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What is the clinical utility of the Combined Positive Score (CPS) for PDL-1 expression when considering pembrolizumab for gastric cancer?

How do you interpret results when IHC is < 1% but CPS > 1?
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For a gastric cancer patient progressing on FU/platinum and then ramucirumab plus taxol, at what CPS score do you decide to use Pembrolizumab?

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1 Answer
Mednet Member
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Medical Oncology · Rutgers Cancer Institute of New Jersey
Answered on

From multiple studies, it is very clear that higher staining for PDL-1 on tumors and immune cells (combined expression, resulting in the CPS (combined positive score)) is correlated with increased Response Rate, PFS and clinical benefit of anti-PD1 drugs. Pembrolizumab is approved for gastric cancer...

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