PMID- 32801888 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 1179-1322 (Print) IS - 1179-1322 (Electronic) IS - 1179-1322 (Linking) VI - 12 DP - 2020 TI - A Review About Pembrolizumab in First-Line Treatment of Advanced NSCLC: Focus on KEYNOTE Studies. PG - 6493-6509 LID - 10.2147/CMAR.S257188 [doi] AB - Lung cancer is currently the malignant tumor with the highest incidence and mortality in the world, while non-small cell lung cancer (NSCLC) is the most common pathological type of lung caner. In the past few decades, the only treatment options available for advanced NSCLC patients have been targeted therapy or chemotherapy, but these therapies are inevitably tolerated by tumors. The discovery of immune checkpints that mediate the immune escape of tumor cells have been promoting a series of immune checkpoint inhibitors to be used in cancer treatment and achieved great results. Among them, pembrolizumab is currently the only PD-1 inhibitor approved for first-line treatment of NSCLC, whether it is monotherapy or combination therapy, for creditable performance in KEYNOTE studies. In this review, we systematically integrate the latest series of clinical trial results, pharmacological mechanisms, adverse events (AEs) and predictive biomarkers in the first-line treatment of NSCLC. We hope pembrolizumab could become a better choice for more clinicians and benefit more patients with advanced NSCLC. CI - (c) 2020 Qu et al. FAU - Qu, Jialin AU - Qu J AD - Department of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao 266003, People's Republic of China. FAU - Wang, Li AU - Wang L AUID- ORCID: 0000-0001-5691-9946 AD - Department of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao 266003, People's Republic of China. FAU - Jiang, Man AU - Jiang M AD - Department of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao 266003, People's Republic of China. FAU - Zhao, Deze AU - Zhao D AD - Department of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao 266003, People's Republic of China. FAU - Wang, Yuyang AU - Wang Y AD - Department of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao 266003, People's Republic of China. FAU - Zhang, Feng AU - Zhang F AD - Department of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao 266003, People's Republic of China. FAU - Li, Jing AU - Li J AD - Department of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao 266003, People's Republic of China. FAU - Zhang, Xiaochun AU - Zhang X AD - Department of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao 266003, People's Republic of China. LA - eng PT - Journal Article PT - Review DEP - 20200728 PL - New Zealand TA - Cancer Manag Res JT - Cancer management and research JID - 101512700 PMC - PMC7395702 OTO - NOTNLM OT - KEYNOTE studies OT - NSCLC OT - PD-1/PD-L1 OT - first-line treatment OT - non-small cell lung cancer OT - pembrolizumab COIS- The authors report no conflicts of interest in this work. EDAT- 2020/08/18 06:00 MHDA- 2020/08/18 06:01 PMCR- 2020/07/28 CRDT- 2020/08/18 06:00 PHST- 2020/04/09 00:00 [received] PHST- 2020/06/24 00:00 [accepted] PHST- 2020/08/18 06:00 [entrez] PHST- 2020/08/18 06:00 [pubmed] PHST- 2020/08/18 06:01 [medline] PHST- 2020/07/28 00:00 [pmc-release] AID - 257188 [pii] AID - 10.2147/CMAR.S257188 [doi] PST - epublish SO - Cancer Manag Res. 2020 Jul 28;12:6493-6509. doi: 10.2147/CMAR.S257188. eCollection 2020.