In a patient with PDL1+ TNBC who has had an excellent response to sacituzumab govitecan + pembrolizumab, would you ever stop the SG and continue the pembro alone?
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Would you ever discontinue SG and continue pembrolizumab maintenance in a PD-L1+ TNBC patient with an excellent response?
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2 Answers
Mednet Member
Medical Oncology · University of Wisconsin System
Answered on
In ASCENT-04, patients received treatment until disease progression, unacceptable toxicity, withdrawal of consent, or death. Pembrolizumab was administered for a maximum of 35 cycles, which is approximately two years. The strategy of discontinuing SG and continuing pembrolizumab as maintenance thera...
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Mednet MemberInvited Expert
Medical Oncology · University of Pittsburgh School of Medicine
Answered on
Most de novo patients with met TNBC would get SG/pembro if their PD-L1 CPS was > 10. We do not have enough data on what happens if a patient relapses after a KEYNOTE-522-like regimen within a year, so this is an area of active interest. Obviously, if there were a contraindication to checkpoint inhib...
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