Table 1.
Clinical Trials of varying treatment plans for mCRPC and other forms of carcinoma
Treatment | N | Target | Dosing Interval | Data Collection method | Results | Article |
---|---|---|---|---|---|---|
Ipilimumab | 399 to 400 | mCRPC that has progressed post docetaxel chemo therapy | 10 mg/kg every 3 weeks | Intention-to-treat analysis | No significant difference | [6] |
Nivolumab | 854 | Non-small-lung cancer | 3 mg/kg every 2 weeks | Kaplan-Meier method | 9%-15% increase in overall survival rates compared to docetaxel | [7] |
Nivolumab | 821 | Advanced clear cell renal-cell carcinoma | 3 mg/kg every 2 weeks | Kaplan-Meier method | Roughly 5 month increase in survival | [8] |
Nivolumab plus Ipilimumab | 1096 | Advanced clear cell renal-cell carcinoma | 1 mg/kg every 3 weeks | RECIST evaluation | 15% increased survival rate | [9] |
Pembrolizumab alone or with chemotherapy | 1010 | Advanced urothelial carcinoma | 200 mg every 3 weeks | Comparisons of non-inferiority and superiority | No significant difference | [10] |
Ramucirumab | 530 | Advanced or metastatic urothelial carcinoma | 10 mg/kg every 3 weeks | Intention-to-treat analysis | Average 1.5 month increased survival | [11] |
Avelumab | 697 | Advanced squamous cell carcinoma of head and neck | 10 mg/kg every 2 weeks | Response Evaluation Criteria in Solid Tumors | No significant difference | [12] |
Ipilimumab and Nivolumab | 14 | Melanoma | 3 dose per kg every 3 weeks | ECOG | 8.9 month OS vs. 2.9 months | [13] |
Tremelimumab | 11 | PSA recurrent prostate cancer | 150 mg of bicalutamide for 28 days followed by temelimumab on 29th day | Flow cytometric analysis | No significant adverse effects reported | [20] |
Ipilimumab with PSA transgene vaccine | 30 | mCRPC | Varying doses of ipilimumab every 2 weeks with monthly vaccination booster | Flow cytometry | Trending towards associations of longer overall survival with no conclusive data | [21] |
And Kaplan-Meier method | ||||||
Evofosfamide with Ipilimumab | 22 | Patients with mCRPC, pancreatic cancer, and/or head and neck cancer | 400-640 mg/m2 evofosfamide and 3 mg/kg ipilumumab every 3 weeks | RECIST Evaluation | No significant observations | [22] |
ECOG evaluation | ||||||
CTLA4 blockade with GM-CSF combination | 24 | mCRPC | Escalating doses of ipilumumab with fixed dose of GM-CSF given every 4 weeks | Flow cytometry | >50% PSA decline in 3 patients with no significant observations in the rest | [23] |
Ipilimumab | 50 | mCRPC | Varying doses of ipilimumab from 3-10 mg/kg every 3 weeks | RECIST | >50% PSA declines amongst some patients receiving 10 mg/kg doses | [24] |
Ipilimumab | 799 | mCRPC | One dose of radiotherapy followed by 10 mg/kg ipilumumab every 3 weeks | Two sided log-rank test stratified by ECOG | Overall increased survival rates for patients given ipilumumab | [25] |
Ipilimumab | 598 | Asymptomatic mCRPC | 10 mg/kg every 3 weeks | Two sided log-rank test stratified by ECOG | No significant difference in overall survival rates | [26] |
Nivolumab plus Ipilimumab | 78 | mCRPC | 1 mg/kg nivolumab + 3 mg/kg ipilimumab followed by 480 mg nivolumab every 4 weeks | ECOG | Reported consistent safety | [28] |
Nivolumab plus Ipilimumab | 15 | AR-V7 expressing mCRPC | 1 mg/kg ipilimumab + 3 mg/kg nivolumab every 3 weeks | ECOG | No significant observations | [30] |
Pembrolizumab | 258 | mCRPC | 200 mg every 3 weeks | RECIST | Median overall survival rate of 14.1 months with acceptable safety | [31] |
ECOG | ||||||
Pembrolizumab | 23 | Advanced prostate adenocarcinoma | 10 mg/kg every 2 weeks | RECIST | Overall survival of 7.9 months | [32] |
Pembrolizumab plus Docetaxel and Prednisone | 104 | mCRPC | 200 mg pembrolizumab and 75 mg/m2 docetaxel every 3 weeks, 5 mg prednisone BID | RECIST | Overall survival of 29.2 months, reported acceptable safety | [33] |
Pembrolizumab plus Docetaxel | ~1000 | mCRPC | Every 3 weeks | RECIST | Ongoing phase 3 trial | [34] |
TFST | ||||||
Pembrolizumab plus Enzalutamide | 28 | mCRPC | 200 mg pembrolizumab every 3 weeks with 4 doses with enzalutamide | RECIST | Overall survival of 41.7 months | [35] |
Pembrolizumab plus Enzalutamide | ~1200 | mCRPC | 200 mg pembrolizumab every 3 weeks 160 mg/day enzalutamide | PCWG3 modified RECIST | Ongoing phase 3 trial | [36] |
Pembrolizumab plus MV1-816 | 25 | mCRPC | Every 3 weeks | RECIST | Overall survival of 22.9 months | [38] |
pTVG-HP (MVI-816) Vaccine | 99 | mCRPC | 200 μg 6 times every 2 weeks, then quarterly for 2 years | PCWG3 modified RECIST | No significant change | [39] |
Pembrolizumab plus ADXS31-142 | 37 | mCRPC | 200 mg with monotherapy every 3 weeks | RECIST | Overall survival of 16.0 months | [40] |
Pembrolizumab with Cryotherapy | 12 | mCRPC | 200 mg every 3 weeks with eight months cryotherapy | Kaplan Meier | Overall survival of 17.5 months | [41] |
Atezolizumab | 35 | mCRPC | Every 3 weeks | Kaplan Meier | Overall survival of 14.7 months with acceptable safety profile | [42] |
Atezolizumab with Ezalutamide | 759 | mCRPC | Every 3 weeks | - | Ongoing study | [43] |
Atezolizumab with Radium-223 | 45 | mCRPC | 840 mg every 2 weeks, Radium-223 every 4 weeks | RECIST | Overall survival of 16.3 months | [44] |
Atezolizumab with Sipuleucel-T | 37 | mCRPC | 1200 mg azetolizumab every 3 weeks, sipuleucel-T every 2 weeks | RECIST | Overall survival of 23.6 months | [45] |
Atezolizumab with Cabozantinib | 580 | mCRPC | 1200 mg atezoliumab followed by 40 mg cabozantinib PO QD | RECIST | Ongoing study | [46] |
Avelumab with Stereotactive Ablative Body Radiotherapy | 31 | mCRPC | 10 mg/kg every 2 weeks for 24 weeks | Clopper-Pearson | Overall survival of 14.1 months | [47] |
Avelumab | 15 | mCRPC | 10 mg/kg every 2 weeks | RECIST | Overall survival of 7.4 months | [48] |
Durvalumab with Olaparib | 17 | mCRPC | 1500 mg durvalumab every 4 weeks, 300 mg olaparib PO BID | RECIST | Overall survival of 16.1 months | [49] |
Ieramilimab plus spartalizumab | 255 | Advanced or metastatic tumors | 1 mg/kg every 2 weeks | RECIST | Acceptable safety profile | [53] |
RhoC Vacccine | 22 | Prostate cancer | 9.1 mg every 2 weeks for 6 cycles followed by every 4 weeks for 5 cycles | Flow cytometry | CD4 T-Cell response lasting 10 months and generally well tolerated | [54] |
Nivolumab plus Ipilimumab | 90 | mCRPC | 1 mg/kg nivolumab and 3 mg/kg ipilimumab IV followed by 480 mg nivolumab every 4 weeks | RECIST | Overall survival of 19.0 months | [80] |