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Put this in the category of good problems to have: In its first four years on the market, Keytruda, made by Merck, has had the best sales launch in the history of cancer drugs.

In the third quarter of 2018, Merck reported sales of $1.9 billion of the checkpoint inhibitor, 18 percent of the company’s total revenue. Keytruda sales have now surpassed those of Opdivo, a similar medicine from Bristol-Myers Squibb. According to projections collected by Evaluate Pharma and touted by Merck, full-year sales of Keytruda will approach $7 billion.

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