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Editorial
. 2025 Sep 30;14(9):4153-4158.
doi: 10.21037/tlcr-2025-639. Epub 2025 Sep 12.

Refining maintenance strategies for metastatic nonsquamous non-small cell lung cancer: insights from the KEYLYNK-006 study

Affiliations
Editorial

Refining maintenance strategies for metastatic nonsquamous non-small cell lung cancer: insights from the KEYLYNK-006 study

Marcel Kemper et al. Transl Lung Cancer Res. .
No abstract available

Keywords: Non-small cell lung cancer (NSCLC); Poly (adenosine diphosphate-ribose) polymerase inhibitors (PARPi); immunotherapy; maintenance.

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Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://tlcr.amegroups.com/article/view/10.21037/tlcr-2025-639/coif). M.K. received honoraria or travel grants not related to this manuscript from Pierre Fabre, Amgen, AstraZeneca, Boehringer Ingelheim, Daiichi Sankyo, Janssen-Cilag, Novartis, Roche Pharma, and Takeda Pharma. F.G. received institutional grants not related to this manuscript from AstraZeneca, Boehringer Ingelheim, BMS, Celgene, Lilly, Novartis, Roche, MSD, Pfizer, Takeda, Siemens, Amgen, GSK, Sanofi, Regeneron, Gilead, Janssen-Cilag and Daiichi-Sankyo; and received honoraria or travel grants not related to this manuscript from AstraZeneca, Boehringer Ingelheim, BMS, Lilly, Novartis, Roche, MSD, Pfizer, Takeda, Siemens, Amgen, Tesaro/GSK, Sanofi, Daiichi-Sankyo, Beigene, Regereron, Gilead and IPSEN. A.B. received honoraria or travel grants not related to this manuscript from Bayer, BMS, Takeda, MSD, Boehringer, AstraZeneca, Sanofi, Pfizer, Lilly, Amgen, RG GmbH, Roche, Novartis, Janssen, and Daiichi. The authors have no other conflicts of interest to declare.

Figures

Figure 1
Figure 1
Study design of the randomized phase 3 KEYLYNK-006 trial. Patients with stage IV nonsquamous NSCLC received induction therapy with pembrolizumab, pemetrexed, and platinum chemotherapy (n=1,003). Those with CR, PR, or SD (n=672) were randomized 1:1 to maintenance pembrolizumab plus olaparib (Arm A) or pemetrexed (Arm B) for up to 31 cycles. Dual primary endpoints were PFS and OS. ALK, anaplastic lymphoma kinase; AUC, area under curve; BICR, blinded independent central review; BID, bis in die; CR, complete response; DOR, duration of response; ECOG, Eastern Cooperative Oncology Group; EGFR, epidermal growth factor receptor; IV, intravenous; NSCLC, non-small cell lung cancer; ORR, objective response rate; OS, overall survival; PFS, progression-free survival; PO, per os; PR, partial response; Q3W, quaque 3 weeks; QoL, quality of life; RECIST, Response Evaluation Criteria in Solid Tumors; ROS1, c-ros oncogene 1; SD, stable disease.

Comment on

References

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