New Protocol: Pembrolizumab and Bevacizumab for Nasopharyngeal Cancer


  • Study

    Randomised, open-label, phase 2 trial
    Platinum-resistant recurrent or metastatic nasopharyngeal carcinoma
    Pembrolizumab (200 mg IV q21d) vs. Pembrolizumab (200 mg IV q21d) + Bevacizumab (7.5 mg/kg IV q21d)



  • Efficacy

    ORR: 58.3% [36.6–77.9] vs. 12.5% [2.7–32.4] (p=0.0010)
    mPFS: 13.8 mos [4.2–29.5] vs. 1.6 mos [1.3–2.7] (HR: 0.25 [0.13–0.50])
    mOS: 18.5 mos [9.1–NR] vs. 11.7 mos [7.0–16.1]



  • Safety

    Grade ≥3 AEs: 29% vs. 8%
    Common Grade ≥3 AEs: thrombosis or bleeding (17% vs. 0%), colitis (4% vs. 0%), cytopenias (4% vs. 0%), hypertension (4% vs. 0%), proteinuria (4% vs. 0%)



  • Lancet Oncol 2025;26:175-86

    Chong WQ,Low JL,Tay JK Pembrolizumab with or without Bevacizumab in Platinum-Resistant Recurrent or Metastatic Nasopharyngeal Carcinoma: A Randomised, Open-Label, Phase 2 Trial

    http://doi.org/10.1016/S1470-2045(24)00677-6

    Reviewed by Ulas D. Bayraktar, MD on Mar 2, 2025