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What is your preferred front line regimen for metastatic squamous cell NSCLC that is PD-L1 and driver mutation negative?

How do you select between the available treatment options (gemcitabine, docetaxel, paclitaxel, nab-paclitaxel) in combination with platinum? Update: KEYNOTE-407 demonstrated improved overall survival with chemo/pembrolizumab vs. chemotherapy alone. How do you now select between the various treatment options?
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What is your preferred first line tx for metastatic PD-L1/driver mutation negative squamous cell NSCLC in a patient with a good PS?

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1 Answer
Mednet Member
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Medical Oncology · Henry Ford Cancer Institute/Henry Ford Hospital
Answered on

I believe each are acceptable options. I have generally been using carboplatin and weekly paclitaxel fairly commonly. This regimen is based on Quoix, et al Lancet trial. This study was in elderly patients. I find this very well tolerated with low chances of cytopenias, alopecia. If I have concerns a...

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