Merck’s Keytruda Approved for Esophagus Tumors
FDA has approved Merck’s Keytruda (pembrolizumab) for patients with recurrent, locally advanced or metastatic, squamous cell carcinoma of the esophagus (ESCC) whose tumors express PD-L1 (determined by an FDA-approved test) with disease progression after one or more prior lines of systemic therapy. Approval was based on data from two clinical trials, KEYNOTE‑181 (NCT02564263) and KEYNOTE‑180 (NCT02559687).
KEYNOTE-181 was a randomized, open-label, active-controlled trial that enrolled 628 patients. The primary efficacy outcome measure was overall survival (OS) in patients with ESCC, patients with tumors expressing PD-L1, and all randomized patients. Median OS was 10.3 months and 6.7 months in the pembrolizumab and control arms, respectively, according to an FDA release.
KEYNOTE‑180 was a single arm, open-label trial that enrolled 121 patients with locally advanced or metastatic esophageal cancer who progressed on or after at least two prior systemic treatments for advanced disease. In the 35 patients with ESCC expressing PD-L1, the overall response rate was 20% and response durations ranged from 4.2 to 25-plus months, with 71% (five patients) having responses of six months or longer and 57% (three patients) having responses of 12 months or longer, FDA says.