Merkel cell carcinoma

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Elizabeth Buchbinder, MD
Dana-Farber Cancer Institute
Boston, MA

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Guidelines

NCCN

Metastatic or advanced disease, all lines of therapy

Avelumab monotherapy

Avelumab (Bavencio) for merkel cell carcinoma

Pembrolizumab monotherapy

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Regimen

Study Evidence Efficacy
Nghiem et al. 2016 (KEYNOTE-017) Phase II (RT) 56% (95% CI 35-76%)

Immunotherapy

21-day cycle for up to 35 cycles (2 years) or until CR

References

  1. KEYNOTE-017: Nghiem PT, Bhatia S, Lipson EJ, Kudchadkar RR, Miller NJ, Annamalai L, Berry S, Chartash EK, Daud A, Fling SP, Friedlander PA, Kluger HM, Kohrt HE, Lundgren L, Margolin K, Mitchell A, Olencki T, Pardoll DM, Reddy SA, Shantha EM, Sharfman WH, Sharon E, Shemanski LR, Shinohara MM, Sunshine JC, Taube JM, Thompson JA, Townson SM, Yearley JH, Topalian SL, Cheever MA. PD-1 blockade with pembrolizumab in advanced Merkel-cell carcinoma. N Engl J Med. 2016 Jun 30;374(26):2542-52. Epub 2016 Apr 19. link to original article link to PMC article contains verified protocol PubMed