Merck's #ESMO22 booth (Max Gelman/Endpoints News)

#ES­MO22: 'End of the be­gin­ning': As PD-(L)1s press on, how far can com­bo ther­a­pies take im­muno-on­col­o­gy?

PARIS — It’s no se­cret that an­ti-PD-(L)1 drugs have dras­ti­cal­ly changed im­muno-on­col­o­gy over the last decade or so. Mer­ck’s mar­ket-lead­ing Keytru­da and Bris­tol My­ers Squibb’s Op­di­vo are high­ly ef­fec­tive across a wide range of can­cers, help­ing mil­lions of pa­tients around the world and rack­ing up bil­lions in sales along the way.

But 2022 has proven rel­a­tive­ly bumpy for the class, with more than a hand­ful of tri­al fail­ures as re­searchers try to move the drugs in­to more chal­leng­ing tu­mor set­tings and ear­li­er treat­ment lines. And a slate of mixed re­sults at this year’s ES­MO con­fer­ence, com­bined with in­creased scruti­ny in Wash­ing­ton over ac­cel­er­at­ed ap­provals and re­newed de­bate over pric­ing, raise the ques­tion of whether an­ti-PD-(L)1s are ap­proach­ing a ceil­ing.

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