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In patients treated with the KEYNOTE A-18 regimen who later recur, would you rechallenge with immunotherapy again?

Are there data from trial patients who recurred, especially regarding what treatments they received?
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How would you treat a patient who has a recurrence after initial treatment with KN-A18?

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2 Answers
Mednet Member
Mednet Member
Radiation Oncology · Vanderbilt-Ingram Cancer Center
Answered on

Limited data in this clinical scenario. Per A18 (Lorusso et al., PMID 38521086), 32 patients received ICI as post-progression therapy, 25 of whom received Pembro. I am unable to find in the supplements whether those were patients from the placebo arm or from the pembro arm.

I think if the patient rec...

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Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Dana-Farber Cancer Institute
Answered on

This would depend on when the patient recurred. If the patient recurred after completion of the dedicated time on A18 then I would consider re-investing in an IO combination. There really is no prospective data on this but current trials are allowing patients with prior IO to enroll in trials. I thi...

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