Table 3. Trials evaluating antiangiogenic agents in combination with EGFR TKIs in advanced NSCLC.
Study | Design | Patients | n | Study arm | Control arm | mPFS/mTTP | mOS | ORR | PE (P) |
---|---|---|---|---|---|---|---|---|---|
First-line | |||||||||
Ichihara et al. [78] | Phase II | NSCLC | 42 | Gef+Bev | 14.4 m | Immature | 73.8% | 1-year PFS: 56.7% | |
JO25567 [76] | Phase II | NSCLC | 154 | Erl+Bev | Erl | 16.0 vs 9.7 m | Immature | 69% vs 64% | PFS; p = 0.0015 |
BELIEVE [77] | Phase II | NSCLC | 109 | Erl+Bev | 13.8 m | Immature | 76.1% | PFS | |
RELAY[83] | Phase Ib/III | Ongoing | |||||||
Maintenance | |||||||||
ATLAS [79] | Phase III | NSCLC | 1,155 | Chemo+Bev→Bev+Erl | Chemo+Bev→Bev+Plac | 4.8 vs 3.7 m | 14.4 vs 13.3 m | PFS; p < 0.001 | |
Second-line | |||||||||
Herbst et al. [37] | Phase II | nsNSCLC | 81 | Erl+Bev | Doc/Pem | 4.4 m vs 3.0 m | 13.7 vs 8.6m | 17.9% vs 12.2% | PFS; HR: 0.72; 95%CI: 0.42-1.23 |
Beta [80] | Phse III | NSCLC | 636 | Erl+Bev | Erl+Plac | 3.4 vs 1.7m | 9.3 vs 9.2 m | 13% vs 6% | OS; p = 0.758 |
Groen et al. [85] | Phase II | NSCLC | 132 | Sun+Erl | Sun+Plac | 2.8 vs 2.0 m | 8.2 vs 7.6 m | 4.6% vs 3.0% | PFS; p = 0.321 |
Scagliotti et al. [86] | Phase III | NSCLC | 960 | Sun+Erl | Sun+Plac | 3.6 vs 2.0 m | 9.0 vs 8.5 m | 10.6% vs 6.9% | OS; p = 0.1388 |
Spigel et al. [84] | Phase II | NSCLC | 168 | Sor+Erl | Erl+Plac | 3.38 vs 1.94 m | 7.62 vs 7.23 m | 8% vs 11% | ORR (p = 0.56); PFS (p = 0.196) |
NSCLC: non-small cell lung cancer; nsNSCLC: non-squamous non-small cell lung cancer; mPFS: median progression-free survival; mTTP: median time to progression; ORR: objective response rate; PE: Primary endpoint; Gef: gefitinib; Bev: bevacizumab; Erl: erlotinib; Sun: sunitinib; Plac: placebo; Doc: docetaxel; Pem: pemetrexed