Thomas Powles, MBBS, MRCP, MD, Barts Cancer Institute, London, UK, provides an overview of a retrospective analysis from the Phase III KEYNOTE-361 trial (NCT02853305), investigating the prognostic value of circulating tumor DNA (ctDNA) in advanced urothelial carcinoma (UC) treated with pembrolizumab monotherapy versus chemotherapy. Lower baseline ctDNA levels correlated with improved outcomes in patients receiving pembrolizumab. Distinct ctDNA response patterns were observed, with stronger associations between ctDNA reductions and clinical outcomes seen in the pembrolizumab arm. This interview took place during the 2024 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.
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