Table 1: Clinical trials assessing PD-1 or PD-L1 immune checkpoint inhibitors as monotherapy in NSCLC.
Clinical Trials | Lines of Treatment | Phase | Sample Size | ORR (%) | PFS (Months) | OS (Months) | AEs ≥ 3 (%) |
KEYNOTE 10: Pembrolizumab vs. Docetaxel | ≥ 2 | Two | 1034 | ||||
*Total Population | 18 vs. 18 vs. 9 | 3.9 vs. 4.0 vs. 4.0 | 10.4 vs. 12.7 vs. 8.5 | 13 vs. 16 vs. 35 | |||
PD-L1 ≥ 50% | 30 vs. 29 vs. 8 | 5.0 vs. 5.2 vs. 4.1 | 14.9 vs. 17.3 vs. 8.2 | ||||
KEYNOTE 024: Pembrolizumab vs. Chemotherapy | 1 | Three | 305 | 45.5 vs. 29.8 | 10.3 vs. 6.0 | 24 mths OS - 51.5% vs. 34.5% | 21.4 vs. 20.7 |
PD-L1 ≥ 50% | |||||||
Checkmate 017 (sq-NSCLC): Nivolumab vs. Docetaxel | ≥ 2 | Three | 260 | 20 vs. 9 | 3.5 vs. 2.8 | 9.2 vs. 6.0 | 7 vs. 54 |
1 yr OS - 80.2% vs. 72.4% | |||||||
Checkmate 057 (nonsq-NSCLC): Nivolumab vs. Docetaxel | ≥ 2 | Three | 582 | 19 vs. 12 | 2.3 vs. 4.2 | 12.2 vs. 9.4 | 10 vs. 54 |
18 mths OS: 39% vs. 23% | |||||||
Checkmate 026: Nivolumab vs. Platinum-doublet | 1 | Three | 541 | 26 vs. 34 | 4.2 vs. 5.9 | 14.2 vs. 13.2 | 18 vs. 51 |
OAK: Atezolizumab vs. Docetaxel | ≥ 2 | Three | 850 | ||||
Total Population | 14 vs. 13 | 2.8 vs. 4.0 | 13.8 vs. 9.6 | 15 vs. 43 | |||
PD-L1 ≥ 1% | 15.7 vs. 10.3 | ||||||
Undetectable PD-L1 | 12.6 vs. 8.9 | ||||||
ATLANTIC: Single-arm Durvalumab | ≥ 2 | Two | 10.2 | ||||
Cohort 2 - PD-L1 ≥ 25% | 149 | 16.4 | 3.3 | 10.9 | |||
PD-L1 ≤ 25% | 94 | 7.5 | 1.9 | 9.3 | |||
Cohort 3 - PD-L1 ≥ 90% | 67 | 30.9 | 2.4 | NR |
ORR: Overall Response Rate; PFS: Progression Free Survival; OS: Overall Survival; AEs: Adverse Effects; NR: Not reached.
*Pembrolizumab 2 mg/kg vs. Pembrolizumab 10 mg/kg vs. Docetaxel 75 mg/m2.