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Udhayvir Grewal: Does PD-L1 CPS Matter?
Aug 22, 2025, 08:08

Udhayvir Grewal: Does PD-L1 CPS Matter?

Udhayvir Grewal, Resident Physician at Ochsner LSU Health Shreveport, shared on X: about a recent paper by David H. Ilson published on JCO:

“Thoroughly enjoyed reading this editorial by Dr. Ilson in JCO

KEYNOTE-585: Pembro + cisplatin/5FU ↑ pCR but EFS/OS.
MATTERHORN: Durva + FLOT ↑ pCR and EFS, setting a new periop standard in resectable gastric/GEJ cancer.

Comparable outcomes for FLOT plus pembrolizumab from KEYNOTE-585 and FLOT plus durvalumab from MATTERHORN

Even as a ‘negative’ trial, KEYNOTE-585 reinforces the MATTERHORN results; IO has a role, but the chemo backbone matters.

Big question- does PD-L1 CPS matter?”

Title: KEYNOTE-585 Fails While Matterhorn Succeeds in Gastric Cancer: What Lessons Can We Learn?

Read the full article.

Udhayvir Grewal

Nina Niu Sanford, Associate Professor at UT Southwestern Medical Center, shared Udhayvir Grewal’s on X:

“It never made sense to me for a Ph3 RCT to have 4 primary endpts: pCR, EFS, OS, safety.

Wo multiplicity strategy (for endpts/looks), KN585 likely pos.

IMO also illustrates challenges in evaluating clinical v stat significance, and again questions why we hang everything on p=0.05.

Btw this was nicely discussed in post by Amol Akhade

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