In this multicenter retrospective analysis, clinicopathologic and genomic data were collected from patients with metastatic NSCLC....A total of 1200 patients treated with first-line pembrolizumab in combination with platinum-doublet chemotherapy were identified....Among KRAS wt tumors, KEAP1 mutations were associated with shorter mPFS (HR: 1.37, P=0.01) and mOS (HR: 1.61, P<0.001) to chemoimmunotherapy...KEAP1 mutation held a significant association with shorter mPFS (HR: 1.70, P<0.001) and mOS (HR: 2.04, P<0.001) among KRAS wt cases in multivariable model...only KEAP1 mutations are associated with impaired outcomes among KRAS wt.