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. 2018 May;10(Suppl 13):S1564–S1580. doi: 10.21037/jtd.2018.01.131

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.