Evidence map›Paper›PMID 40121391›Full record

Trial reportAdvances in therapy2025

Pembrolizumab in Patients of Chinese Descent with Microsatellite Instability-high/Mismatch Repair Deficient Advanced Solid Tumors: KEYNOTE-158 Final Analysis.

Xiaohua Wu, Yimin Mao, Nong Xu, Yuxian Bai, Dong Wang, Xiaojun Chen, Xianli Yin, Yanhong Deng, Jianwei Yang, Jieqing Zhang and 11 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02628067 (A Clinical Trial of Pembrolizumab), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02628067 phase2active not recruitingnot on this map

A Clinical Trial of Pembrolizumab (MK-3475) Evaluating Predictive Biomarkers in Subjects With Advanced Solid Tumors (KEYNOTE 158)

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2015 to 2027Enrolled1,609ConditionsAdvanced Cancer, Anal Carcinoma, Anal Cancer, Biliary CancerArmspembrolizumab
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Xiaohua Wu *Fudan University Shanghai Cancer Center, Shanghai, China.
Yimin Mao *Renji Hospital Shanghai Jiaotong University School of Medicine, Shanghai, China.
Nong XuThe First Affiliated Hospital Zhejiang University, Hangzhou, China.
Yuxian BaiHarbin Medical University Cancer Hospital, Harbin, China.
Dong WangChongqing University Cancer Hospital, Chongqing, China.
Xiaojun ChenObstetrics & Gynecology Hospital of Fudan University, Shanghai, China.
Xianli YinHunan Cancer Hospital, Changsha, China.
Yanhong DengThe Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Jianwei YangFujian Provincial Cancer Hospital, Fuzhou, China.
Jieqing ZhangAffiliated Cancer Hospital of Guangxi Medical University, Nanning, China.
Jie TangHunan Cancer Hospital, Changsha, China.
Yi HuangHubei Cancer Hospital, Wuhan, China.
Jiayi LiThe First Affiliated Hospital of Xiamen University-Oncology, Xiamen, China.
Suxia LuoHenan Cancer Hospital, Zhengzhou, China.
Hong ZhengBeijing Cancer Hospital, Beijing, China.
Weidong ZhaoAnhui Provincial Hospital-Obstetrics and Gynecology, Hefei, China.
Miaomiao XuMSD (China) Co., Ltd, Beijing, China.
Nan LiMSD (China) Co., Ltd, Beijing, China.
Yixiang MaoMSD (China) Co., Ltd, Shanghai, China.
Alexander GozmanMerck & Co., Inc., Rahway, NJ, USA.
Jianming XuFifth Medical Center of Chinese, PLA General Hospital, No. 8 Eastda Road, Fengtai District, Beijing, 100071, China. jmxu2003@163.com.ORCID http://orcid.org/0000-0003-4467-6021

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionKEYNOTE-158 (NCT02628067) supported the US Food and Drug Administration approval of pembrolizumab for microsatellite instability-high (MSI-H)/mismatch repair deficient (dMMR) advanced solid tumors. Incidence of MSI-H/dMMR tumors in patients of Chinese descent is similar to that of Western populations. Cohort L of KEYNOTE-158 evaluated pembrolizumab in patients of Chinese descent with previously treated MSI-H/dMMR tumors. We previously reported an objective response rate (ORR) of 70% in 20 patients from cohort L which supported the approval in China of pembrolizumab in patients with MSI-H/dMMR solid tumors. Here we present results of the final analysis for 30 patients with median follow-up of 18 months.

methodsEligible patients who had confirmed unresectable or metastatic MSI-H/dMMR tumors, and one or more prior lines of therapy, received 200 mg pembrolizumab Q3W (up to 35 cycles) until progression, toxicity, or withdrawal. Primary endpoint was ORR per RECIST 1.1 by central review. Secondary endpoints were duration of response (DOR), progression-free survival (PFS), overall survival (OS), and safety.

resultsThirty patients were enrolled; 7 (23%) were aged ≥ 65 years, and 20 (67%) were female. With median follow-up of 18 months, ORR was 66.7%. Median DOR was not reached (NR), with 12-month DOR rate of 85.9%. Median PFS was NR, with 18-month PFS rate of 63.0%. Median OS was NR, with 18-month OS rate of 78.8%. Treatment-related adverse events (AE) were reported in 22 (73%) patients. Grade 3-4 treatment-related AEs occurred in 7 (23%) patients. Immune-mediated AEs occurred in 11 (37%) patients of which 2 (7%) had grade 3 AEs. No grade ≥ 4 immune-mediated AEs occurred.

conclusionPembrolizumab continues to provide clinically meaningful antitumor activity and durable responses with a manageable safety profile in patients of Chinese descent with MSI-H/dMMR advanced solid tumors. These results are consistent with those reported for patients in the global population and further support the use of pembrolizumab in patients of Chinese descent with MSI-H/dMMR tumors. TRIAL REGISTRATION NUMBER: NCT02628067.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalEast Asian PeopleMicrosatellite InstabilityNeoplasmsAdultAgedChinaDNA Mismatch RepairFemaleHumansMaleMiddle AgedAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalpembrolizumabChinese descentdMMRMSI-HPembrolizumab

Identifiers

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.