Table 1. FDA and EMA approved indications for immune checkpoint inhibitors in advanced solid cancers.
Drug | Indications | Line | Primary endpoint | FDA approval | EMA approval |
---|---|---|---|---|---|
Ipilimumab | Melanoma | ≥2nd | OS | Approved | Approved |
1st | ORR | Approved | Approved | ||
Any in combination with nivolumab | PFS | Approved | Approved | ||
Nivolumab | Melanoma | ≥2nd | ORR | Approved | Approved |
1st | OS | ||||
NSCLC¤ | ≥2nd | OS | Approved | Approved | |
RCC | ≥2nd | OS | Approved | Approved | |
SCCHN | ≥2nd | OS | Approved | Approved | |
UCC | ≥2nd | ORR | Approved | Approved | |
MSI-H CRC | ≥2nd | ORR | Approved | – | |
HCC | ≥2nd * | ORR | Approved | – | |
Pembrolizumab | Melanoma | ≥2nd | ORR | Approved | Approved |
1st | OS | ||||
NSCLC¤ | ≥2nd † | ORR | Approved | Approved | |
1st ‡ | PFS | Approved | Approved | ||
1st in combination with chemotherapy § | ORR | Approved | – | ||
SCCHN | ≥2nd | ORR | Approved | – | |
UCC | ≥2nd | OS | Approved | Approved | |
MSI-H any histology | ≥2nd | ORR | Approved | – | |
Gastric/GEJ | ≥2nd | ORR | Approved | – | |
Atezolizumab | NSCLC¤ | ≥2nd | OS | Approved | Approved |
UCC | ≥2nd | ORR | Approved | Approved | |
Durvalumab | UCC | ≥2nd | ORR | Approved | – |
Avelumab | UCC | ≥2nd | ORR | Approved | – |
Merkel carcinoma | ≥2nd | ORR | Approved | Approved |
*, after progression to sorafenib; †, in patients with PD-L1 expression ≥1%; ‡, in EGFR and ALK wild type patients with PD-L1 expression ≥50%; §, platinum-based chemotherapy; ¤, both squamous and non-squamous histology; NSCLC, non-small cell lung cancer; RCC, renal cell carcinoma; UCC, urothelial carcinoma; CRC, colorectal cancer; MSI-H, microsatellite instability high; SCCHN, squamous cell carcinoma of the head and neck; GEJ, gastroesophageal junction; ORR, overall response rate; PFS, progression-free survival; OS, overall survival; FDA, Food and Drug Administration; EMA, European Medical Agency.