Abstract

8517Background: Thymic epithelial tumors are rare and thymic carcinomas represent about 10% of them and have most aggressive behavior. There are few treatment options for thymic carcinoma after failing chemotherapy. Unlike thymomas, thymic carcinomas are usually not associated with autoimmune disorders. Strong PD-L1 expression has been reported in thymic epithelial tumors. We are conducting a phase II study of pembrolizumab in patients with thymic carcinomas. Methods: Main eligibility criteria include: progression after at least one line of chemotherapy, ECOG performance status of 0-2, no history of autoimmune disease or other malignancy requiring treatment, and adequate organ function. Pembrolizumab is given at 200mg every 3 weeks. Primary objective of the study is response rate by RECIST v1.1 criteria; secondary objectives are PFS and OS, and tolerability. Results: From March 2015 the study has accrued 23 patients. 16 were male, 19 Caucasians, median age was 58 (35-75), 9 had squamous carcinoma histolog...

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