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. 2017 Mar 1;13(9):2164–2178. doi: 10.1080/21645515.2016.1277845

Table 1.

Pivotal published clinical trials of immunotherapeutics in melanoma and NSCLC.

Immunotherapy Trial Phase Intervention Population Recruitment Period N SOC 1st Comparator 2nd Comparator Primary Endpoint Results p value
Melanoma
Ipilimumab                        
  Hodi et al.11 III Ipilimumab v placebo Previously treated metastatic melanoma (MM) 09/2004 – 08/2008 676 gp100 Ipilimumab + gp100 Ipilimumab 3 mg/kg OS Median OS: p<0.001
Ipilimumab + gp100: 10.0 mo
Ipilimumab: 10.1 mo gp100: 6.4 mo
  Ribas et al. II Tremelimumab vs Dacarbazine (DTIC or Temozolomide Previously untreated MM 03/2006 – 07/2007 655 Dacarbazine or Temozolomide Tremelimumab N/A OS Median OS: p = 0.127
Tremelimumab: 12.7 mo
Chemotherapy: 10.8 mo
  Robert et al.30 III Ipilimumab vs Dacarbazine (DTIC) Previously untreated MM 08/2006 – 01/2008 502 Dacarbazine Ipilimumab + Dacarbazine N/A OS Median OS: p<0.001
Ipilimumab + DTIC: 11.2 mo
DTIC: 9.1 mo
Pembrolizumab                        
  Ribas et al.31 (KEYNOTE-002) II Chemotherapy vs Pembrolizumab MM after Ipilimumab or BRAF/MEK inhibitor 11/2012 – 11/2013 540 Investigator's choice chemotherapy Pembrolizumab 2 mg/kg Pembrolizumab 10 mg/kg OS (interim analysis PFS) 6 month PFS: p<0.001
Pembrolizumab (2 mg/kg) – 34%
Pembrolizumab (10 mg/kg) – 38%
Chemotherapy – 16%
  Robert et al.35 (KEYNOTE-006) III Ipilimumab vs Pembrolizumab Previously treated MM (2nd line) 09/2013 – 03/2014 834 Ipilimumab 3 mg/kg Pembrolizumab 10 mg/kg Q2W Pembrolizumab 10 mg/kg Q3W OS and PFS 6 month PFS:  
Pembrolizumab Q2W – 47.3% p<0.001
Pembrolizumab Q3W– 46.4% p<0.001
Ipilimumab – 26.5%  
1 y OS:  
Pembrolizumab Q2W – 74.1% p<0.001
Pembrolizumab Q3W– 68.4% p = 0.004
Ipilimumab – 58.2%  
Nivolumab                        
  Weber et al.32 (CheckMate 037) III Nivolumab vs Dacarbazine (DTIC) or Carboplatin-Paclitaxel Previously treated MM 12/2012 – 01/2014 405 Dacarbazine or Carboplatin/Paclitaxel Nivolumab 3 mg/kg N/A ORR ORR:  
OS Nivolumab: 31.7%
Chemotherapy: 10.6%
OS not yet reported
  Robert et al.33 (CheckMate 066) III Nivolumab vs Dacarbazine (DTIC) Previously untreated MM (BRAF WT) 01/2013 – 02/2014 518 Dacarbazine Nivolumab 3 mg/kg N/A OS 1 y OS: p<0.001
Nivolumab: 72.9%
Dacarbazine: 42.1%
Combination                        
Postow et al.58 I Ipilimumab vs Nivolumab + Ipilimumab Previously untreated MM 09/2013 – 02/2014 175 (142 BRAF WT) Ipilimumab 3 mg/kg Ipilimumab 3 mg/kg + Nivolumab 1 mg/kg Q3W; then Nivolumab 3 mg/kg Q2W N/A ORR in BRAF WT only ORR: p<0.001
Hodi et al.59(CheckMate 069) Ipilimumab + nivolumab: 61%
Ipilimumab: 11%
1 y OS: p = 0.26
Ipilimumab + nivolumab: 73%
Ipilimumab: 65%
  Larkin et al.54 III Ipilimumab vs Nivolumab + Ipilimumab OR Nivolumab alone Previously untreated MM 07/2013 – 03/2014 945 Ipilimumab 3 mg/kg Nivolumab 3 mg/kg Q2W Ipilimumab 3 mg/kg + Nivolumab 1 mg/kg Q3W PFS and OS Median PFS: p<0.001
Wolchok et al.60(CheckMate 067) Ipilimumab: 2.9 mo
Ipilimumab + nivolumab: 11.5 mo
Nivolumab: 6.9 mo
OS not yet reported
Talimogene Laherparepvec (T-VEC)                        
  Antbacka et al.53 III T-VEC vs GM-CSF Previously untreated MM 05/2009 – 07/2011 436 Intralesional T-VEC Subcutaneous GM-CSF N/A DRR DRR: p<0.001
T-VEC: 16.3%
GM-CSF: 2.1%
NSCLC
Ipilimumab                        
  Lynch et al.23 II Ipilimumab +/− Carboplatin-Paclitaxel Previously untreated unresectable or metastatic NSCLC (mNSCLC) 02/2008 – 02/2009 204 Carboplatin-Paclitaxel Concurrent regimen: Phased regimen: irPFS Median irPFS:  
Ipilimumab 10 mg/kg + Carboplatin/Paclitaxel Q3W for 4 doses then 2 doses of chemotherapy 2 doses of Carboplatin/Paclitaxel Q3W then 4 doses of chemotherapy + Ipilimumab 10 mg/kg Chemotherapy: 4.6 mo p = 0.13
Concurrent Rx: 5.5 mo p = 0.05
Phased Rx: 5.7 mo  
Median OS:  
Chemotherapy: 8.3 mo p = 0.48
Concurrent Rx: 9.7 mo p = 0.23
Phased Rx: 12.2 mo  
Pembrolizumab                        
  Herbst et al.16 (KEYNOTE-010) II/III Pembrolizumab vs Docetaxel Previously treated mNSCLC PD-L1 >1% 08/2013 – 02/2015 1034 Docetaxel Pembrolizumab 2 mg/kg Pembrolizumab 10 mg/kg PFS and OS Median PFS  
Chemotherapy: 4.0 mo  
Pembrolizumab (2 mg/kg): 3.9 mo p = 0.07
Pembrolizumab (10 mg/kg): 4.0 mo p = 0.004
Median OS:  
Chemotherapy: 8.5 mo p<0.001
Pembrolizumab (2 mg/kg): 10.4 mo p<0.001
Pembrolizumab (10 mg/kg): 12.7 mo  
  Reck et al.24 (KEYNOTE-024) III Chemotherapy vs Pembrolizumab Previously untreated mNSCLC without activating mutation 08/2014 305 Platinum-based chemotherapy Pembrolizumab 200 mg N/A PFS Median PFS p<0.001
Chemotherapy: 6.0 mo
Pembrolizumab: 10.3 mo
  Langer et al.56 (KEYNOTE-021) II Chemotherapy +/− pembrolizumab Previously untreated mNSCLC 11/2014 – 01/2016 123 Carboplatin-Pemetrexed Pembrolizumab 200 mg + Carboplatin-Pemetrexed N/A ORR ORR: p = 0.002
Chemotherapy: 29%
Chemotherapy + pembrolizumab: 55%
Nivolumab                        
  Brahmer et al.17 (CheckMate 017) III Nivolumab vs Docetaxel Previously treated SqCC mNSCLC 10/2012 – 12/2013 272 Docetaxel Nivolumab 3 mg/kg Q2W N/A OS Median OS p<0.001
Docetaxel: 6.0 mo
Nivolumab: 9.2mo
  Borghaei et al.18 (CheckMate 057) III Nivolumab vs Docetaxel Previously treated Non-SqCC mNSCLC 11/2012 – 12/2013 582 Docetaxel Nivolumab 3 mg/kg Q2W N/A OS Median OS p = 0.002
Docetaxel: 9.4mo
Nivolumab: 12.2mo
Atezolizumab                        
  Fehrenbacher et al.43 (POPLAR II) II Atezolizumab vs Docetaxel Previously treated mNSCLC 08/2013 – 03/2014 287 Docetaxel Atezolizumab 1200 mg N/A OS Median OS p = 0.04
Docetaxel: 9.7 mo
Atezolizumab: 12.6 mo

Notes: SOC = standard of care; MM = metastatic melanoma; mNSCLC = metastatic NSCLC; BRAF WT = BRAF wild-type; OS = overall survival; PFS = progression-free survival; ORR = overall response rate; SqCC = squamous cell carcinoma; non-SqCC = non squamous cell carcinoma