默克的PD-1单抗Keytruda联合化疗用于晚期尿路上皮癌,III期临床失败

2020-06-10 MedSci原创 MedSci原创

接受Keytruda联合化疗患者的OS和PFS指标均得到改善,但没有统计学意义。

默克公司宣布,与标准化疗相比,其PD-1单抗Keytruda(pembrolizumab)联合化学疗法一线治疗晚期或转移性尿路上皮癌患者的III期临床,未达到其总生存期(OS)或无进展生存期(PFS)显著改善的实验终点。

默克研究实验室的首席医学官Roy Baynes说,尽管该公司对KEYNOTE-361的结果感到“失望”,但“ Keytruda已被确定为治疗转移性膀胱癌的重要选择,我们将致力于继续帮助更多患者。”

该试验招募了1010例先前未接受治疗的晚期或转移性尿路上皮癌患者,这些患者被随机分配接受Keytruda单药治疗或联合化疗,或者是单独化疗。除了主要的OS和PFS终点外,次要目标还包括缓解时间、疾病控制率和总体缓解率。

与单独化疗相比,接受Keytruda联合化疗患者的OS和PFS指标均得到改善,但没有统计学意义。

Keytruda第一季度的销售额增长了45%,达到33亿美元,已经拥有FDA批准的三项膀胱癌适应症,包括 2017年批准了一线和二线治疗特定类型局部晚期或转移性尿路上皮癌患者。Keytruda的适应症在今年早些时候也得到了扩展,用于治疗对卡介苗无应答、高风险、无肌肉浸润性膀胱癌患者。

上个月,默克和辉瑞的PD-L1单抗Bavencio(avelumab)治疗晚期尿路上皮癌患者的III期JAVELIN Bladder 100试验的结果显示,与标准治疗相比,Bavencio可使OS延长7.1个月。

原始出处:

https://www.firstwordpharma.com/node/1731305?tsid=28&region_id=6

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    2020-08-18 juliusluan78
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  5. 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  6. 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