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Comment
. 2023 Sep 11;41(9):1545-1547.
doi: 10.1016/j.ccell.2023.08.003.

Peeling the I-Onion to Demystify Pseudoprogression

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Peeling the I-Onion to Demystify Pseudoprogression

Erica S Tsang et al. Cancer Cell. .
Free article

Abstract

In this issue of Cancer Cell, Topp et al. analyze data from 799 patients treated with pembrolizumab beyond progression by RECIST 1.1 across six trials. Although 8.9%-24.4% of patients demonstrate a ≥30% reduction in target lesions, conversely 11%-18% of patients had a ≥20% increase. The benefits of treatment beyond progression must be carefully weighed against physical and financial toxicities.

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Conflict of interest statement

Declaration of interests E.S.T. declares institutional clinical trial support from AstraZeneca and Amgen. L.L.S. has consulting/advisory arrangements with Merck, Pfizer, AstraZeneca, Roche, GlaxoSmithKline, Voronoi, Arvinas, Tessa, Navire, Relay, Daiichi Sanyko, Coherus, Marengo, Tubulis, LTZ Therapeutics, NGM Biotherapeutics, Medicenna; stock ownership of Agios (spouse); leadership position in Treadwell Therapeutics (spouse); and the institution receives clinical trials support from Novartis, Bristol-Myers Squibb, Pfizer, Boerhinger-Ingelheim, GlaxoSmithKline, Roche/Genentech, AstraZeneca, Merck, Celgene, Astellas, Bayer, Abbvie, Amgen, Symphogen, Shattucks, BionTech, 23Me, EMD Serono. Daiichi Sanyko, Medicenna, BioNTech, Gilead, Seattle Genetics, Takeda, and Viracta Therapeutics.

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