Molecular Oncology Almanac
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    1. Propositions
    2. prop:vtxr:317

    Therapeutic Response

    Wild type ALK and Wild type EGFR status confers therapeutic sensitivity to Cisplatin in combination with Pembrolizumab and Pemetrexed in patients with Non-Small Cell Lung Cancer.

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    Statements

    Source and description
    Keytruda (pembrolizumab) [package insert]. FDA.

    The U.S. Food and Drug Administration granted approval to pembrolizumab in combination with pemetrexed and platinum chemotherapy for the first-line treatment of patients with metastatic non-squamous non-small cell lung cancer (NSCLC), with no EGFR or ALK genomic tumor aberrations. This indication is based on KEYNOTE-189 (NCT02578680), a randomized, multicenter, double-blind, active-controlled trial conducted in 616 patients where the choice of platinum-containing chemotherapy was either carboplatin or cisplatin.
    Keytruda (pembrolizumab) [product information]. EMA.

    The European Medicines Agency (EMA) has authorized pembrolizumab in combination with pemetrexed and platinum chemotherapy for the first-line treatment of metastatic non-small cell lung carcinoma in adult patients whose tumors have no EGFR or ALK positive mutations. This indication is based on results from KEYNOTE-024, where patients received pembrolizumab in combination with investigator's choice of platinum-containing chemotherapy, including: pemetrexed with carboplatin, pemetrexed with cisplatin, gemcitabine and cisplatin, gemcitabine and carboplatin, or paclitaxel and carboplatin.

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