Efficacy and Safety of Pembrolizumab in Advanced Gastric Cancer: A Systematic Review and Meta-Analysis.
Kunhong Tang, Wei Zheng Huang, Jiaqi Wei et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the efficacy and safety of pembrolizumab in 4,560 patients with advanced gastric cancer. The study found that pembrolizumab significantly improved overall survival and objective response rate compared to control treatments, although progression-free survival showed no significant difference. Importantly, pembrolizumab did not increase the risk of treatment-related death (OR = 0.99, 95% CI 0.59-1.65).
Key findings
- Pembrolizumab significantly improved overall survival and objective response rate compared to control treatments.
- No significant difference in progression-free survival was observed.
- The risk of treatment-related death was comparable to chemotherapy (OR = 0.99, 95% CI 0.59-1.65).
- Combination therapy showed superior efficacy but higher immune-related toxicity.
Why it matters
The findings provide important insights into the safety and efficacy of pembrolizumab, addressing concerns about immunotherapy in advanced gastric cancer. Understanding the benefits and risks can guide treatment decisions and improve patient outcomes.