New Indication: Pembrolizumab for Early-Stage NSCLC


  • Study

    A Phase III placebo-controlled, Randomized, Open-label trial (KEYNOTE-671)
    Resectable, early stage (stage II and III) NSCLC
    Arm A: Pembrolizumab + chemotherapyS->Pembrolizumab (n=397)
    Arm B: ChemtherapyS->PBO (n=400)




  • Efficacy

    • mEFS: NR vs 17.0 ms, HR:0.58, p<0.001
    24 mos EFS: 62.4% vs 40.6%
    mOS: NR vs. 45.5 mos, p=0.02 (NS)
    24 mos OS: 80.9% vs. 77.6%
    mPR: 30.2% vs 11.0%, p<0.001
    PcR: 18.1% vs. 4.0%, p=0.0001



  • Safety

    Grade3: Neutropenia (20.7% vs.19%), anemia (7.3% vs. 5.5%)



  • NEJM JUN 3, 2023

    Perioperative Pembrolizumab for Early-Stage Non–Small-Cell Lung Cancer

    http://doi.org/10.1056/NEJMoa2302983

    Reviewed by Elvin Chalabiyev, MD on Aug 20, 2023