Table 1.
Results of clinical trials for immunotherapy in patients with advanced HCC
Study | Drug | Phase | Setting | Median OS | HR for OS | Median PFS | ORR |
---|---|---|---|---|---|---|---|
IMbrave15042 | Atezolizumab and bevacizumab vs. sorafenib | III | First-line | 19.2 mo for atezolizumab and bevacizumab vs. 13.4 mo for sorafenib | 0.66 | 6.9 mo for atezolizumab and bevacizumab vs. 4.3 mo for sorafenib | 30% for atezolizumab and bevacizumab vs. 11% for sorafenib |
HIMALAYA46 | Durvalumab and tremelimumab or durvalumab vs. sorafenib | III | First-line | 16.43 mo for STRIDE vs. 13.77 mo for sorafenib | 0.78 | 3.78 mo for STRIDE and 3.65 mo for durvalumab vs. 4.07 for sorafenib | 20.1% for STRIDE, 17% for durvalumab vs. 5.1 for sorafenib |
ORIENT-3292 | Sintilimab and bevacizumab biosimilar IBI305 vs. sorafenib | III | First-line | NR for Sintilimab and IBI305 vs. 10.4 mo for sorafenib | 0.57 | 4.6 mo for Sintilimab and IBI305 vs. 2.8 mo for sorafenib | 21% for Sintilimab and IBI305 vs. 4.7% for sorafenib |
COSMIC-32193 | Cabozantinib and atezolizumab vs. sorafenib | III | First-line | 15.4 mo for cabozantinib and atezolizumab vs. 15.5 mo for sorafenib | 0.90 | 6.8 mo for cabozantinib and atezolizumab vs. 4.2 mo for sorafenib | 13% for cabozantinib and atezolizumab vs. 6% for sorafenib |
CheckMate 45938 | Nivolumab vs. sorafenib | III | First-line | 16.4 mo for nivolumab vs. 14.7 mo for sorafenib | 0.85 | 3.7 mo for nivolumab vs. 3.8 mo for sorafenib | 15% for nivolumab and 7% for sorafenib |
LEAP-00249 | Lenvatinib and pembrolizumab vs. lenvatinib | III | First-line | 21.2 mo for lenvatinib and pembrolizumab vs. 19 mo for lenvatinib | 0.83 | 8.2 mo for lenvatinib and pembrolizumab vs. 8.1 mo for lenvatinib | 26.1% for lenvatinib and pembrolizumab vs. 17.5% for lenvatinib |
Qin, et al.94 | Camrelizumab and rivoceranib vs. sorafenib | III | First-line | 22.1 mo for camrelizumab and rivoceranib vs. 15.2 mo for sorafenib | 0.62 | 5.6 mo for camrelizumab and rivoceranib vs. 3.7 mo for sorafenib | 25.4% for camrelizumab and rivoceranib vs. 5.9% for sorafenib |
KEYNOTE-2408 | Pembrolizumab vs. BSC | III | Second-line (after sorafenib) | 13.9 mo for pembrolizumab vs. 10.6 mo for BSC | 0.78 | 3.0 mo for pembrolizumab vs. 2.8 mo for BSC | 18.3% for pembrolizumab vs. 4.4% for BSC |
KEYNOTE-39439 | Pembrolizumab vs. placebo | III | Second-line | 14.6 mo for pembrolizumab vs. 13.0 mo for placebo | 0.79 | 2.6 mo for pembrolizumab vs. 2.3 mo for placebo | 12.7% for pembrolizumab vs. 1.3% for placebo |
HCC, hepatocellular carcinoma; OS, overall survival; HR, hazard ratio; PFS, progression-free survival; ORR, objective response rate; mo, months; NR, not reached; BSC, best supportive care.