Sep. 5 at 1:08 PM
$IOBT This is the PFS chart from Relativity 47 stratified by PDL1 status. The PDL1- chart looks incredible, big difference between curves and thats a HR of 0.66. Imagine how our chart looks like with HR of 0.54. HR of 0.54 means that you more than double progression free-survival compared to the control arm. In Pembro arm 22% are progression free, while in Cylembio arm 49% are progression free with 18 months of minimum follow-up. What comes after 1L treatment? ICI again, TILs, Ipi single agent, BRAF inhibitors and IL2 high dose. Mostly nasty shit thats very ineffective in 2nd. TILs seem to be the best options, but only around 25% are eligable in 2nd line. It certainly gets very hopeless after 1L failure and you haave to endure a lot of shit to prolong live with low QOL. TILs give hope for durable responses, but the treatment is brutal and can kill you, even when you are young and relatively fit.