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. 2023 Nov 21;15(23):5505. doi: 10.3390/cancers15235505

Table 1.

Current options after progression on first-line therapy, including ICIs.

Study (Ref.) Design Treatment Population Nr. Outcomes
Shepherd FA. et al. [13] Prospective Randomized Docetaxel vs. BSC Progressed on first-line platinum-based chemotherapy 104 PFS 10.6 vs. 6.7 weeks
OS 7.0 vs. 4.6 months
Schuette W. et al. [14] Phase III Docetaxel w.
vs. 3 weekly
Progressed on first-line platinum-based chemotherapy 215 OS 6.3 vs. 9.2 months
ORR 10.5% vs. 12.6%
Crinò L. et al. [15] Phase II Gemcitabine stage IIIB or IV 83 mDoR 29 weeks
Yoneshima Y et al. [17] Non inferiority
Phase III
Nab-paclitaxel vs. Docetaxel Progressed on first-line platinum-based chemotherapy 503 OS 16.2 vs. 13.6 months
PFS 4.2 vs. 3.4 months
ORR 29.9% vs. 15.4%
Hanna N, et al. [18] Non inferiority
Phase III
Pemetrexed vs Docetaxel Progressed on first-line chemotherapy 571 PFS 2.9 vs 2.9 months
OS 8.3 vs 7.9 months
Nokihara H, et al. [19] Non inferiority
Phase III
S-1 vs. Docetaxel Progressed on at least first-line platinum-based chemotherapy 1154 PFS 2.86 vs. 2.89 months
OS 12.75 vs. 12.52 months
LUME-Lung 1
Reck M. et al. [28]
Phase III Docetaxel ±
Nintedanib
Progressed on first-line platinum-based chemotherapy
Adenocarcinomas
655 PFS 3.4 vs. 2.7 months
OS 10.1 vs. 9.1 months
OS 12.6 vs. 10.3 months
VARGADO
Grohè C. et al. [29]
Prospective no interventional Nintedanib +
Docetaxel
Previously treated with chemotherapy-IO (cohort C) 135 DCR 72.5%
PFS 4.8 months
REVEL
Garon EB. [30]
Phase III Ramucirumab ± Docetaxel Progressed on first-line platinum-based chemotherapy 1825 PFS 4.5 vs. 3 months
OS 10.5 vs. 9.1 months
ULTIMATE
Cortot AB. et al. [32]
Phase III Paclitaxel weekly vs. Docetaxel Previously treated with 1 or 2 prior lines 166 PFS 5.4 vs. 3.9 months
ORR 22.5% vs. 5.5%
OS 9.9 vs. 10.8

DCR = Disease Control Rate; ORR = Overall Response Rate; OS = Overall Survival; PFS = Progression Free Survival; mDoR = median duration of response.