Prognostic impact of KRAS mutation status for patients with stage IV adenocarcinoma of the lung treated with first-line pembrolizumab monotherapy.

作者: W. Timens , L.E.L. Hendriks , A.J. de Langen , W.H. van Geffen , B.J.W. Venmans

DOI: 10.1016/J.LUNGCAN.2021.04.001

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摘要: Abstract Objectives Monotherapy with pembrolizumab is the preferred first-line treatment for metastatic non-small cell lung cancer programmed death-ligand 1 (PD-L1) expression ≥50 %, without targetable oncogenic drivers. Although targeted therapies are in development patients specific Kirsten rat sarcoma (KRAS) mutations, these not available daily care yet. It clear whether there a difference survival on high PD-L1 status or KRAS mutation. We aim to compare this based real-world data. Materials and methods This retrospective population-based study using data from Netherlands Cancer Registry. selected stage IV adenocarcinoma % diagnosed between January 2017 December 2018, treated pembrolizumab. Patients EGFR ALK translocations ROS1 rearrangements were excluded. The primary outcome parameter was overall survival. Results 388 (57 %) of 595 had seen more frequently women than men (65 versus 49 respectively, p  Conclusion mutated wild-type patients, monotherapy, similar, suggesting that has no prognostic value respect

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