCI91190
pubmed: 28650338
pmcid: 5531419
Ott, P. A. et al. T-cell-inflamed gene-expression profile, programmed death ligand 1 expression, and tumor mutational burden predict efficacy in patients treated with pembrolizumab across 20 cancers: KEYNOTE-028. J. Clin. Oncol. 37, 318–327 (2019).
doi: 10.1200/JCO.2018.78.2276
pubmed: 30557521
Cristescu, R. et al. Transcriptomic determinants of response to pembrolizumab monotherapy across solid tumor types. Clin. Cancer Res. 28, 1680–1689 (2022).
doi: 10.1158/1078-0432.CCR-21-3329
pubmed: 34965943
Herbst, R. S. et al. Association between tissue TMB (tTMB) and clinical outcomes with pembrolizumab monotherapy (pembro) in PD-L1-positive advanced NSCLC in the KEYNOTE-010 and -042 trials. Ann. Oncol. 30, LBA79 (2019).
doi: 10.1093/annonc/mdz394.077
Aurora-Garg, D. et al. Large-scale evaluation of concordance of genomic scores in whole exome sequencing and foundation medicine comprehensive genomic platform across cancer types. J. Immunother. Cancer 7, 172 (2019).
Keefer, L. A. et al. Automated next-generation profiling of genomic alterations in human cancers. Nat. Commun. 13, 2830 (2022).
doi: 10.1038/s41467-022-30380-x
pubmed: 35595835
pmcid: 9123004
Paz-Ares, L. et al. Pembrolizumab (pembro) plus platinum-based chemotherapy (chemo) for metastatic NSCLC: tissue TMB (tTMB) and outcomes in KEYNOTE-021, 189, and 407. Ann. Oncol. 30, LBA80 (2019).
doi: 10.1093/annonc/mdz394.078
Perets, R. et al. Safety and efficacy of quavonlimab, a novel anti-CTLA-4 antibody (MK-1308), in combination with pembrolizumab in first-line advanced non-small-cell lung cancer. Ann. Oncol. 32, 395–403 (2020).
doi: 10.1016/j.annonc.2020.11.020
pubmed: 33276076
Taylor, M. H. et al. Phase IB/II trial of lenvatinib plus pembrolizumab in patients with advanced renal cell carcinoma, endometrial cancer, and other selected advanced solid tumors. J. Clin. Oncol. 38, 1154–1163 (2020).
doi: 10.1200/JCO.19.01598
pubmed: 31961766
pmcid: 7145588
Garralda, E. et al. A phase 1 first-in-human study of the anti-LAG-3 antibody MK4280 (favezelimab) plus pembrolizumab in previously treated, advanced microsatellite stable colorectal cancer. J. Clin. Oncol. 39, 3584–3584 (2021).
doi: 10.1200/JCO.2021.39.15_suppl.3584
Hellmann, M. D. et al. Nivolumab plus ipilimumab in advanced non-small-cell lung cancer. N. Engl. J. Med. 381, 2020–2031 (2019).
doi: 10.1056/NEJMoa1910231
pubmed: 31562796
Hellmann, M. D. et al. Nivolumab plus ipilimumab in lung cancer with a high tumor mutational burden. N. Engl. J. Med. 378, 2093–2104 (2018).
doi: 10.1056/NEJMoa1801946
pubmed: 29658845
pmcid: 7193684
Cristescu, R. et al. Association between tumor mutational burden (TMB) assessed by whole-exome sequencing (WES) and outcomes of pembrolizumab (pembro) monotherapy. Cancer Res. 80, LB-261 (2020).
doi: 10.1158/1538-7445.AM2020-LB-261
Herbst, R. S., Morgensztern, D. & Boshoff, C. The biology and management of non-small cell lung cancer. Nature 553, 446–454 (2018).
doi: 10.1038/nature25183
pubmed: 29364287
Wang, M., Herbst, R. S. & Boshoff, C. Toward personalized treatment approaches for non-small-cell lung cancer. Nat. Med. 27, 1345–1356 (2021).
doi: 10.1038/s41591-021-01450-2
pubmed: 34385702
Garralda, E. et al. A first-in-human study of the anti-LAG-3 antibody favezelimab plus pembrolizumab in previously treated, advanced microsatellite stable colorectal cancer. ESMO Open 6, 100639 (2022).
doi: 10.1016/j.esmoop.2022.100639