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% | 3.7Â m | 12.0Â 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% | 6.0Â m | 14.5Â m | 6.3Â 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% | 2.8Â m | 13.8Â m | 16.3Â m | 15.00% |
Docetaxel | 13.00% | 4.0Â m | 9.6Â m | 6.2Â 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: 17.2Â m | ||||||||||||
Docetaxel | NA | 3.52Â m | 8.1Â m | Squamous: 8.4Â m | 55.00% | |||||||
Non-squamous: 5.6Â 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% | 1.5Â m | 7.6Â 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% | 1.9Â m | 9.9Â m | NR | Â | |||||||
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% | 1.9Â m | 9.3Â 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 | 11.6Â m | |||||||||
Docetaxel | NA | 6.70% | NA | 7.7Â m | NR | NA | ||||||
NCT02125461 | PACIFIC | Durvalumab | III | Second line | Unresectable stage III NSCLC after chemoradiation Regardless of PD-L1 status | Durvalumab | NA | 28.40% | 16.8Â m | 23.2Â m | NR | 29.90% |
Placebo | 16.00% | 5.6Â m | 14.6Â 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% |