Table 1. Clinical trials on targetable driver mutations in patients with NSCLC.
ALK: anaplastic lymphoma kinase; BID: twice daily; EGFR: epidermal growth factor receptor; KRAS: Kirsten rat sarcoma viral oncogene homolog; NSCLC: non-small cell lung cancer; OD: once daily; RET: rearranged during transfection; ROS1: c-ROS oncogene
Trial name, phase | Driver mutations in patient population (n) | Drug/dose | Response rate (%) |
ARROW, phase I/II [11] | RET fusion-positive advanced or metastatic NSCLC and ECOG PS 0-2 (n = 233) | Pralsetinib, 400 mg OD | Overall response: 61% (95% CI = 50 to 71) |
NCI-MATCH, ongoing trial with open sub-protocols [12] | ALK (n = 5) or ROS1 rearrangements (n = 4) | Crizotinib, 250 mg BID, 28-day cycle | Sub-protocol F (ALK): 50% (90% CI = 9.8 to 90.2); sub-protocol G (ROS1): 25% (90% CI = 1.3 to 75.1) |
FLAURA, Phase III [13] | EGFR-positive advanced NSCLC (n = 556) | Osimertinib (80 mg OD) or either gefitinib (250 mg OD) or erlotinib (150 mg OD) | Median overall survival: osimertinib group: 38.6 months (95% CI = 34.5 to 41.8); comparator group: 31.8 months (95% CI = 26.6 to 36.0) |
CROWN, Phase III [14] | ALK-positive advanced NSCLC (n = 296) | Lorlatinib, 100 mg OD or crizotinib 250 mg BID, 28 days cycle | Objective response: lorlatinib group: 76% (95% CI = 68 to 83); crizotinib group: 58% (95% CI = 49 to 66) |
Phase II [15] | KRAS p.G12C-mutated advanced NSCLC (n = 126) | Sotorasib, 960 mg OD | Objective response: 37.1% (95% CI = 28.6 to 46.2) |