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Table 2 Selected clinical trials of PD-1/PD-L1 immunotherapies according to cancer type

From: Development and clinical applications of cancer immunotherapy against PD-1 signaling pathway

Trial

Subject

Study vs. comparison

Result

Reference

FDA approval outcome

Melanoma

 Keynote 006

No prior immunotherapy, any PD-L1 level

P 10 mg/kg vs. I

OS: 32.7 vs. 15.9 months

PFS: 8.4 vs. 3.4 months

Schachter et al. 2017

FDA approved pembrolizumab for first-line treatment in advanced melanoma

 Keynote 002

With prior ipilimumab, any PD-L1 level

P 2 mg/kg vs. P 10 mg/kg vs C

PFS: 34% vs. 38% vs. 16%

Ribas et al. 2015

FDA approved pembrolizumab for second-line treatment in advanced melanoma

 CheckMate 066

Previous untreated, any PD-L1 level

N 3 mg/kg vs. dacarbazine

OS: 37.5vs. 11.2 months

PFS: 5.1 vs. 2.2 months

Ascierto et al. 2019

FDA approved Opdivo for treatment of BRAF V600 wild-type unresectable or metastatic melanoma

 CheckMate 037

With prior ipilimumab, any PD-L1 level

N 3 mg/kg vs. C

OS: 16 vs. 14 months

PFS: 3.1 vs. 3.7 months

ORR: 27% vs. 10%

Larkin et al. 2018

FDA approved Opdivo for unresectable or metastatic melanoma following treatment with ipilimumab or BRAF inhibitor

 CheckMate 067

Previous untreated, any PD-L1 level

N 3 mg/kg + I 3 mg/kg vs. N 3 mg/kg vs. I 3 mg/kg

OS: not reached vs.

37.6 vs. 19.9 months

PFS: 11.5 vs. 6.9 vs.

2.9 months

Larkin et al. 2015

FDA approved nivolumab in combination with ipilimumab for treatment of BRAFV600 wild-type and BRAF V600 mutation positive unresectable or metastatic melanoma

 CheckMate 511

Previous untreated, any PD-L1 level

N 3 mg/kg + I 1 mg/kg vs. N 1 mg/kg + I 3 mg/kg

PFS: 9.9 vs. 8.9 months

ORR: 45.6% vs. 50.6%

Grade 3 to 5 AEs: 34% vs. 48%

Lebbe et al. 2019

 

Renal Cell Carcinoma

 CheckMate 025

With prior treatment, any PD-L1 level

N 3 mg/kg vs. everolimus

OS: 25 vs. 19.6 months

ORR: 22% vs. 4%

Escudier et al. 2017

FDA approved nivolumab for treatment of advanced renal cell carcinoma with no prior anti-angiogenic therapy

 CheckMate 214

Previous untreated intermediate to poor risk, any PD-L1 level

N 3 mg/kg + I 1 mg/kg vs. sunitinib

OS: not reached vs. 26.6 months

PFS: 8.2 vs. 8.3 months

ORR: 42% vs. 29%

Motzer et al. 2019; Escudier et al. 2017

FDA approved nivolumab and ipilimumab for treatment of intermediate or poor risk, previously untreated advanced renal cell carcinoma

Non-Small Cell Lung Cancer

 Keynote 024

Previous untreated, with TPS over 50%

P 200 mg vs. C

OS: 80.2% vs. 72.4%

PFS: 10.3 vs. 6 months

ORR: 44.8% vs. 27.8%

Reck et al. 2016

FDA approved pembrolizumab for treatment of metastatic NSCLC whose tumors have high PD-LA expression with no EGFR or ALK genomic tumor aberrations

 Keynote 189

Previous untreated, any PD-L1 level

P 200 mg + C vs. C

OS: not reached vs.

11.3 months

PFS: 8.8 vs. 4.9 months

Gandhi et al. 2018

FDA approved pembrolizumab in combination with pemetrexed and platinum chemotherapy for first line treatment of metastatic non squamous NSCLC with no EGFR or ALK genomic tumor aberrations

 Keynote 010

With prior treatment, any PD-L1 level

P 2 mg/kg vs. P 10 mg/kg vs. docetaxel

Total population

OS: 10.4 vs. 12.7 vs.

8.5 months

PFS: 3.9 vs. 4.0 vs. 4.0 months

TPS ≥ 50%

OS: 14.9 vs. 17.3 vs.

8.2 months

PFS: 5.0 vs. 5.2 vs. 4.1 months

Herbst et al. 2016

FDA approved pembrolizumab as second-line treatment for PD-L1 Positive non-small cell lung cancer

 IMpower 150

Nonsquamous, previous untreated, any PD-L1 level

A 1200 mg + C + bevacizumab 15 mg/kg vs.

C + bevacizumab

PFS: 8.3 vs. 6.8 months

Socinski et al., 2018

FDA approved atezolizumab in combination with bevacizumab, paclitaxel, and carboplatin for first line treatment of metastatic non-squamous non-small cell lung cancer with no EGFR or ALK genomic tumor aberrations

Head and Neck Cancer

 Keynote 040

With prior treatment, any PD-L1 level

P 200 mg vs. C

OS: 8.4 vs. 6.9 months

Cohen et al. 2018

FDA approved pembrolizumab for treatment of recurrent or metastatic squamous cell carcinoma of head and neck with disease progression on or after platinum-based therapy

 CheckMate 141

With prior treatment, any PD-L1 level

N 3 mg/kg vs. C

OS7.5 vs. 5.1 months

Kiyota et al. 2017

FDA approved nivolumab for treatment of recurrent or metastatic squamous cell carcinoma of head and neck with disease progression on or after platinum-based therapy

  1. A Atezolizumab, AEs Adverse events, C Chemotherapy, D Durvalumab, I Ipilimumab, N, Nivolumab, ORR Objective response rate, OS Overall survival, P Pembrolizumab, PFS Progression-free survival, TPS Tumor proportion score