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Last Updated: March 26, 2026

CLINICAL TRIALS PROFILE FOR KEYTRUDA


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Biosimilar Clinical Trials for KEYTRUDA

This table shows clinical trials for biosimilars. See the next table for all clinical trials
Trial ID Title Status Sponsor Phase Start Date Summary
NCT05668650 ↗ Double-blind Study to Evaluate the PK, Efficacy, Safety and Immunogenicity of MB12 Versus Keytruda® in Stage IV NSCLC Not yet recruiting Syneos Health Phase 3 2023-03-01 This is a randomized, multicenter, multinational, double-blind, and parallel-group study to evaluate the PK, efficacy, safety and immunogenicity of MB12 (proposed pembrolizumab biosimilar) versus Keytruda® in subjects with newly diagnosed stage IV non-squamous NSCLC. This study is planned to be conducted in approximately 48 sites in 7 countries, a total of 174 subjects will be enrolled. Eligible subjects will be randomized in a 1:1 ratio to receive MB12 or Keytruda® at a dose of 200 mg every 3 weeks. Subjects will be stratified by gender (male versus female) and ECOG status (0 versus 1) as both factors are considered to have the potential to influence PK properties of pembrolizumab to some extent. The study will consist of 2 periods defined as follows: - Main Study Period from Screening up to Cycle 6 included. - Extended Treatment Period from Cycle 7 up to Week 52 for those subjects who demonstrate clinical benefit from the treatment (complete response [CR], partial response [PR], and stable disease [SD]). They will continue treatment until disease progression, intolerance to the study drug, treatment discontinuation for other reason, or up to Week 52, whichever occurs first. A Data Safety Monitoring Board (DSMB) will assess the safety data periodically and will recommend to the sponsor whether to continue, modify, or stop the trial on the basis of safety considerations. After the first 10 subjects have received at least 2 cycles of treatment, the DSMB will review the accumulated safety data, and the first meeting will take place. Subsequent meetings will be performed as per the DSMB charter.
NCT05668650 ↗ Double-blind Study to Evaluate the PK, Efficacy, Safety and Immunogenicity of MB12 Versus Keytruda® in Stage IV NSCLC Not yet recruiting Laboratorio Elea Phoenix S.A. Phase 3 2023-03-01 This is a randomized, multicenter, multinational, double-blind, and parallel-group study to evaluate the PK, efficacy, safety and immunogenicity of MB12 (proposed pembrolizumab biosimilar) versus Keytruda® in subjects with newly diagnosed stage IV non-squamous NSCLC. This study is planned to be conducted in approximately 48 sites in 7 countries, a total of 174 subjects will be enrolled. Eligible subjects will be randomized in a 1:1 ratio to receive MB12 or Keytruda® at a dose of 200 mg every 3 weeks. Subjects will be stratified by gender (male versus female) and ECOG status (0 versus 1) as both factors are considered to have the potential to influence PK properties of pembrolizumab to some extent. The study will consist of 2 periods defined as follows: - Main Study Period from Screening up to Cycle 6 included. - Extended Treatment Period from Cycle 7 up to Week 52 for those subjects who demonstrate clinical benefit from the treatment (complete response [CR], partial response [PR], and stable disease [SD]). They will continue treatment until disease progression, intolerance to the study drug, treatment discontinuation for other reason, or up to Week 52, whichever occurs first. A Data Safety Monitoring Board (DSMB) will assess the safety data periodically and will recommend to the sponsor whether to continue, modify, or stop the trial on the basis of safety considerations. After the first 10 subjects have received at least 2 cycles of treatment, the DSMB will review the accumulated safety data, and the first meeting will take place. Subsequent meetings will be performed as per the DSMB charter.
NCT06153238 ↗ A PK Study to Compare GME751 (Proposed Pembrolizumab Biosimilar) and US-licensed and EU-authorized Keytruda® in Participants With Stage II and III Melanoma Recruiting Sandoz Phase 1 2024-05-15 The purpose of this study is to investigate the pharmacokinetic (PK) similarity and efficacy, safety, and immunogenicity of GME751 compared with Keytruda® (pembrolizumab) in subjects with resected advanced melanoma requiring adjuvant treatment with pembrolizumab.
NCT06159790 ↗ A Study to Compare Efficacy, Safety, and Immunogenicity of GME751 and EU-authorized Keytruda in Adult Participants With Untreated Metastatic Non-squamous Non-small Cell Lung Cancer (NSCLC) Recruiting Sandoz Phase 3 2024-04-29 The purpose of this study is to investigate the efficacy, safety, and immunogenicity of GME751 compared with Keytruda® (pembrolizumab) in participants with untreated metastatic non-squamous NSCLC (irrespective of PD-L1 status), without sensitizing EGFR or ALK mutations.
NCT06348199 ↗ A Study to Compare the Efficacy, Safety, Pharmacokinetics, and Immunogenicity Between SB27 and Keytruda in Subjects With Metastatic Non-squamous Non-small Cell Lung Cancer RECRUITING Samsung Bioepis Co., Ltd. PHASE3 2024-03-12 The goal of this clinical trial is to confirm that SB27 works in the same way as Keytruda in metastatic non-squamous non-small cell lung cancer (NSCLC) patients. The main question it aims to answer is: • How effective the study drug is Participants will receive either investigational product (SB27 or Keytruda) and chemotherapy every 3 weeks. Researchers will compare SB27 and Keytruda to see if SB27 works in the same way as Keytruda.
NCT06687369 ↗ A Study to Compare Pharmacokinetics, Efficacy, Safety, and Immunogenicity of MB12 (Proposed Pembrolizumab Biosimilar) to Keytruda in Non-small Cell Lung Cancer (BENITO Study) RECRUITING mAbxience Research S.L. PHASE3 2024-12-30 This is a randomized, multicenter, multinational, double-blind, integrated pharmacokinetics (PK) and efficacy similarity study to compare the PK, efficacy, safety, and immunogenicity of MB12 versus Keytruda in combination with pemetrexed-platinum chemotherapy as first-line treatment in patients with metastatic non-squamous NSCLC.
>Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for KEYTRUDA

Trial ID Title Status Sponsor Phase Start Date Summary
NCT01822652 ↗ 3rd Generation GD-2 Chimeric Antigen Receptor and iCaspase Suicide Safety Switch, Neuroblastoma, GRAIN Active, not recruiting Center for Cell and Gene Therapy, Baylor College of Medicine Phase 1 2013-08-01 Subjects that have relapsed or refractory neuroblastoma are invited to take part in this gene transfer research study. We have found from previous research that we can put a new gene called a chimeric antigen receptor (CAR) into T cells that will make them recognize neuroblastoma cells and kill them. In a previous clinical trial, we used a CAR that recognizes GD2, a protein found on almost all neuroblastoma cells (GD2-CAR). We put this gene into T cells and gave them back to patients that had neuroblastoma. The infusions were safe and in patients with disease at the time of their infusion, the time to progression was longer if we could find GD2 T cells in their blood for more than 6 weeks. Because of this, we think that if T cells are able to last longer, they may have a better chance of killing neuroblastoma tumor cells. Therefore, in this study we will add new genes to the GD2 T cells that can cause the cells to live longer. These new genes are called CD28 and OX40. The purpose of this study will be to determine the highest dose of iC9-GD2-CD28-OX40 (iC9-GD2) T cells that can safely be given to patients with relapsed/refractory neuroblastoma. In other clinical studies using T cells, some investigators found that giving chemotherapy before the T cell infusion can improve the amount of time the T cells stay in the body and therefore the effect the T cells can have. This is called lymphodepletion and we think that it will allow the T cells we infuse to expand and stay longer in the body, and potentially kill cancer cells more effectively. The chemotherapy we will use for lymphodepletion is a combination of cyclophosphamide and fludarabine. Additionally, to effectively kill the tumor cells, it is important that the T cells are able to survive and expand in the tumor. Recent studies have shown that solid tumors release a substance (PD1) that can inhibit T cells after they arrive into the tumor tissue. In an attempt to overcome the effect of PD1 in neuroblastoma we will also give a medication called pembrolizumab.
NCT01822652 ↗ 3rd Generation GD-2 Chimeric Antigen Receptor and iCaspase Suicide Safety Switch, Neuroblastoma, GRAIN Active, not recruiting Kids Cancer Research Foundation Phase 1 2013-08-01 Subjects that have relapsed or refractory neuroblastoma are invited to take part in this gene transfer research study. We have found from previous research that we can put a new gene called a chimeric antigen receptor (CAR) into T cells that will make them recognize neuroblastoma cells and kill them. In a previous clinical trial, we used a CAR that recognizes GD2, a protein found on almost all neuroblastoma cells (GD2-CAR). We put this gene into T cells and gave them back to patients that had neuroblastoma. The infusions were safe and in patients with disease at the time of their infusion, the time to progression was longer if we could find GD2 T cells in their blood for more than 6 weeks. Because of this, we think that if T cells are able to last longer, they may have a better chance of killing neuroblastoma tumor cells. Therefore, in this study we will add new genes to the GD2 T cells that can cause the cells to live longer. These new genes are called CD28 and OX40. The purpose of this study will be to determine the highest dose of iC9-GD2-CD28-OX40 (iC9-GD2) T cells that can safely be given to patients with relapsed/refractory neuroblastoma. In other clinical studies using T cells, some investigators found that giving chemotherapy before the T cell infusion can improve the amount of time the T cells stay in the body and therefore the effect the T cells can have. This is called lymphodepletion and we think that it will allow the T cells we infuse to expand and stay longer in the body, and potentially kill cancer cells more effectively. The chemotherapy we will use for lymphodepletion is a combination of cyclophosphamide and fludarabine. Additionally, to effectively kill the tumor cells, it is important that the T cells are able to survive and expand in the tumor. Recent studies have shown that solid tumors release a substance (PD1) that can inhibit T cells after they arrive into the tumor tissue. In an attempt to overcome the effect of PD1 in neuroblastoma we will also give a medication called pembrolizumab.
NCT01822652 ↗ 3rd Generation GD-2 Chimeric Antigen Receptor and iCaspase Suicide Safety Switch, Neuroblastoma, GRAIN Active, not recruiting Kids' Cancer Research Foundation Phase 1 2013-08-01 Subjects that have relapsed or refractory neuroblastoma are invited to take part in this gene transfer research study. We have found from previous research that we can put a new gene called a chimeric antigen receptor (CAR) into T cells that will make them recognize neuroblastoma cells and kill them. In a previous clinical trial, we used a CAR that recognizes GD2, a protein found on almost all neuroblastoma cells (GD2-CAR). We put this gene into T cells and gave them back to patients that had neuroblastoma. The infusions were safe and in patients with disease at the time of their infusion, the time to progression was longer if we could find GD2 T cells in their blood for more than 6 weeks. Because of this, we think that if T cells are able to last longer, they may have a better chance of killing neuroblastoma tumor cells. Therefore, in this study we will add new genes to the GD2 T cells that can cause the cells to live longer. These new genes are called CD28 and OX40. The purpose of this study will be to determine the highest dose of iC9-GD2-CD28-OX40 (iC9-GD2) T cells that can safely be given to patients with relapsed/refractory neuroblastoma. In other clinical studies using T cells, some investigators found that giving chemotherapy before the T cell infusion can improve the amount of time the T cells stay in the body and therefore the effect the T cells can have. This is called lymphodepletion and we think that it will allow the T cells we infuse to expand and stay longer in the body, and potentially kill cancer cells more effectively. The chemotherapy we will use for lymphodepletion is a combination of cyclophosphamide and fludarabine. Additionally, to effectively kill the tumor cells, it is important that the T cells are able to survive and expand in the tumor. Recent studies have shown that solid tumors release a substance (PD1) that can inhibit T cells after they arrive into the tumor tissue. In an attempt to overcome the effect of PD1 in neuroblastoma we will also give a medication called pembrolizumab.
NCT01822652 ↗ 3rd Generation GD-2 Chimeric Antigen Receptor and iCaspase Suicide Safety Switch, Neuroblastoma, GRAIN Active, not recruiting National Cancer Institute (NCI) Phase 1 2013-08-01 Subjects that have relapsed or refractory neuroblastoma are invited to take part in this gene transfer research study. We have found from previous research that we can put a new gene called a chimeric antigen receptor (CAR) into T cells that will make them recognize neuroblastoma cells and kill them. In a previous clinical trial, we used a CAR that recognizes GD2, a protein found on almost all neuroblastoma cells (GD2-CAR). We put this gene into T cells and gave them back to patients that had neuroblastoma. The infusions were safe and in patients with disease at the time of their infusion, the time to progression was longer if we could find GD2 T cells in their blood for more than 6 weeks. Because of this, we think that if T cells are able to last longer, they may have a better chance of killing neuroblastoma tumor cells. Therefore, in this study we will add new genes to the GD2 T cells that can cause the cells to live longer. These new genes are called CD28 and OX40. The purpose of this study will be to determine the highest dose of iC9-GD2-CD28-OX40 (iC9-GD2) T cells that can safely be given to patients with relapsed/refractory neuroblastoma. In other clinical studies using T cells, some investigators found that giving chemotherapy before the T cell infusion can improve the amount of time the T cells stay in the body and therefore the effect the T cells can have. This is called lymphodepletion and we think that it will allow the T cells we infuse to expand and stay longer in the body, and potentially kill cancer cells more effectively. The chemotherapy we will use for lymphodepletion is a combination of cyclophosphamide and fludarabine. Additionally, to effectively kill the tumor cells, it is important that the T cells are able to survive and expand in the tumor. Recent studies have shown that solid tumors release a substance (PD1) that can inhibit T cells after they arrive into the tumor tissue. In an attempt to overcome the effect of PD1 in neuroblastoma we will also give a medication called pembrolizumab.
NCT01822652 ↗ 3rd Generation GD-2 Chimeric Antigen Receptor and iCaspase Suicide Safety Switch, Neuroblastoma, GRAIN Active, not recruiting Solving Kids' Cancer Phase 1 2013-08-01 Subjects that have relapsed or refractory neuroblastoma are invited to take part in this gene transfer research study. We have found from previous research that we can put a new gene called a chimeric antigen receptor (CAR) into T cells that will make them recognize neuroblastoma cells and kill them. In a previous clinical trial, we used a CAR that recognizes GD2, a protein found on almost all neuroblastoma cells (GD2-CAR). We put this gene into T cells and gave them back to patients that had neuroblastoma. The infusions were safe and in patients with disease at the time of their infusion, the time to progression was longer if we could find GD2 T cells in their blood for more than 6 weeks. Because of this, we think that if T cells are able to last longer, they may have a better chance of killing neuroblastoma tumor cells. Therefore, in this study we will add new genes to the GD2 T cells that can cause the cells to live longer. These new genes are called CD28 and OX40. The purpose of this study will be to determine the highest dose of iC9-GD2-CD28-OX40 (iC9-GD2) T cells that can safely be given to patients with relapsed/refractory neuroblastoma. In other clinical studies using T cells, some investigators found that giving chemotherapy before the T cell infusion can improve the amount of time the T cells stay in the body and therefore the effect the T cells can have. This is called lymphodepletion and we think that it will allow the T cells we infuse to expand and stay longer in the body, and potentially kill cancer cells more effectively. The chemotherapy we will use for lymphodepletion is a combination of cyclophosphamide and fludarabine. Additionally, to effectively kill the tumor cells, it is important that the T cells are able to survive and expand in the tumor. Recent studies have shown that solid tumors release a substance (PD1) that can inhibit T cells after they arrive into the tumor tissue. In an attempt to overcome the effect of PD1 in neuroblastoma we will also give a medication called pembrolizumab.
NCT01822652 ↗ 3rd Generation GD-2 Chimeric Antigen Receptor and iCaspase Suicide Safety Switch, Neuroblastoma, GRAIN Active, not recruiting Solving Kids’ Cancer Phase 1 2013-08-01 Subjects that have relapsed or refractory neuroblastoma are invited to take part in this gene transfer research study. We have found from previous research that we can put a new gene called a chimeric antigen receptor (CAR) into T cells that will make them recognize neuroblastoma cells and kill them. In a previous clinical trial, we used a CAR that recognizes GD2, a protein found on almost all neuroblastoma cells (GD2-CAR). We put this gene into T cells and gave them back to patients that had neuroblastoma. The infusions were safe and in patients with disease at the time of their infusion, the time to progression was longer if we could find GD2 T cells in their blood for more than 6 weeks. Because of this, we think that if T cells are able to last longer, they may have a better chance of killing neuroblastoma tumor cells. Therefore, in this study we will add new genes to the GD2 T cells that can cause the cells to live longer. These new genes are called CD28 and OX40. The purpose of this study will be to determine the highest dose of iC9-GD2-CD28-OX40 (iC9-GD2) T cells that can safely be given to patients with relapsed/refractory neuroblastoma. In other clinical studies using T cells, some investigators found that giving chemotherapy before the T cell infusion can improve the amount of time the T cells stay in the body and therefore the effect the T cells can have. This is called lymphodepletion and we think that it will allow the T cells we infuse to expand and stay longer in the body, and potentially kill cancer cells more effectively. The chemotherapy we will use for lymphodepletion is a combination of cyclophosphamide and fludarabine. Additionally, to effectively kill the tumor cells, it is important that the T cells are able to survive and expand in the tumor. Recent studies have shown that solid tumors release a substance (PD1) that can inhibit T cells after they arrive into the tumor tissue. In an attempt to overcome the effect of PD1 in neuroblastoma we will also give a medication called pembrolizumab.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for KEYTRUDA

Condition Name

Condition Name for KEYTRUDA
Intervention Trials
Melanoma 49
Breast Cancer 38
Non-small Cell Lung Cancer 38
Head and Neck Squamous Cell Carcinoma 35
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Condition MeSH

Condition MeSH for KEYTRUDA
Intervention Trials
Carcinoma 194
Carcinoma, Non-Small-Cell Lung 118
Lung Neoplasms 101
Melanoma 91
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Clinical Trial Locations for KEYTRUDA

Trials by Country

Trials by Country for KEYTRUDA
Location Trials
Spain 93
China 89
Australia 75
Canada 73
Japan 61
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Trials by US State

Trials by US State for KEYTRUDA
Location Trials
California 180
Texas 161
New York 105
Massachusetts 97
Florida 96
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Clinical Trial Progress for KEYTRUDA

Clinical Trial Phase

Clinical Trial Phase for KEYTRUDA
Clinical Trial Phase Trials
PHASE3 13
PHASE2 8
PHASE1 11
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Clinical Trial Status

Clinical Trial Status for KEYTRUDA
Clinical Trial Phase Trials
Recruiting 326
Not yet recruiting 151
Active, not recruiting 142
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Clinical Trial Sponsors for KEYTRUDA

Sponsor Name

Sponsor Name for KEYTRUDA
Sponsor Trials
Merck Sharp & Dohme Corp. 307
National Cancer Institute (NCI) 142
M.D. Anderson Cancer Center 45
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Sponsor Type

Sponsor Type for KEYTRUDA
Sponsor Trials
Other 771
Industry 725
NIH 143
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Last updated: February 9, 2026

mmary
Keytruda (pembrolizumab), developed by Merck & Co., remains a leading immune checkpoint inhibitor with ongoing clinical trials across multiple cancer types. Market projections indicate robust growth driven by expanding indications and global adoption. Competition persists with other immunotherapies, but Keytruda maintains a dominant position.

Clinical Trials Update

Current Status and Pipeline
As of Q1 2023, Keytruda is involved in over 340 clinical trials globally. These include studies for first-line and refractory cancers, including non-small cell lung cancer (NSCLC), melanoma, head and neck squamous cell carcinoma, and emerging areas like pediatric tumors and hematologic malignancies.

  • Regulatory Approvals:
    • Approved in 2022 for early-stage NSCLC in combination with chemotherapy.
    • Expanded approvals include metastatic gastric and gastroesophageal junction adenocarcinoma in several countries.
  • Key Ongoing Trials:
    • Phase III trials evaluating combination therapies with chemotherapy, targeted agents, and other immunotherapies.
    • Trials assessing efficacy in tumor types like triple-negative breast cancer, small cell lung cancer, and hepatocellular carcinoma.
  • Emerging Data:
    Recent data from the KEYNOTE-189 trial show improved overall survival in first-line NSCLC. Updated results from KEYNOTE-062 suggest benefits in gastric cancer.

Market Adoption and Outcomes
Keytruda remains the dominant immunotherapy in oncology, with strong approval pipelines. Its expanded indications and favorable safety profile contribute to increased adoption across diverse patient populations.

Market Analysis and Projection

Market Size and Growth Drivers
The global oncology drug market was valued at approximately $165 billion in 2022. Keytruda accounts for a significant share, surpassing $20 billion in sales globally in 2022. The immunotherapy segment, led by PD-1 inhibitors, demonstrates compound annual growth rate (CAGR) exceeding 10%.

  • Revenue Projections:
    • 2023-2027 CAGR: Predicted at 12%, driven by regulatory approvals, expanded indications, and new clinical trial data.
    • 2027 Market Value: Estimated to approach $40 billion in global sales.
  • Geographical Breakdown:
    • United States accounts for over 60% of sales due to high approval rate and reimbursement coverage.
    • Asia-Pacific markets are growing rapidly, expecting 15-20% CAGR driven by China’s approval of Keytruda for lung and melanoma.

Competitive Landscape
Major competitors include Bristol-Myers Squibb’s Opdivo (nivolumab) and AstraZeneca’s Imfinzi (durvalumab). Keytruda surpasses these in market share, attributable to broader approval scope and clinical trial success.

  • Market Share (2022):
    • Keytruda: 45% (market leader in PD-1 class)
    • Opdivo: 35%
    • Imfinzi: 15%
    • Others: 5%

Regulatory and Policy Impact
Health policies favor immunotherapy adoption due to improved survival outcomes. Price negotiations and reimbursement policies vary across regions but favor access in key markets.

Future Market Projections
Projected to sustain growth through:

  • Broader indications in earlier disease stages.
  • Combination therapies with targeted agents and chemotherapies.
  • Success in pediatric and hematologic cancers.
  • Expansion into emerging markets.

Key Challenges

  • Patent cliffs anticipated post-2030, with generic competition likely in key markets.
  • Cost and reimbursement hurdles may slow adoption in some regions.
  • Competition from novel immunotherapies and bispecific antibodies.

Key Takeaways

  • Clinical trial activity remains high, with expansion into new cancer types and combination regimens.
  • Keytruda maintains a dominant market share, with ongoing regulatory clearances supporting growth.
  • The global market for immune checkpoint inhibitors will approach $40 billion by 2027, with Keytruda leading the segment.
  • Competitive landscape remains intense but favors Merck due to broad approval pipeline and clinical efficacy.
  • Market growth relies heavily on regional expansion, especially in Asia-Pacific, and on early-stage approvals for new indications.

FAQs

1. What are Keytruda’s main approved indications?
Keytruda is approved for multiple cancers, including NSCLC, melanoma, head and neck squamous cell carcinoma, gastric cancer, and Hodgkin lymphoma. Its approval scope continues to expand through clinical trials.

2. How do clinical trial results influence Keytruda’s market position?
Positive trial outcomes, especially in first-line settings and combination therapies, reinforce regulatory approvals and boost physician adoption, maintaining its market dominance.

3. What are the key growth opportunities for Keytruda?
Expansion into earlier disease stages, combination therapies, pediatric cancers, and emerging markets drive growth opportunities.

4. How does competition impact Keytruda’s market share?
While rivals like Opdivo and Imfinzi maintain significant share, Keytruda’s broader approval and sustained clinical success help it maintain leadership, though patent cliffs could pose risks post-2030.

5. What factors could hinder future sales growth?
Regulatory delays, pricing and reimbursement restrictions, and the emergence of new, more effective therapies could temper growth.

Citations
[1] Merck & Co. Annual Reports, 2022.
[2] Evaluate Pharma, 2022.
[3] ClinicalTrials.gov Data, 2023.
[4] IQVIA, Oncology Market Report, 2022.
[5] FDA and EMA Approval Summaries, 2022-2023.

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