Steven H. Stein - Incyte Corp.
Management
Cory. Hi, it's Steven. Thank you for your question. So, obviously, as you well know and others do, lung cancer incorporates many different settings and different histologies as well. The whole premise behind immunotherapy has always pointed to the fact that the – that it may – its maximum benefit may be in areas of low disease burden or even in the adjuvant setting, where you have maybe, potentially, micrometastatic disease to beat. So, our studies encompass the high-expressing PD-L1 population in combination with pembrolizumab monotherapy which is a care standard there. In the low-expressing settings, the chemotherapy combination with pembrolizumab is felt to be the care standard, despite what happened last week with Merck withdrawing their application in Europe based on KEYNOTE-021G subgroup. We've always felt that the KEYNOTE-189 data was going to be the gating event, that data will report out way before our study finishes. And so, we obviously incorporating a Phase 3 study in combination there, but also exploring a chemotherapy-free option as well. So, there's three arms that particular study. If you're asking me, do we have efficacy data in combination with chemotherapy that has enabled us, we have ongoing work looking primarily at the safety with chemotherapy combinations. No, and we have not presented efficacy data with that particular combination yet. In the adjuvant or early setting, the Stage III non-small cell lung cancer setting building on specific data, which is post-chemotherapy, radiation combination therapy for patients who are either in a complete remission, partial remission, or stable disease, obviously the durvalumab data in PACIFIC was highly encouraging for a progression-free survival disease free survival benefit. And this is, again, where immunotherapy, as I said upfront, is felt to potentially work best and that is what we explore in there, the combination versus durvalumab alone. Overarching everything that I'm saying is our tolerability profile. As you know, we presented now on a number of occasions with exposure data that now exceeds a year. We're very comfortable in our tolerability profile. And, again, that should there be the efficacy we want in the adjuvant setting would be a real win to have that sort of tolerability profile. That's our current strategy across lung cancer. We have not yet announced our BMS plans publicly.