Skip to main content
. 2021 Nov 12;118(45):759–766. doi: 10.3238/arztebl.m2021.0332

Table 1. Studies of targeted therapy or immunotherapy as the sole treatment of brain metastases.

Reference Study type Study population Treatment Toxicity
(grade 3–4)
Intracranial response rate,
extracranial response rate,
intracranial control rate*
Median PFS median OS
Tawbi 2018 (25)
Tawbi 2019 (26)
prospective melanoma
(n = 94)
ipilimumab plus nivolumab 55% 52%
47%
58.4%
6 m: 64.2%
9 m: 59.5%
6 m: 92.3%
9 m: 82.8%
12 m: 81.5%
Davies 2017 (27) prospective melanoma
(n = 108)
dabrafenib plus trametinib 48% 44–59%
41–75%
78–88%
4.2 –7.2 m
6 m: 13–73%
24.3 m
Reungwetwattana 2019 (1) prospective NSCLCEGFR-mut
(n = 128)
osimertinib 34% 91%
77%
not reported
18.9 m 38.6 m
Schuler 2016 (30) prospective NSCLC EGFR-mut
(n = 81)
afatinib 46.2% 82.1%
not reported
19–25%
8.2 m 13.3 m
Gadgeel 2018 (2) prospective NSCLC ALK-mut
(n = 64)
alectinib 41% 86%
not reported
not reported
9.6 m not yet reached
Goldberg 2016 (4) prospective NSCLC PD-L1-pos
(n = 18)
pembrolizumab 30% 33%
33%
not reported
3.0–7.0 m 7.7 m
Bachelot 2013 (14) prospective breast CaHER2-pos
(n = 45)
lapatinib plus capecitabine 49% 57%
not reported
not reported
5.5 m 17.0 m
Lin 2020 (15) prospective breast CaHER2-pos
(n = 291)
tucatinib plus trastuzumab plus capecitabine 55% 41%
not reported
not reported
9.9 m 18.1 m1
year: 70.1%
Bartsch 2015 (16) retrospektiv breast CaHER2-pos
(n = 10)
trastuzumabemtansin 10% 70%
80%
not reported
5.0 m 8.5 m
Modi 2020 (17) prospective breast CaHER2-pos
(n = 24)
trastuzumabderuxtecan 50% 58%
not reported
not reported
16.4 m not yetreached

* conrol rate: response and stabilization

ALK, anaplastic lymphoma kinase; Ca, cancer; EGFR, epidermal growth factor receptor; HER2, human epidermal growth factor receptor; m, months; mut, mutation;

NSCLC, non-small-celllung cancer; OS, overall survival; PD-L1, programmed cell death ligand protein 1; PFS, progression-free survival