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Table 1 Posted results of monotherapy with pembrolizumab, atezolizumab, nivolumab, durvalumab and avelumab in advanced NSCLC

From: Achievements and futures of immune checkpoint inhibitors in non-small cell lung cancer

Identifier

Trials

Agent

phase

Indication

Population

Arms

Biomarkers

ORR

mPFS

mOS

mDOR

Adverse effects (grade ≥ 3)

NCT01295827

Keynote 001

Pembrolizumab

I

Second line

Advanced NSCLC

Pembrolizumab

Regardless PD-L1

19.40%

3.7 m

12.0 m

NR

9.50%

PD-L1 ≥ 50%

45.20%

6.3 m

NR

12.5 m

NA

NCT01905657

Keynote 010

Pembrolizumab

II/III

Second line

Previously treated non-small-cell lung cancer with PD-L1 expression on at least 1% of tumour cells

Pembrolizumab = 2 mg/kg

PD-L1 ≥ 50%

30.00%

5.0 m

14.9 m

NR

13.00%

Pembrolizumab = 10 mg/kg

PD-L1 ≥ 50%

29.00%

5.2 m

17.3 m

NR

16.00%

Docetaxel

PD-L1 ≥ 50%

8.00%

4.1 m

8.9 m

8 m

35.00%

NCT02142738

Keynote 024

Pembrolizumab

III

First line

Previously untreated advanced NSCLC with PD-L1 expression on at least 50% of tumor cells and no mutation of EGFR or ALK

Pembrolizumab 200 mg/3 weeks

PD-L1 ≥ 50%

44.80%

10.3 m

NR

NR

26.60%

Platinum-based chemotherapy

27.80%

6.0 m

14.5 m

6.3 m

53.30%

NCT02220894

Keynote 042

Pembrolizumab

III

First line

Previously untreated advanced non-small-cell lung cancer without a sensitising EGFR mutation or ALK translocation and with ECOG 0 or 1, and a PD-L1 TPS of 1% or greater

Pembrolizumab

PD-L1 ≥ 50%

39.50%

7.1 m

20.0 m

20.2 m

17.80%

PD-L1 ≥ 20%

33.40%

6.2 m

17.7 m

PD-L1 ≥ 1%

27.30%

5.4 m

16.7 m

Platinum-based chemotherapy

PD-L1 ≥ 50%

32.00%

6.4 m

12.1 m

10.8 m

41.90%

PD-L1 ≥ 20%

28.90%

6.6 m

13.0 m

8.3 m

PD-L1 ≥ 1%

26.50%

6.5 m

12.1 m

8.3 m

NCT02008227

OAK

Atezolizumab

III

Second line

Previously treated NSCLC

Atezolizumab

ITT population

14.00%

2.8 m

13.8 m

16.3 m

15.00%

Docetaxel

13.00%

4.0 m

9.6 m

6.2 m

43.00%

NCT01642004/NCT01673867

Checkmate 017/057

Nivolumab

III

Second line

Previously treated patients with advanced squamous or nonsquamous non–small-cell lung cancer

Nivolumab

NA

NA

2.56 m

11.1 m

Squamous: 25.2 m

10.00%

Non-squamous: 17.2 m

Docetaxel

NA

3.52 m

8.1 m

Squamous: 8.4 m

55.00%

Non-squamous: 5.6 m

NCT01693562

Study 1108

Durvalumab

I/II

Second line

Pretreated NSCLC EGFR/ALK wild type

Durvalumab from 0.1 to 10 mg/kg q2w or 15 mg/kg q3w

PD-L1 ≥ 25%

25.30%

2.8 m

15.4 m

NR

10.00%

PD-L1<25%

6.10%

1.5 m

7.6 m

First line

Treatmentnaïve advanced NSCLC EGFR/ALK wild type

Durvalumab

10 mg/kg q2w

PD-L1 ≥ 25%

28.60%

4.0 m

21 m

NR

9.00%

PD-L1<25%

11.00%

NA

NA

NCT02220894

ATLANTIC

Durvalumab

II

Third line

Heavily pretreated advanced NSCLC EGFR/ALK positive

Durvalumab

PD-L1 ≥ 25%

14.10%

1.9 m

13.3 m

7.4 m

5.40%

PD-L1<25%

3.60%

1.9 m

9.9 m

NR

 

Heavily pretreated advanced NSCLC EGFR/ALK wild type or unknown

Durvalumab

PD-L1 ≥ 90%

30.90%

2.4 m

NR

NR

17.60%

PD-L1 ≥ 25%

7.50%

3.3 m

10.9 m

8.20%

PD-L1<25%

3.30%

1.9 m

9.3 m

NCT02766335

Lung-Map

Durvalumab

II

Second line

Pretreated NSCLC EGFR/ALK wild type

Durvalumab

PD-L1 ≥ 25%

14.30%

NA

10.7 m

NR

34.00%

PD-L1<25%

6.90%

NA

11.6 m

Docetaxel

NA

6.70%

NA

7.7 m

NR

NA

NCT02125461

PACIFIC

Durvalumab

III

Second line

Unresectable stage III NSCLC after chemoradiation Regardless of PD-L1 status

Durvalumab

NA

28.40%

16.8 m

23.2 m

NR

29.90%

Placebo

16.00%

5.6 m

14.6 m

26.10%

NCT02395172

JAVELIN Lung 200

Avelumab

III

Second line

Platinum-treated patients with advanced NSCLC

Avelumab

PD-L1 ≥ 1%

19.00%

3.4 m

11.4 m

NR

10.00%

  1. Patients can obtain survival and life quality benefits from monotherapy with tolerable adverse reactions
  2. ORR objective response rate, mPFS median Progression Free Survival, mOS median Overall survival, mDOR median Duration of Response, NR not reached, NA nona, ITT intend to treat