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2017 ; 11
(9
): 353-373
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Pembrolizumab in the treatment of metastatic non-small cell lung cancer: a review
of current evidence
#MMPMID28818019
Rihawi K
; Gelsomino F
; Sperandi F
; Melotti B
; Fiorentino M
; Casolari L
; Ardizzoni A
Ther Adv Respir Dis
2017[Sep]; 11
(9
): 353-373
PMID28818019
show ga
Immune checkpoint inhibitors (ICPIs) are considered one of the most important
breakthroughs in cancer treatment of the past decade; notably, different studies
of programmed cell death protein 1 (PD-1) and programmed death-ligand 1 (PD-L1)
inhibitors have reported impressive clinical activity and durable responses in
patients with advanced non-small cell lung cancer (NSCLC). These findings have
led to the changing of the current therapeutic algorithm of advanced NSCLC,
adding a new standard first-line treatment option for patients with
PD-L1-positive tumors. Pembrolizumab, a highly selective anti-PD-1 humanized
monoclonal antibody, was approved by the United States Food and Drug
Administration (US FDA) in October 2016 for previously untreated metastatic NSCLC
patients whose tumors have high PD-L1 expression, tumor proportion score (TPS) ?
50%, as well as for metastatic NSCLC patients whose tumors express PD-L1 with TPS
? 1% progressing on or after platinum-based chemotherapy. However, many issues
remain outstanding, mainly regarding the identification of an optimal biomarker
which can help selecting patients more likely to respond to ICPIs. In this
review, we discuss the clinical results obtained so far with the anti-PD-1
pembrolizumab in advanced NSCLC, commenting on the role of PD-L1 as a predictive
factor and providing an update of the future perspectives.
|Antibodies, Monoclonal, Humanized/pharmacology/*therapeutic use
[MESH]
|Antineoplastic Agents, Immunological/pharmacology/therapeutic use
[MESH]