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How would you sequence therapies for a patient with chemotherapy-naive metastatic castration-resistant prostate cancer who is MSI-H on tissue-based NGS?

What line would you give pembrolizumab?
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When would you give pembrolizumab in patients with mCRPC who are MSI-H?

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1 Answer
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · University of Minnesota–Masonic Cancer Center
Answered on

Yes, I absolutely would use Pembrolizumab (200 mg IV q3wk, or 400 mg IV q6wk) in a MSI-high patient with mCRPC who has not yet received chemotherapy. However, I would probably postpone this until after the patient has progressed on one novel AR-directed therapy. I think that the "sweet spot" for usi...

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