Table 1.
Clinical trials of neoadjuvant immune monotherapy for resectable NSCLC and corresponding posted results
| Identifier | Trials | Phase | Population | EGFR (sensitive)/ALK alternation exclusiveness | Sample size (N) | Intervention | Primary endpoints | Study group outcomes | Control group outcomes | ≥grade 3 irAE | Resection rate | Surgical delay rate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT02938620 28 | MK3475‐223 | 1 | I‐II | No | 28 | pembrolizumab 200 mg × 1/q3w × 2—surgery | Toxicity, MPR | 66.6% near pCR | ‐ | NA | NA | NA |
| ChiCTR‐OIC‐17013726 29 | / | 1b | IA‐IIIB | Yes | 40 | Sintilimab 200 mg q3w × 2—surgery | Safety | MPR 40.5%pCR 16.2% | Single arm | 10% | 92.5% | 5% |
| NCT02259621 21 | CheckMate159 | 2 | I‐IIIA | No | 21 | nivolumab 3 mg/kg q2w × 2—surgery | Safety and feasibility | MPR 45%, pCR 10% | Single arm | 4.5% | 95% | 0 |
| NCT02927301 30 | LCMC3 | 2 | IB‐IIIB | No | 181 | Atezolizumab 1200 mg, q21d × 2—surgery—optional atezolizumab × 1 year | MPR | MPR 21%, pCR 7% | Single arm | 29.6% | 92.6% | 1.9% |
| NCT03158129 33 | NEOSTAR | 2 | I‐IIIA | No | 44 | Nivolumab 3 mg/kg q2w × 3 ± ipilimumab 1 mg/kg × 1—surgery—SOC adjuvant therapy | MPR | MPR 22%, pCR 9% | MPR 38%, pCR 29% | 13% | 89% | 22% |
| NCT02994576 34 | PRINCEPS | 2 | I( ≥ 2 cm)‐IIIA(non N2) | No | 30 | Atezolizumab 1200 mg, q21d × 1—surgery | Tolerance | MPR 14%pCR 16.2% | Single arm | 3.3% | 100% | 0 |
| NCT03030131 35 | IFCT‐1601 IONESCO | 2 | IB( > 4 cm)‐IIIA (non N2) | No | 46 | Durvalumab 750 mg q2w × 3—surgery | % Of R0 resection | 89.1% R0 resectionMPR 18.6%pCR 7% | Single arm | 0 | 100% | NA |
| NCT02818920 36 | TOP1501 | 2 | IB‐IIIA | No | 30 | pembrolizumab 200 mg q3w × 2—surgery—SOC adjuvant therapy ± radiation + pembrolizumab 200 mg q3w × 4 | Safety and efficacy | 88% R0 resectionMPR 28%pCR 12% | Single arm | 3.3% | 83.3% | 3.3% |
Abbreviations: MPR, major pathological response; NA, data are not available; pCR, pathological complete response; SOC, standard of care.