Real-world maintenance therapy and survival outcomes for pembrolizumab plus pemetrexed and platinum for non-small-cell lung cancer in USA

Author:

Aggarwal Himani1ORCID,Bayo KayOnda2,Han Yimei3ORCID,Muehlenbein Catherine Elizabeth4ORCID,Zhu Yajun Emily5,Kim Jong Seok6

Affiliation:

1. Center for Observational & Real-World Evidence, Merck & Co Inc, Rahway, NJ 07065, USA

2. College of Population Health, Thomas Jefferson University, Philadelphia, PA 19104, USA

3. Real World Advanced Analysis, Eli Lilly & Company, Indianapolis, IN 46285, USA

4. Global Medical Affairs, Eli Lilly & Company, Indianapolis, IN 46285, USA

5. Medical Affairs/Real World Evidence Biostatistics, Myovant Sciences, Brisbane, CA 94005, USA

6. Clinical Development, Oncology, Gilead Sciences, Foster City, CA 94404, USA

Abstract

Aim: To evaluate treatment patterns and overall survival (OS) in real world metastatic non-squamous non-small-cell lung cancer (NSQ-NSCLC) patients that received pembrolizumab plus pemetrexed-platinum (pembro+pem+plat) aligned with KEYNOTE-189. Materials & methods: OS was evaluated for the overall cohort and maintenance therapy (MT) subgroups and analyzed using Kaplan-Meier estimates and Cox proportional hazards model. Results: Of 2488 patients that received first-line treatment, 45.1% received less than four cycles of pembro+pem+plat, 43.9% received four cycles plus MT with pembro and/or pem, and 11.1% received four cycles without continuing on MT. The median OS was 21.0 months and 9.1 months in patients that continued and did not continue MT. Conclusion: Real world patients that received KEYNOTE-189-aligned treatment had similar OS benefits.

Funder

Eli Lilly and Company

Publisher

Future Medicine Ltd

Subject

Oncology,Immunology,Immunology and Allergy

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