Evidence map›Paper›PMID 41920388›Full record

Trial reportJournal of neuro-oncology2026

Pembrolizumab monotherapy for microsatellite instability-high or mismatch repair deficient recurrent gliomas: results from the multicohort KEYNOTE-158 study.

Capucine Baldini, Philippe A Cassier, Jean-Pierre Delord, Matteo Simonelli, Mehdi Touat, Lili Yao, J Paul Duic, Alexander Gozman, Aurelien Marabelle

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

Trial report in Journal of neuro-oncology, 2026. 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

9 authors.

Capucine BaldiniDépartement d'Innovation Thérapeutique et d'Essais Précoces (DITEP), Gustave Roussy, Institut National de la Santé et de la Recherche Médicale U1015/CIC1428, Université Paris-Saclay, Villejuif, France. capucine.baldini@gustaveroussy.fr.ORCID http://orcid.org/0000-0002-0604-7614
Philippe A CassierDepartment of Medical Oncology, Centre Léon Bérard, Lyon, France.ORCID http://orcid.org/0000-0003-3857-1688
Jean-Pierre DelordUniversité de Toulouse, Oncopole Claudius Regaud, IUCT-Oncopole, Toulouse, France.ORCID http://orcid.org/0000-0001-7305-5561
Matteo SimonelliDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.ORCID http://orcid.org/0000-0002-5264-1251
Mehdi TouatInserm, CNRS, UMR S 1127, Institut du Cerveau, ICM, Sorbonne Université, Hôpitaux Universitaires La Pitié Salpêtrière-Charles Foix, Service de Neuro-oncologie, Paris, France.ORCID http://orcid.org/0000-0002-5910-7799
Lili YaoMerck & Co, Inc., Rahway, NJ, USA.
J Paul DuicMerck & Co, Inc., Rahway, NJ, USA.
Alexander GozmanMerck & Co, Inc., Rahway, NJ, USA.
Aurelien MarabelleDépartement d'Innovation Thérapeutique et d'Essais Précoces (DITEP), Gustave Roussy, Institut National de la Santé et de la Recherche Médicale U1015/CIC1428, Université Paris-Saclay, Villejuif, France.ORCID http://orcid.org/0000-0002-5816-3019

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecurrent gliomas have limited treatment options and dismal outcomes. We report the efficacy and safety of the anti–programmed cell death protein-1 antibody pembrolizumab in participants with microsatellite instability-high (MSI-H)/mismatch repair-deficient (dMMR) recurrent glioma in KEYNOTE-158.

methodsThe phase 2, multicohort KEYNOTE-158 study (NCT02628067) is evaluating pembrolizumab monotherapy in participants with advanced rare cancers. This analysis focused on participants with recurrent glioma from cohort K where eligible participants were ≥18 years old with MSI-H/dMMR tumors and measurable disease per RECIST v1.1. Participants received pembrolizumab 200 mg every 3 weeks for up to 35 cycles. The primary endpoint was objective response rate (ORR) per RECIST v1.1 by independent central radiologic review.

resultsTwenty-one participants with recurrent glioma were enrolled. Median (range) follow-up was 50.0 (15.4‒65.5) months. Best overall responses were partial response (PR; n = 1, 5%), stable disease (SD; n = 3, 14%), and disease progression (n = 16, 76%); 1 participant (5%) had no postbaseline assessment. ORR (95% CI) was 5% (0.1%‒24%). Of 4 participants with SD or better, median (range) duration of their response was 27.8 (0.0+‒27.8) months. The participant with PR had progression-free survival (PFS) of 29.2 months and overall survival (OS) of 32.7 months; among the 3 participants with SD, PFS ranged from 3.3–23.2 months and OS ranged from 9.1–23.2 months. Treatment-related AEs occurred in 7/21 participants (33%; grade 3‒4, n = 1 [5%]).

conclusionPembrolizumab monotherapy demonstrated antitumor activity in a small subset of participants and manageable safety in MSI-H/dMMR recurrent glioma.

trial registrationClinicalTrials.gov, NCT02628067; Registered, December 9, 2015.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalBrain NeoplasmsDNA Mismatch RepairGliomaMicrosatellite InstabilityNeoplasm Recurrence, LocalAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalpembrolizumabDNA mismatch repairGliomaMicrosatellite instabilityPembrolizumab

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.