Table 7 |.
Trials evaluating anti-PD-L1/PD-1 antibodies in patients with previously treated, metastatic urothelial cancer
| Rosenberg et al.118 | Plimack et al.119 | Apolo et al.120 | Massard et al.121 | Sharma et al.122 | Galsky et al.123 | |
|---|---|---|---|---|---|---|
| Phase | II | Ib | Ib | I/II | I/ll | II |
| Therapeutic antibody evaluated | Atezolizumab | Pembrolizumab | Avelumab | Durvalumab | Nivolumab | Nivolumab |
| Antibody target | PD-L1 | PD-1 | PD-L1 | PD-L1 | PD-1 | PD-1 |
| Number of patients evaluable for response | 310 | 29 | 44 | 42 | 78 | 265 |
| Proportion of patients treated with ≥2 prior lines of therapy | 42% | 51.5% | 52.3% | 31% | 66.6% | 29.3% |
| Breakdown of PD-L1 scores/positivity* (proportion of patients) |
|
PD-L1*: 100% | PD-L1*: 31.3% | PD-L1*: 67% | PD-L1*: 37.3% | PD-L1*: 45.9% |
| ORR (RECIST v1.1) | 15% | 27.6% | 15.9% | 31% | 24.4% | 19.6% |
| CR rate (RECIST v1.1) | 5% | 10.3% | 2.3% | Not reported | 6.4% | 2.3% |
| Median follow-up duration | 11.7 months | 15 months | 3.5 months | 6.5 months | 9 months | 7 months |
| Median DOR | Not yet reached | Not yet reached | Not yet reached | Not yet reached | Not yet reached | Not yet reached |
| Rate of grade 3–4 AEs | 16% | 15.2% | 2.3% | 4.9% | 22% | 17.8% |
AEs, adverse events; CR, complete response; DOR, duration of response; IC, score based on percentage of PD-L1-positive tumour-infiltrating immune cells; ORR, objective response rate; PD-1, programmed cell-death protein 1; PD-L1, programmed cell death 1 ligand 1.
Methodology of PD-L1 score ascertainment varied based on the study.