Scholarlink

<p>The phase 2 SWOG S1512 trial (<a href="http://clinicaltrials.gov/ct2/show/NCT02775851">NCT02775851</a>) was designed to evaluate the response to pembrolizumab (anti-PD-1) in individuals with desmoplastic melanoma. Here we report the results of cohort A of the trial, evaluating the pathological complete response (pCR) rate of neoadjuvant PD-1 blockade in surgically resectable desmoplastic melanoma. Secondary endpoints included clinical response rate, overall survival and toxicities. Twenty-eight eligible individuals with resectable desmoplastic melanoma received intravenous pembrolizumab (200 mg) every 3 weeks three times, followed by excision. Tissue samples before treatment, at 3–5 weeks after treatment initiation and at the time of surgery were reviewed. The primary endpoint of pCR rate by local pathological review was 71% (95% confidence interval, 51–87%; <i>P</i> &lt; 0.001), which met the prespecified endpoint. There were two (7%) grade 3 treatment-related adverse events. At three years of follow-up, four participants have died, none known to be from melanoma or adverse events. In conclusion, neoadjuvant pembrolizumab in individuals with resectable desmoplastic melanoma results in a high pCR rate with acceptable safety profile. Clinicaltrials.gov: <a href="http://clinicaltrials.gov/ct2/show/NCT02775851">NCT02775851</a>.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Neoadjuvant PD-1 blockade in surgically resectable desmoplastic melanoma: cohort A of the phase 2 SWOG S1512 trial

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年1月29日

查看全文
  • Kari L. Kendra,
  • Shay L. Bellasea,
  • Zeynep Eroglu,
  • Siwen Hu-Lieskovan,
  • Katie M. Campbell,
  • William E. Carson III,
  • David A. Wada,
  • Jose A. Plaza,
  • Gino K. In,
  • Alexandra Ikeguchi,
  • John Hyngstrom,
  • Andrew S. Brohl,
  • Bartosz Chmielowski,
  • Nikhil I. Khushalani,
  • Joseph Markowitz,
  • Marcus Monroe,
  • Carlo M. Contreras,
  • Tawnya Bowles,
  • Kurt Norman,
  • Egmidio Medina,
  • Cynthia R. Gonzalez,
  • Ignacio Baselga-Carretero,
  • Ivan Perez Garcilazo,
  • Agustin Vega-Crespo,
  • Jia Ming Chen,
  • Nataly Naser Al Deen,
  • Sapna P. Patel,
  • Kenneth F. Grossmann,
  • Vernon K. Sondak,
  • Elad Sharon,
  • James Moon,
  • Michael C. Wu,
  • Antoni Ribas

摘要

The phase 2 SWOG S1512 trial (NCT02775851) was designed to evaluate the response to pembrolizumab (anti-PD-1) in individuals with desmoplastic melanoma. Here we report the results of cohort A of the trial, evaluating the pathological complete response (pCR) rate of neoadjuvant PD-1 blockade in surgically resectable desmoplastic melanoma. Secondary endpoints included clinical response rate, overall survival and toxicities. Twenty-eight eligible individuals with resectable desmoplastic melanoma received intravenous pembrolizumab (200 mg) every 3 weeks three times, followed by excision. Tissue samples before treatment, at 3–5 weeks after treatment initiation and at the time of surgery were reviewed. The primary endpoint of pCR rate by local pathological review was 71% (95% confidence interval, 51–87%; P < 0.001), which met the prespecified endpoint. There were two (7%) grade 3 treatment-related adverse events. At three years of follow-up, four participants have died, none known to be from melanoma or adverse events. In conclusion, neoadjuvant pembrolizumab in individuals with resectable desmoplastic melanoma results in a high pCR rate with acceptable safety profile. Clinicaltrials.gov: NCT02775851.