In a related editorial the author suggests the long-term follow-up results from the KEYNOTE-006 study show the potential of pembrolizumab for long-term tumour control. “Nonetheless, most patients will subsequently progress. Although patients can respond to re-treatment, the effectiveness of a second course of pembrolizumab seems to be lower. Clinical trials are urgently needed to assess the best duration of pembrolizumab treatment for melanoma”.