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Plenary Session

Keynote 564 - a flawed study

Plenary Session

Vinay Prasad, MD MPH

Health, Medicine, Policy, Oncology, Science & Medicine

4.7789 Ratings

🗓️ 1 February 2024

⏱️ 18 minutes

🧾️ Download transcript

Summary

Another flawed study Keynote 564. Pembro in adjuvant RCC

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome back to the channel. I want to talk about the latest GU abstract. This was out at the

0:06.4

GU ASCO just last week. It's Keynote 564, adjuvant pemberlizumab and kidney cancer. But here's the most

0:13.2

important thing. This is yet another example of oncology cheerleading, grossly unethical and

0:19.2

uninformative studies. So I'm going to walk you through why

0:21.6

this study is deeply uninformative. I'm going to walk you through the response that it got

0:26.3

from the G.U. Asco crowd. I'm going to pose the biggest question, the question that we all face,

0:31.0

which is why is oncology such a broken field, a field that many people don't want to do,

0:35.6

because they worry about this degree of corruption.

0:37.7

So let's take a look.

0:38.9

Keynote 564 adjuvant pemberlismab, another unethical study.

0:43.2

I call it.

0:43.8

It is.

0:44.2

It's terrible.

0:46.0

So here's what people say about it, okay, this gentleman, the Phase 3, Keynote 564.

0:51.4

This landmark study demonstrated a significant improvement in overall survival compared to placebo,

0:56.1

making it the first to show such a meaningful survival benefit with adjuvant therapy in RCC.

1:01.7

Yes, we finally did it, the first one to show a meaningful benefit, meaningful benefit in RCC.

1:07.7

Bravo. Let's see if the study is actually done correctly. Okay, let's get to that.

1:12.3

A lab from Harvard. The impressive practice-changing findings from keynote 564 presented by Dr.

1:18.1

Choirie was a key highlight of ASCO. This is the first RCT to show a statistically significant

1:23.2

OS improvement with adjuvant pembryllizumab for patients with renal cell carcinoma.

1:29.3

38%.

...

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