Was PD-L1 Test To Blame For Failure Of Bristol's Opdivo In '026 Trial?

NEJM editorial suggests that differences in PD-L1 testing may explain why Bristol's Opdivo failed in first-line lung cancer trial whereas Merck's Keytruda succeeded, but some analysts aren't so sure.

Malignant effusion: Pleural fluid cytology of lung (pulmonary) adenocarcinoma, a type of non small cell carcinoma.

The type of PD-L1 test and the way it was used by Bristol-Myers Squibb Co. could explain the failure of Opdivo in the CheckMate 026 first-line lung cancer trial, according to an editorial accompanying the study publication in the New England Journal of Medicine,and the author advises the assay used by competitor Merck & Co. Inc. is the best choice for newly diagnosed patients.

Full results for the CheckMate 026 study were published by David Carbone, Ohio State University Comprehensive Cancer Center, and colleagues on June 22, following the bombshell news of its failure in August 2016 and a presentation at the European Society of Medical Oncology meeting that October

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