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Vibostolimab coformulated with pembrolizumab versus pembrolizumab alone as adjuvant therapy for high-risk stage IIB-IV melanoma (KEYVIBE-010): a randomised, double-blind, phase 3 study - PubMed

6 days ago
  • #immunotherapy
  • #melanoma
  • #clinical trial
  • The study evaluated vibostolimab coformulated with pembrolizumab versus pembrolizumab alone as adjuvant therapy for high-risk stage IIB-IV melanoma.
  • A total of 1402 participants were randomly assigned to receive either the coformulated treatment or pembrolizumab alone.
  • At the first interim analysis, the median study follow-up was 4.2 months, with no significant difference in recurrence-free survival between the two groups.
  • The hazard ratio for recurrence-free survival was 1.25 (95% CI 0.9-1.8), indicating no additional clinical benefit from the coformulated treatment.
  • Common grade 3 or higher treatment-related adverse events included adrenal insufficiency, hepatitis, rash, maculopapular rash, and pruritus.
  • Treatment-related serious adverse events occurred in 11% of the coformulated group and 4% of the pembrolizumab alone group.
  • The study was discontinued based on prespecified futility criteria, concluding that pembrolizumab monotherapy remains the standard of care for resected high-risk melanoma.