How long do you give maintenance pemetrexed/pembrolizumab in metastatic NSCLC treated with upfront chemoimmunotherapy?
Do you ever consider stopping if stable disease and good tolerance?
Answer from: Medical Oncologist at Community Practice
In the Keynote trials, therapy was continued for 2 years. With a median progression free survival of approximately 8 months, the number of patients who are able to continue therapy for 2 years is small. However, if a patient does stay on therapy I follow the protocol and recommend stopping therapy a...
Answer from: Medical Oncologist at Academic Institution
This is a great question! The optimal duration of maintenance therapy remains undefined. In my practice, most patients receive carboplatin plus pemetrexed plus pembrolizumab as 1st line therapy if they have advanced non-squamous non-small cell lung cancer. I usually treat with this 3 drug regimen fo...
Comments
Medical Oncologist at SBLHS I think what we should also note is that payers ar...
Answer from: Medical Oncologist at Academic Institution
I pretty much agree with @Nasser H. Hanna. When it comes to maintenance therapy, I abide by the KN 189 trial, for the most part: 4 cycles of the triplet, followed by maintenance Pemetrexed/Pembrolizumab for at least two years. At that point, unless there is some compelling reason to do otherwise, I ...