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Pembrolizumab discussion in 1L NSCLC?

Reck –NEJM 2016 * Brahmer – ASCO 2017, BrahmerWCLC 2017 *Reck – Lancet Oncol 2014 * Langer– Lancet Oncol 2016 * Patel –JCO 2013 * Lager – ASCO 2017 (A9084)

Pembrolizumab mono (Ph III)

CHEMOTHERAPY

10.3 months

Continued Pembrolizuamb beyond PD?

11 months

Better Pembrolizuamb + CT?

ANTIANGIOGENIC

4 months

PDL1 ≥ 50%--30%

Pembrolizuamb

+ CT (Ph II)

19 months (PFS not reported by PDL1 expression)

PDL1 all comers—100%

ANTIANGIOGENIC

4 months

Salvage (1) ?

OS

IMPACT

?

?