pembrolizumab plus SoC (n=278) vs. placebo plus SoC (n=281)
randomized controlled trial
pembrolizumab plus platine and (nab)paclitaxel
200 mg of pembrolizumab on day 1 for up to 35 cycles in 3-week cycles and for the first 4 cycles, carboplatin (at a dose calculated to produce an area under the concentration–time curve of 6 mg per milliliter per minute)on day 1 and either paclitaxel (200 mg per square meter of body-surface area) on day 1 or nab-paclitaxel (100 mg per square meter) on days 1, 8, and 15
placebo plus platine and (nab)paclitaxel
placebo on day 1 for up to 35 cycles in 3-week cycles and for the first 4 cycles, carboplatin (at a dose calculated to produce an area under the concentration–time curve of 6 mg per milliliter per minute)on day 1 and either paclitaxel (200 mg per square meter of body-surface area) on day 1 or nab-paclitaxel (100 mg per square meter) on days 1, 8, and 15
patients with progression will have the opportunity to crossover to receive open-label pembrolizumab monotherapy
squamous - mNSCLC - L1 - all population
no information about EGFR or ALK status
open-label
137 sites in 17 countries
P3/ one sided and three interim analysis. Repartition and reallocation between coprimary endpoint PFS OS and then ORR
AI2 (stopped) In patients with previously untreated metastatic, squamous NSCLC, the addition of pembrolizumab to chemotherapy with carboplatin plus paclitaxel or nab-paclitaxelresulted in significantly longer overall survival and progression-free survival than chemotherapyalone