New Indication: Pembrolizumab with Platinum-5FU for Advanced Penile Cancer

In patients with advanced penile squamous cell carcinoma, pembrolizumab combined with platinum-based chemotherapy showed an overall response rate of 39.4%, with manageable toxic effects. The median overall survival was 9.6 months and median progression-free survival was 5.4 months.

  • Study

    Phase 2 single-arm nonrandomized clinical trial [HERCULES (LACOG0218)]
    Metastatic or locally advanced penile squamous cell carcinoma
    Pembrolizumab + Platinum-based chemotherapy (n=37)



  • Efficacy

    ORR: 39.4% [22.9-57.9]
    mPFS: 5.4 mos [2.7-7.2]
    mOS: 9.6 mos [6.4-13.2]



  • Safety

    Grade >=3 AEs: 51.4%
    Immune-related AEs grade >=3: 5.4%
    Treatment-related deaths: 0%


  • JAMA Oncol. Published online September 18, 2025

    Maluf FC, Trindade K, Preto D New Indication: Pembrolizumab with Platinum-5FU for Advanced Penile Cancer

    http://doi.org/10.1001/jamaoncol.2025.3266

    Reviewed by Ulas D. Bayraktar, MD on Oct 20, 2025

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