Table 1.
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