Molecular Oncology Almanac
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Therapeutic Response

PD-L1 (CPS) >= 1 status confers therapeutic sensitivity to Capecitabine in combination with Cisplatin and Tislelizumab in patients with Esophageal Squamous Cell Carcinoma.

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Statements

Source and description
Tevimbra (tislelizumab-jsgr) [package insert]. FDA.

The U.S. Food and Drug Administration (FDA) granted approval to tislelizumab in combination with platinum-containing chemotherapy for the first-line treatment of adult patients unresectable or metastatic esophageal squamous cell carcinoma (ESCC) whose tumors express PD-L1 (>=1). This indication is based on RATIONALE-306 (NCT03783442), a global, randomized, placebo-controlled, double-blind study. PD-L1 status was assessed using an assay that reported Tumor Area Positivity (TAP), though a retrospective scoring of tumor PD-L1 status using Combined Positive Score (CPS) was also conducted. Chemotherapy regimens consisted of tevimbra in combination with either: cisplatin and fluoropyrimidine, cisplatin and capecitabine, oxaliplatin and fluoropyrimidine, oxaplatin and capecitabine, cisplatin and paclitaxel, or oxaliplatin and paclitaxel.

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