Table 4.
Drug | Common Toxicities | Best Response |
---|---|---|
Nivolumab (dose expansion 3 mg/kg) | Fatigue, pruritus, grades 3-4 increased AST/ALT | Preliminary phase 1/2 trial data of 47 patients showed 5% CR, 18% PR, 72% OS at 6 months62 |
Follow-up study with 206 noted PD of 55% and OS 6 months survival of 69%64 | ||
Nivolumab (0.1-10 mg/kg for up to 2 years) | Rash, grades 3-4 increased AST/ALT | Initial phase 1/2 study showed 15% CR, 8% PR, 50% SD, 31% PD, median OS 15.1 months62 |
Pembrolizumab (200 mg IV every 3 weeks up to 35 cycles or PD) | Pending study results | Phase 2 study ongoing, pending final results |
Primary end point is ORR | ||
Secondary end point is OS, safety/tolerability, PFS, CR, PD | ||
Codrituzumab (1600 mg every 2 weeks after 2 loading doses) | Anemia, increased AST | Phase 2 study showed PFS of codrituzumab versus placebo to be 2.6 versus 1.5 months, respectively. OS is 8.7 versus 10 months70 |
Pembrolizumab (200 mg IV every 3 weeks) + BSC versus placebo + BSC up to 35 cycles or until disease progression | Pending study results | Phase 3 study ongoing, pending final results |
Primary objective is PFS and OS | ||
Secondary objective is ORR, CR, PD | ||
Pexa-Vec (10e9 PFU injections every 2 weeks × 3) + sorafenib (400 mg BID starting at week 6) versus sorafenib (400 mg BID from day 1) | Pending study results | Phase 3 study ongoing, pending final results |
Primary end point is OS | ||
Secondary end point is PFS, ORR, CR | ||
Safety, biomarkers, and quality of life will be evaluated |
Abbreviations: ALT, alanine transaminase; AST, aspartate transaminase; BID, twice daily; BSC, best supportive care; CR, complete response; IV, intravenously; ORR, objective response rate; OS, overall survival; PD, progressive disease; PFS, progression-free survival; PFU, plaque forming units; PR, partial response.