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. 2020 Jan 13;9:2019-9-2. doi: 10.7573/dic.2019-9-2

Table 1.

Ongoing trials with anti-PD-1/PD-L1 plus anti-CTLA-4 agents in advanced and metastatic NSCLC.

NCT number Study population Treatment regimen Phase Important primary outcome Status Sponsor
Ongoing clinical trials with nivolumab and ipilimumab
NCT03377023 Treatment naïve or pretreated advanced or metastatic NSCLC Nivolumab plus ipilimumab plus nintedanib Phase I/II nonrandomized, parallel assignment Phase I: MTD
Phase II: ORR
Recruiting H. Lee Moffitt Cancer Center
NCT02983045 NSCLC cohort consists of treatment naïve, IO naïve, and post anti-PD-1/PD-L1 relapsed or refractory patients Two experimental arms
  1. NKTR-214 plus nivolumab and ipilimumab

  2. NKTR-214 plus nivolumab

Phase I/II, nonrandomized, parallel assignment Safety, tolerability, ORR Recruiting Nektar Therapeutics
NCT03509584 Advanced NSCLC patients that have received at least one prior line of therapy and eligible for localized palliative XRT Four experimental arms
  1. Part #1 NSCLC patients with bone metastasis eligible for localized hypofractionated radiotherapy will receive either nivolumab alone or nivolumab plus ipilimumab with hypofractionated XRT

  2. NSCLC patients eligible for localized radiotherapy of one target lesion (outside the brain) will receive either nivolumab alone or nivolumab plus ipilimumab with hypofractionated XRT

Phase I, randomized, parallel assignment Incidence of immune-related adverse events Not yet recruiting Assistance Publique Hopitaux De Marseille
NCT03001882 (Checkmate 592) Stage IV or recurrent NSCLC with no prior systemic therapy Nivolumab plus ipilimumab Phase II, single group assignment ORR Recruiting Bristol-Myers-Squibb
NCT03425331 Stage IV NSCLC with no prior systemic anticancer therapy Nivolumab plus ipilimumab Phase II, single group assignment Best overall ORR Recruiting Dana-Farber Cancer Center
NCT03573947 (TOP1705) Stage IV NSCLC with no prior systemic anticancer therapy Nivolumab, ipilimumab, and paclitaxel Phase II, single group assignment PFS Recruiting Jeffery Clarke, Duke University
NCT03215706 (Checkmate 9LA) Stage IV NSCLC with no prior systemic anticancer therapy
  1. Experimental arm: nivolumab plus ipilimumab with carboplatin/cisplatin and pemetrexed or paclitaxel

  2. Active comparator arm: carboplatin/cisplatin and pemetrexed or paclitaxel

Phase III, randomized, parallel assignment OS Recruiting Bristol-Myers-Squibb
NCT03469960 (DICIPLE) Stage IV NSCLC with no prior systemic anticancer therapy
  1. Experimental arm: 6 months of induction treatment with nivolumab and ipilimumab followed by observation and nivolumab and ipilimumab in case of progression

  2. Active comparator arm: 6 months of induction treatment with nivolumab and ipilimumab followed by nivolumab and ipilimumab

Phase III, randomized, parallel assignment PFS Recruiting Intergroupe Francophone de Cancerologie Thoracique
Ongoing trials with durvalumab and tremelimumab
NCT03275597 Chemotherapy naïve or pretreated patients with stage IV NSCLC with six or less extracranial sites for SBRT Single experimental arm
SBRT followed by durvalumab 1500 mg every 4 weeks plus tremelimumab 75 mg every 4 weeks for up to 4 doses.
Phase Ib, single group assignment Safety and tolerability Recruiting University of Wisconsin
NCT03057106 Treatment naïve stage IV NSCLC Two arms
  1. Durvalumab plus tremelimumab

  2. Four cycles of platinum plus gemcitabine or pemetrexed with durvalumab plus tremelimumab (every 3 weeks for four cycles) followed by maintenance durvalumab alone in squamous histology and pemetrexed plus durvalumab in nonsquamous histology.

Phase II, randomized, parallel assignment OS Active, not recruiting Canadian Cancer Trials Group
NCT03164616 (POSEIDON) Treatment naïve stage IV NSCLC Two experimental arms and one comparator arm
  1. Experimental arm: durvalumab and tremelimumab plus standard of care (SoC) chemotherapy (CT)

  2. Experimental arm: durvalumab plus SoC CT

  3. Comparator arm: SoC CT alone

Phase III, randomized, parallel assignment PFS and OS Recruiting AstraZeneca
Ongoing clinical trials with other anti-PD-1/PD-L1 and anti-CTLA-4 agents
NCT03527251 Locally advanced or metastatic NSCLC Ipilimumab 1 mg/kg every 34 weeks for two doses followed by anti PD-1 antibody SHR-1210 Phase 1 Safety Recruiting Sun Yat-sen University
NCT03580694 Nonsquamous NSCLC with unresectable stage IIIB or stage IV Two experimental arms
  1. Single dose. escalation cohort: cemiplimab (anti-PD-1 mAb)

  2. Combination therapy, dose escalation, and dose expansion REGN4659 (anti-CTLA-1 mAb) and cemiplimab

Phase 1 DLTs, TRAEs, irAEs, SAEs, ORR, PK for cemiplimab and REGN4656 Recruiting Regeneron pharmaceuticals
NCT03430063 (EMPOWER-Lung 4) Stage IIIB/IIIC not candidates for concurrent chemoradiation and stage IV NSCLC Three experimental arms
  1. Standard dose cemiplimab (REGN2810)

  2. High dose cemiplimab (REGN2810)

  3. Combination cemiplimab (REGN2810) and ipilimumab

Phase II, randomized, open label ORR Active, not recruiting Regeneron pharmaceuticals and Sanofi
NCT03302234 (Keynote 589) Treatment naïve stage IV NSCLC with PD-L1>/=50% Two experimental arms
  1. Pembrolizumab 200 mg every 3 weeks plus ipilimumab 1 mg/kg every 6 weeks

  2. Pembrolizumab 200 mg every 3 weeks plus placebo

Phase III, randomized, double blinded OS and PFS Active, not recruiting Merck Sharp and Dohme
NCT03515629 (EMPOWER-Lung 2) Treatment naïve recurrent or metastatic NSCLC with tumor PD-L1 expression>/=50% Two experimental arms with one active comparator Experimental arm
  1. Cemiplmab (REGN2810) plus ipilimumab

  2. Cemplimab (REGN280) plus chemotherapy plus ipilimumab

Comparator arm
Pembrolizumab
Phase III, randomized, open label, parallel assignment PFS Active, not recruiting Regeneron pharmaceuticals

Obtained from clinicaltrials.gov, accessed: June 15, 2019.

DLT, dose-limiting toxicity; irAE, immune-related adverse events; MTD, maximum-tolerated dose; ORR, overall response rate; OS, overall survival; PFS, progression-free survival; PK, pharmacokinetics; RR, response rate; SAEs, serious adverse events; TRAEs, treatment-related adverse events.