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ASCO 2016 Pembrolizumab Data - Melanoma

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Presentation on theme: "ASCO 2016 Pembrolizumab Data - Melanoma"— Presentation transcript:

1 ASCO 2016 Pembrolizumab Data - Melanoma
Study / Abstract Ph Indication Line N Arms 1o EP TTP ORR (Mo) PFS rate (Mo) OS rate Keynote-001 1b Adv. Melanoma ≧ 1st 162
313
180 Pembro 10 q2wk DLT, ORR & AE 25.9 (24, 36-Mo) 149 Tnai All Arms Pembro 2 or 10 q3wk or Pembro 10 q2wk 32.0 (24, 36-Mo) Keynote-006 III BMa 1st & 2nd 667 PDL1+ 150 PDL1– 550 1st-line 284 2nd-line PDL1+, TNai Pembro 10 q2wk or q3wk x 24mo Ipi 3 q3wk x 4 Ipi 3 q3wk x 4 Pembro 10 q2wk or q3wk x 24mo PFS & OS 39% 13% 25% 40% 29% 12% 43% 51% (6-Mo) 25% (6-Mo) 32% (6-Mo) 28% (6-Mo) 52% (6-Mo) 38% (6-Mo) 23% (6-Mo) 55% (6-Mo) 87% (6-Mo) 74% (6-Mo) 81% (6-Mo) 73% (6-Mo) 76% (6-Mo) 83% (6-Mo) 71% (6-Mo) 88% (6-Mo) 75% (6-Mo) III 834 Ipi 3mg/kg q3wk x 4 or PD 13.3% 2.8 31.2% (24-Mo)
27.8% (24-Mo)
13.5% (24-Mo) NR
NR
16.0 55.1% (24-Mo)
55.3% (24-Mo)
43.0% (24-Mo) Keynote-029 I 153 Followed by Pembro 2 q3wk PFS & AE 57% (Inv.) 2071 NA with BM 10 (uBM) Pembro (dose ND) 1.2 All: 86% (6-Mo) MASTERKEY-265 Adv./Met. Melanoma 1st 21 T-VEC q2wk + Pembro 200 q2wk PFS, OS & DLT 48% MediPaper Legend on Last Slide

2 ASCO 2016 Pembrolizumab Data - NSCLC
Study / Abstract Ph Indication Line N Arms 1o EP TTP ORR (Mo) PFS rate (Mo) OS rate Keynote 1b Adv. NSCLC ≧ 1st 79 TPS 1-24% Tnai 306 TPS 1-24% PT 52 TPS 25-49% Tnai 168 TPS 25-49% PT 27 TPS ≥ 50% Tnai 138 TPS ≥ 50% PT 12 TPS < 1% Tnai 90 TPS < 1% PT All Arms Pembro 2 or 10 q3wk or Pembro 10 q2wk DLT, ORR & AE 19.5 8.2 NR 15.4 14.7 8.6 19 Sq. Tnai 76 Sq. PT 79 Non-Sq. Tnai 367 Non-Sq. PT 90 Smoker Tnai 324 Smoker PT 11 Non-Smoker Tnai 125 Non-Smoker PT 335 EGFRwt PT 74 EGFRmu PT 15.6 26.3 9.4 22.0 12.2 7.6 335 74 Keynote-010 III BMa ≧ 3rd 324 TPS 1-24% 147 TPS 1-24% 76 TPS 25-49% 44 TPS 25-49% 106 TPS 50-74% 52 TPS 50-74% 184 TPS ≥ 75% 100 TPS ≥ 75% Pembro 2 q3wk or 10 q2wk x 24mo Doce x 24mo or PD Pembro 2 q3wk or 10 q2wk x 24mo Doce x 24mo or PD PFS, OS & AE 8.6% 10.9% 15.8% 9.1% 22.6% 9.6% 33.7% 7.0% 2.6 4.3 4.0 9.7 8.5 9.9 15.8 10.6 Adv. NSCLC & TPS ≥1% ≧ 2nd 449 DLT, RR & AE 10.6 (18, 24-Mo) MediPaper MediPaper Legend on Last Slide

3 ASCO 2016 Pembrolizumab Data - Other
Study / Abstract Ph Indication Line N Arms 1o EP TTP ORR (Mo) PFS rate (Mo) OS rate SARC-028 II Adv. STS or BS ≧ 2nd 10 LMS 9 LPS 9 UPS 10 SS 19 OS 13 ES 6 CS Pembro 200 q3wk NR 22% 5.2% 50% (8-wk) 63% (8-wk) 67% (8-wk) 30% (8-wk) 24% (8-wk) 9% (8-wk) Keynote-055 HNSCC ≧ 3rd 172 ORR & AE 18% 4130 met. Pancreatic Carcinoma 23 ACP Pembro 200 q3wk DLT 35% 3539 pMMR met. Colorectal Cancer 26 Ablation —> Pembro 200 q3wk 9% (ITM) Keynote-087 C3) ASCT—>KN087 30 Pembro 200 q3wk C3) NR 8517 rec. Thymic Carcinoma 21 24% Keynote Keynote BMa Rec./Met. HNSCC ≧ 2nd TC PDL1- TC PDL1+ TCIC PDL1- TCIC PDL1+ TCIC PDL2- TCIC PDL2+ HPV+ HPV- Pembro 10 q2wk (n=60) or Pembro 200 q3wk (n=132) x 24mo 18.5% 17.9% 5.6% 21.1% 9.8% 22.5% 21.9% 15.9% Keynote Keynote Keynote Keynote Keynote Ib Salivary Gland Ca Thyroid Ca Sq. Cervical Cancer Adv. Endometrial Ca Adv. Esophageal Ca After SOC 22 24 23 Pembro 10 q2wk x 24mo 28 wk BOR 11.5% 9.1% 12.5% 13.0% 30.4% 13% (6-Mo) 19% (6-Mo) 66.7% (6-Mo) 68.8% (6-Mo) MediPaper MediPaper Legend on Last Slide

4 ASCO 2016 Pembrolizumab Data - Legend
Treatments: ACP-196 = acalabrutinib 100 mg PO BID; Bev = bevacizumab 15 mg/kg; BM = Brain Metastasis; C = carboplatin AUC 6; Doce = Docetaxel 75 mg/kg2; Ipi 1 = Ipilimumab 1 mg/kg; Ipi 3 = Ipilimumab 3 mg/kg; P = paclitaxel 200 mg/m2; PEM = Pemetrexed 500 mg/m2; Pembro 200 = Pembro 200 mg; Pembro 2 = Pembro 2 mg/kg; Pembro 10 = Pembro 10 mg/kg; RT = Radiotherapy; T-VEC = Talimogene laherparepvec ≤ 4 mL in (sub)cutaneous/nodal lesions, 106 PFU/mL d1, 108PFU/mL d22 then Q2W. Abbreviations: 28 wk BOR = Best Overall Response at 28 weeks; Adv. = Advanced; AE = Adverse Event; ASCT = Autologues Stem Cell Transplant; BV = Brentuximab Vedotin; C1, C2, BMa = Biomarker Study; BM = Brain Metastasis; C3 = Cohort 1, Cohort 2, Cohort 3; CS = high-grade/dedifferentiated chondrosarcoma; Ca = Carcinoma; DLT = Dose-Limiting Toxicity; EP = Endpoint; ES = Ewing sarcoma; HNSCC = Head and Neck Squamous Carcinoma; IDMC = Independent Data Monitoring Committee; Inv = Investigator; IPI = ipilimumab; ITM = Interim; LMS = leiomyosarcoma; LPS = liposarcoma; mDR = median Duration Response; met. = Metastatic; Mo = Month; mOS = median Overall Survival; mPFS = median Progression Free Survival; mTTR = median Time to Recurrence; NA = Not Applicable; ND = Not Disclosed; NR = Not Reached; ORR = Overall Response Rate; OS = Overall Survival; OSt = osteosarcoma; PDL1- = Negative for PD-Ligand 1 expression; PDL1+ = Positive for PD-Ligand 1 expression; PDL2- = Negative for PD-Ligand 2 expression; PDL2+ = Positive for PD-Ligand 2 expression; PFS = Progression Free Survival; Ph = Phase; pMMR= Mismatch Repair proficient; PT = Previously Treated; rec. = Recurrent; R/R cHL = Refractory / Recurrent Classical Hodgkin Lymphoma; SOC = Standard of Care; SQ = Squamous Histology; SS = synovial sarcoma; tBM = treated Brain Metastasis;TC= Tumor Cells; TCIC=Tumor Cells and Inflammatory Cells; Tnai = Treatment Naive; TPS = Tumor Proportion Score PD-L1 Expression; TTP = Time to Progression; uBM = untreated Brain Metastasis; UPS = undifferentiated pleomorphic sarcoma; wk = Week MediPaper MediPaper

5 ASCO 2016 Pembrolizumab Data - Melanoma
Study / Abstract Ph Indication Line N Arms 1o EP TTP ORR (Mo) PFS rate (Mo) OS rate Keynote-001 1b Adv. Melanoma ≧ 1st 162
313
180 Pembro 10 q2wk DLT, ORR & AE 25.9 (24, 36-Mo) 149 Tnai All Arms Pembro 2 or 10 q3wk or Pembro 10 q2wk 32.0 (24, 36-Mo) Keynote-006 III BMa 1st & 2nd 667 PDL1+ 150 PDL1– 550 1st-line 284 2nd-line PDL1+, TNai Pembro 10 q2wk or q3wk x 24mo Ipi 3 q3wk x 4 Ipi 3 q3wk x 4 Pembro 10 q2wk or q3wk x 24mo PFS & OS 39% 13% 25% 40% 29% 12% 43% 51% (6-Mo) 25% (6-Mo) 32% (6-Mo) 28% (6-Mo) 52% (6-Mo) 38% (6-Mo) 23% (6-Mo) 55% (6-Mo) 87% (6-Mo) 74% (6-Mo) 81% (6-Mo) 73% (6-Mo) 76% (6-Mo) 83% (6-Mo) 71% (6-Mo) 88% (6-Mo) 75% (6-Mo) III 834 Ipi 3mg/kg q3wk x 4 or PD 13.3% 2.8 31.2% (24-Mo)
27.8% (24-Mo)
13.5% (24-Mo) NR
NR
16.0 55.1% (24-Mo)
55.3% (24-Mo)
43.0% (24-Mo) Keynote-029 I 153 Followed by Pembro 2 q3wk PFS & AE 57% (Inv.) 2071 NA with BM 10 (uBM) Pembro (dose ND) 1.2 All: 86% (6-Mo) MASTERKEY-265 Adv./Met. Melanoma 1st 21 T-VEC q2wk + Pembro 200 q2wk PFS, OS & DLT 48% Courtesy of MediPaper Medical Writers - Medi-Paper.com Legend on Last Slide

6 ASCO 2016 Pembrolizumab Data - NSCLC
Study / Abstract Ph Indication Line N Arms 1o EP TTP ORR (Mo) PFS rate (Mo) OS rate Keynote 1b Adv. NSCLC ≧ 1st 79 TPS 1-24% Tnai 306 TPS 1-24% PT 52 TPS 25-49% Tnai 168 TPS 25-49% PT 27 TPS ≥ 50% Tnai 138 TPS ≥ 50% PT 12 TPS < 1% Tnai 90 TPS < 1% PT All Arms Pembro 2 or 10 q3wk or Pembro 10 q2wk DLT, ORR & AE 19.5 8.2 NR 15.4 14.7 8.6 19 Sq. Tnai 76 Sq. PT 79 Non-Sq. Tnai 367 Non-Sq. PT 90 Smoker Tnai 324 Smoker PT 11 Non-Smoker Tnai 125 Non-Smoker PT 335 EGFRwt PT 74 EGFRmu PT 15.6 26.3 9.4 22.0 12.2 7.6 335 74 Keynote-010 III BMa ≧ 3rd 324 TPS 1-24% 147 TPS 1-24% 76 TPS 25-49% 44 TPS 25-49% 106 TPS 50-74% 52 TPS 50-74% 184 TPS ≥ 75% 100 TPS ≥ 75% Pembro 2 q3wk or 10 q2wk x 24mo Doce x 24mo or PD Pembro 2 q3wk or 10 q2wk x 24mo Doce x 24mo or PD PFS, OS & AE 8.6% 10.9% 15.8% 9.1% 22.6% 9.6% 33.7% 7.0% 2.6 4.3 4.0 9.7 8.5 9.9 15.8 10.6 Adv. NSCLC & TPS ≥1% ≧ 2nd 449 DLT, RR & AE 10.6 (18, 24-Mo) Courtesy of MediPaper Medical Writers - Medi-Paper.com Legend on Last Slide Legend on Last Slide

7 ASCO 2016 Pembrolizumab Data - Other
Study / Abstract Ph Indication Line N Arms 1o EP TTP ORR (Mo) PFS rate (Mo) OS rate SARC-028 II Adv. STS or BS ≧ 2nd 10 LMS 9 LPS 9 UPS 10 SS 19 OS 13 ES 6 CS Pembro 200 q3wk NR 22% 5.2% 50% (8-wk) 63% (8-wk) 67% (8-wk) 30% (8-wk) 24% (8-wk) 9% (8-wk) Keynote-055 HNSCC ≧ 3rd 172 ORR & AE 18% 4130 met. Pancreatic Carcinoma 23 ACP Pembro 200 q3wk DLT 35% 3539 pMMR met. Colorectal Cancer 26 Ablation —> Pembro 200 q3wk 9% (ITM) Keynote-087 C3) ASCT—>KN087 30 Pembro 200 q3wk C3) NR 8517 rec. Thymic Carcinoma 21 24% Keynote Keynote BMa Rec./Met. HNSCC ≧ 2nd TC PDL1- TC PDL1+ TCIC PDL1- TCIC PDL1+ TCIC PDL2- TCIC PDL2+ HPV+ HPV- Pembro 10 q2wk (n=60) or Pembro 200 q3wk (n=132) x 24mo 18.5% 17.9% 5.6% 21.1% 9.8% 22.5% 21.9% 15.9% Keynote Keynote Keynote Keynote Keynote Ib Salivary Gland Ca Thyroid Ca Sq. Cervical Cancer Adv. Endometrial Ca Adv. Esophageal Ca After SOC 22 24 23 Pembro 10 q2wk x 24mo 28 wk BOR 11.5% 9.1% 12.5% 13.0% 30.4% 13% (6-Mo) 19% (6-Mo) 66.7% (6-Mo) 68.8% (6-Mo) Courtesy of MediPaper Medical Writers - Medi-Paper.com Legend on Last Slide

8 ASCO 2016 Pembrolizumab Data - Legend
Treatments: ACP-196 = acalabrutinib 100 mg PO BID; Bev = bevacizumab 15 mg/kg; BM = Brain Metastasis; C = carboplatin AUC 6; Doce = Docetaxel 75 mg/kg2; Ipi 1 = Ipilimumab 1 mg/kg; Ipi 3 = Ipilimumab 3 mg/kg; P = paclitaxel 200 mg/m2; PEM = Pemetrexed 500 mg/m2; Pembro 200 = Pembro 200 mg; Pembro 2 = Pembro 2 mg/kg; Pembro 10 = Pembro 10 mg/kg; RT = Radiotherapy; T-VEC = Talimogene laherparepvec ≤ 4 mL in (sub)cutaneous/nodal lesions, 106 PFU/mL d1, 108PFU/mL d22 then Q2W. Abbreviations: 28 wk BOR = Best Overall Response at 28 weeks; Adv. = Advanced; AE = Adverse Event; ASCT = Autologues Stem Cell Transplant; BV = Brentuximab Vedotin; C1, C2, BMa = Biomarker Study; BM = Brain Metastasis; C3 = Cohort 1, Cohort 2, Cohort 3; CS = high-grade/dedifferentiated chondrosarcoma; Ca = Carcinoma; DLT = Dose-Limiting Toxicity; EP = Endpoint; ES = Ewing sarcoma; HNSCC = Head and Neck Squamous Carcinoma; IDMC = Independent Data Monitoring Committee; Inv = Investigator; IPI = ipilimumab; ITM = Interim; LMS = leiomyosarcoma; LPS = liposarcoma; mDR = median Duration Response; met. = Metastatic; Mo = Month; mOS = median Overall Survival; mPFS = median Progression Free Survival; mTTR = median Time to Recurrence; NA = Not Applicable; ND = Not Disclosed; NR = Not Reached; ORR = Overall Response Rate; OS = Overall Survival; OSt = osteosarcoma; PDL1- = Negative for PD-Ligand 1 expression; PDL1+ = Positive for PD-Ligand 1 expression; PDL2- = Negative for PD-Ligand 2 expression; PDL2+ = Positive for PD-Ligand 2 expression; PFS = Progression Free Survival; Ph = Phase; pMMR= Mismatch Repair proficient; PT = Previously Treated; rec. = Recurrent; R/R cHL = Refractory / Recurrent Classical Hodgkin Lymphoma; SOC = Standard of Care; SQ = Squamous Histology; SS = synovial sarcoma; tBM = treated Brain Metastasis;TC= Tumor Cells; TCIC=Tumor Cells and Inflammatory Cells; Tnai = Treatment Naive; TPS = Tumor Proportion Score PD-L1 Expression; TTP = Time to Progression; uBM = untreated Brain Metastasis; UPS = undifferentiated pleomorphic sarcoma; wk = Week Courtesy of MediPaper Medical Writers - Medi-Paper.com Legend on Last Slide


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