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