Table 1.
Clinical results with combinations of programmed death receptor 1 (PD-1)/programmed death ligand 1 (PD-L1) inhibitors and platinum-based chemotherapy regimens as first-line therapy for metastatic non-small cell lung cancer (NSCLC)
Clinical study | Investigational agent and subgroup | Progression-free survival | Response rate | Median overall survival | Reference | |||
---|---|---|---|---|---|---|---|---|
KEYNOTE-189 (n = 616) Cisplatin/carboplatin + pemetrexed ± pembrolizumab |
Pembrolizumab Non-squamous NSCLC No EGFR/ALK/ROS-1 mutation |
Active | Control | Active | Control | Active | Control | |
8.8 months 35% alive and progression free at 12 months |
4.9 months 18% alive and progression free at 12 months |
48% | 19% | NR | 11.3 months | [4] | ||
KEYNOTE-407 (n = 559) Carboplatin + nab paclitaxel/paclitaxel ± pembrolizumab |
Pembrolizumab Squamous NSCLC No EGFR/ALK/ROS-1 mutation |
6.4 months 31% alive and progression free at 12 months |
4.8 months 15% alive and progression free at 12 months |
57% | 36% | 15.9 months | 11.3 months | [5] |
Impower150 (Arm B versus C; n = 800) Carboplatin + paclitaxel + bevacizumab ± atezolizumab |
Atezolizumab Non-squamous NSCLC No EGFR/ALK/ROS-1 mutation |
8.4 months 38% alive and progression free at 12 months |
6.8 months 20% alive and progression free at 12 months |
56% | 40% | 19.2 months | 14.7 months | [6] |
Impower 131 (Arm B versus C; n = 688) Carboplatin + paclitaxel + bevacizumab ± atezolizumab |
Atezolizumab Squamous NSCLC No EGFR/ALK/ROS-1 mutation |
6.3 months 25% alive and progression free at 12 months |
5.6 months 12% alive and progression free at 12 months |
49% | 41% | 14 months | 13.9 months | [7] |