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Cutaneous squamous-cell carcinoma (cSCC) is a localized disease that can be cured surgically in most patients; however, about 5% develop nodal or distant metastases in association with more-aggressive disease. Now, Rischin and colleagues present data from C-POST, the first randomized trial of adjuvant immunotherapy with cemiplimab (which targets programmed death 1 [PD-1]) in patients with resected high-risk cSCC.
A total of 415 participants were assigned to receive either cemiplimab or placebo for up to 48 weeks with a median follow-up of 24 months. Patients were generally well matched for high-risk characteristics between groups. Regarding the primary endpoint of disease-free survival (DFS), the hazard ratio for recurrence or death was 0.32…