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024 7 _ |a 1879-2995
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024 7 _ |a (1965)
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037 _ _ |a DKFZ-2025-00757
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082 _ _ |a 610
100 1 _ |a Luke, Jason J
|b 0
245 _ _ |a Pembrolizumab versus placebo as adjuvant therapy in resected stage IIB or IIC melanoma: Long-term follow-up, crossover, and rechallenge with pembrolizumab in the phase III KEYNOTE-716 study.
260 _ _ |a Amsterdam [u.a.]
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520 _ _ |a Adjuvant pembrolizumab prolonged recurrence-free survival (RFS) and distant metastasis-free survival (DMFS) in patients with resected stage IIB/IIC melanoma in KEYNOTE-716. Results of a post hoc 4-year analysis are reported, including progression/recurrence-free survival 2 (PRFS2).Patients were randomly assigned 1:1 to pembrolizumab 200 mg or placebo intravenously every 3 weeks (part 1). RFS was the primary end point; DMFS was secondary. Patients with recurrence following placebo or 17 cycles of pembrolizumab could cross over to or be rechallenged with pembrolizumab (part 2).Median follow-up (n = 976) was 52.8 months (range, 39.4-64.8). RFS (HR, 0.62 [95 % CI, 0.50-0.78]) and DMFS (HR, 0.59 [0.45-0.77]) favored pembrolizumab. At 48 months, RFS rates were 71.3 % for pembrolizumab and 58.3 % for placebo, and DMFS rates were 81.0 % and 70.1 %, respectively. The HR for PRFS2 was 0.75 (95 % CI, 0.56-1.01); 48-month PRFS2 rates were 82.5 % for pembrolizumab and 76.7 % for placebo. In the crossover population, median follow-up was 36.9 months; median RFS was not reached (NR; 95 % CI, 16.8-NR; 48-month RFS, 50.6 %) in patients with resectable disease (n = 41) and median progression-free survival was 22.0 months (4.5-NR) in patients with unresectable disease (n = 30). Among patients rechallenged, median follow-up was 21.9 months; none with resectable disease had recurrence (n = 6) and 1 with unresectable disease had best response of stable disease (n = 3). No new safety signals were observed.With > 4 years follow-up, pembrolizumab continued to prolong RFS and DMFS and had antitumor activity in patients who crossed over to pembrolizumab.NCT03553836.
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650 _ 7 |a Adjuvant therapy
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650 _ 7 |a Immune checkpoint inhibitors
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650 _ 7 |a Melanoma
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650 _ 7 |a Pembrolizumab
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650 _ 7 |a Programmed cell death protein 1
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700 1 _ |a Ascierto, Paolo A
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700 1 _ |a Khattak, Muhammad A
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700 1 _ |a Rutkowski, Piotr
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700 1 _ |a Del Vecchio, Michele
|b 4
700 1 _ |a Spagnolo, Francesco
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700 1 _ |a Mackiewicz, Jacek
|b 6
700 1 _ |a Merino, Luis de la Cruz
|b 7
700 1 _ |a Chiarion-Sileni, Vanna
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700 1 _ |a Kirkwood, John M
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700 1 _ |a Robert, Caroline
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700 1 _ |a Schadendorf, Dirk
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700 1 _ |a de Galitiis, Federica
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700 1 _ |a Carlino, Matteo S
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700 1 _ |a Dummer, Reinhard
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700 1 _ |a Mohr, Peter
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700 1 _ |a Odeleye-Ajakaye, Amos
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700 1 _ |a Fukunaga-Kalabis, Mizuho
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700 1 _ |a Krepler, Clemens
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700 1 _ |a Eggermont, Alexander M M
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700 1 _ |a Long, Georgina V
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773 _ _ |a 10.1016/j.ejca.2025.115381
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