Biomarker-directed, pembrolizumab-based combination therapy in non-small cell lung cancer: phase 2 KEYNOTE-495/KeyImPaCT trial interim results.


Journal

Nature medicine
ISSN: 1546-170X
Titre abrégé: Nat Med
Pays: United States
ID NLM: 9502015

Informations de publication

Date de publication:
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

1718-1727

Informations 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

Auteurs

Martin Gutierrez (M)

Hackensack University Medical Center, Hackensack, NJ, USA. martin.gutierrez@hmhn.org.

Wei-Sen Lam (WS)

Fiona Stanley Hospital and Western Australia Country Health Service, Perth, WA, Australia.

Matthew D Hellmann (MD)

Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Oncology Research and Development, AstraZeneca, New York, NY, USA.

Matthew A Gubens (MA)

UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA.

Charu Aggarwal (C)

Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Daniel Shao Weng Tan (DSW)

National Cancer Centre and SingHealth Duke NUS Academic Medical Centre, Singapore, Singapore.

Enriqueta Felip (E)

Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona, Spain.

Joanne W Y Chiu (JWY)

University of Hong Kong, Queen Mary Hospital, Pok Fu Lam, Hong Kong, China.

Jong-Seok Lee (JS)

Seoul National University, Bundang Hospital, Seongnam, South Korea.

James Chih-Hsin Yang (JC)

National Taiwan University Hospital and National Taiwan University Cancer Center, Taipei City, Taiwan.

Edward B Garon (EB)

David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Giovanna Finocchiaro (G)

IRCCS Humanitas Research Hospital, Milan, Italy.

Myung-Ju Ahn (MJ)

Samsung Medical Center, Sungkyunkwan University of Medicine, Seoul, South Korea.

Alexander Luft (A)

Leningrad Regional Clinical Hospital, Saint Petersburg, Russia.

Gregory A Landers (GA)

The Oncology Centre, KwaZulu-Natal, South Africa.

Andrea Basso (A)

Merck & Co., Inc., Rahway, NJ, USA.

Hua Ma (H)

Merck & Co., Inc., Rahway, NJ, USA.
Biostatistics, Pfizer, Collegeville, PA, USA.

Julie Kobie (J)

Merck & Co., Inc., Rahway, NJ, USA.

John Palcza (J)

Merck & Co., Inc., Rahway, NJ, USA.

Razvan Cristescu (R)

Merck & Co., Inc., Rahway, NJ, USA.

Lawrence Fong (L)

UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA.

Alexandra Snyder (A)

Merck & Co., Inc., Rahway, NJ, USA.
Generate Biomedicines, Somerville, MA, USA.

Jianda Yuan (J)

Merck & Co., Inc., Rahway, NJ, USA.

Roy S Herbst (RS)

Yale Cancer Center, Yale School of Medicine, New Haven, CT, USA. Roy.Herbst@yale.edu.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH