Adjuvant Pembrolizumab in Renal-Cell Carcinoma

被引:1
作者
Chakiryan, Nicholas H. [1 ]
Strother, Marshall C. [1 ]
Choueiri, Toni K. [2 ]
Powles, Thomas [3 ]
机构
[1] Oregon Hlth & Sci Univ, Portland, OR 97239 USA
[2] Dana Farber Canc Inst, Boston, MA USA
[3] Barts Canc Inst, London, England
关键词
D O I
10.1056/NEJMc2406031
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To the Editor: Choueiri et al. (April 18 issue)(1) report the much-anticipated overall survival results from KEYNOTE-564, a successful trial of adjuvant therapy for patients with high-risk clear-cell renal-cell carcinoma. Receipt of adjuvant pembrolizumab after nephrectomy was associated with a significant overall survival benefit over placebo: 91.2% as compared with 86.0% at 48 months (hazard ratio for death, 0.62; 95% confidence interval, 0.44 to 0.87; P=0.005). Despite statistical significance and an impressive hazard ratio, the effect size was modest. The absolute survival difference of 5.2 percentage points at 48 months implies a number needed to treat of 19.2, as compared . . .
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收藏
页码:185 / 186
页数:2
相关论文
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Choueiri, T. K. ;
Tomczak, P. ;
Park, S. H. ;
Venugopal, B. ;
Ferguson, T. ;
Symeonides, S. N. ;
Hajek, J. ;
Chang, Y-H ;
Lee, J-L ;
Sarwar, N. ;
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Gurney, H. ;
Sawrycki, P. ;
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Zhang, T. ;
Burke, J. M. ;
Doshi, G. ;
Melichar, B. ;
Kopyltsov, E. ;
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Oudard, S. ;
Topart, D. ;
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Kitamura, H. ;
McDermott, D. F. ;
Silva, A. ;
Winquist, E. ;
Cornell, J. ;
Elfiky, A. ;
Burgents, J. E. ;
Perini, R. F. ;
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NEW ENGLAND JOURNAL OF MEDICINE, 2024, 390 (15) :1359-1371