Videos

3 experts in this video

Panelists discuss how the MK-3475A-D77 trial demonstrated subcutaneous pembrolizumab’s pharmacokinetic comparability and equivalent efficacy to IV formulation in patients with metastatic non–small cell lung cancer receiving combination chemotherapy, with administration requiring approximately 2 minutes for 5 mL volume and showing comparable safety profiles.

3 experts in this video

Panelists discuss how the IMscin001 trial established subcutaneous atezolizumab’s pharmacokinetic equivalency to IV formulation with comparable efficacy and 4.5% injection site reactions, while highlighting operational implementation challenges, including building multiple indication-specific order sets and standardizing varying administration times across different subcutaneous products.

3 experts in this video

Panelists discuss how subcutaneous nivolumab demonstrates reassuring safety profiles with minimal grade 3 and 4 adverse events comparable to those of IV formulation, produces pharmacokinetically equivalent or slightly higher drug exposure, and shows numerically similar or higher objective response rates, making patient education about injection site reactions the primary consideration.

3 experts in this video

Panelists discuss how the CheckMate67T trial demonstrated pharmacokinetic noninferiority and comparable efficacy and safety between subcutaneous and IV nivolumab, with subcutaneous administration requiring only 3 to 5 minutes vs 30-minute infusions and showing mild, transient injection site reactions in approximately 8% of patients.

4 experts are featured in this series.

Panelists discuss how evaluating quality of life in patients on CDK4/6 inhibitors requires asking open-ended questions beyond just adverse effects to assess social functioning, work capacity, and emotional well-being (with quality of life data showing these agents maintain rather than significantly improve outcomes), and how multidisciplinary care can be optimized through nurse navigators for additional patient touchpoints, coordination with subspecialty colleagues like pulmonology and cardio-oncology for rare toxicities, and utilizing learners and standardized workflows to manage the high patient volume despite limited pharmacist resources.

4 experts are featured in this series.

Panelists discuss how treatment sequencing in early-stage breast cancer requires a stepwise approach, adding one therapy at a time (typically radiation, then hormonal therapy, then CDK4/6 inhibitors, with special considerations for BRCA-positive patients receiving olaparib first), while in metastatic settings the sequencing is more straightforward with first-line CDK4/6 inhibitors plus endocrine therapy, and how patient adherence can be optimized through shared decision-making, detailed toxicity education with graded explanations, frequent health care team touchpoints especially during the challenging first 90 days, and addressing the unique adherence challenges in early-stage patients who are asymptomatic compared to metastatic patients.