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Table 1 Summary of results of clinical trials with anti-PD-1/PD-L1 as single agents (only data for anti-PD-1/PD-L1 arms are reported)

From: Treatment beyond progression with anti-PD-1/PD-L1 based regimens in advanced solid tumors: a systematic review

Study name/code (NCT)

Study phase

Type of Cancer

Treatment

Patients evaluated for response

Time to first tumor assessment (weeks)

ORR by RECIST criteria

ORR by immune-related response criteria

Rate of patients treated beyond progression

ORR after initial PD

First author and date of publication

15–286

(NCT02673333)

2

Adrenocortical carcinoma

Pembrolizumab

39

9

9 (23.1%)

Not reported

Not reported

2 (5.1%)

Raj 2020 [12]

16–032

(NCT02730130)

2

Breast cancer

Pembrolizumab plus RT

17

13

3 (17.6%)

3 (17.6%)

Not reported

Not reported

Ho 2019 [13]

2014–1315

(NCT02364076)

2

Thymic carcinoma

Pembrolizumab

40

6

9 (22.5%)

Not reported

Not reported

0 (0%)

Giaccone 2018 [14]

20,151,049

(NCT02658019)

2

Hepatocellular carcinoma

Pembrolizumab

28

9

9 (32.1%)

Not reported

15 (53.6%)

1 (3.6%)

Feun 2019 [15]

Alliance A091401

(NCT02500797)

2

Sarcoma

Nivolumab

38

6

2 (5.3%)

Not reported

18 (47.4%)

0 (0%)

D’Angelo 2018 [16]

Attraction-2

(NCT02267343)

3

Gastric cancer

Nivolumab

268

6

30 (11.2%)

Not reported

95 (35.5%)

Not reported

Kang 2017 [17]

CD-ON-MEDI4736–1108

(NCT01693562)

1/2

UC

Durvalumab

42

6

13 (31.0%)

Not reported

2 (4.8%)

2 (4.8%)

Massard 2016 [18]

NSCLC

256

39 (15.2%)

99 (38.7%)

Not reported

Antonia 2019 [19]

CA-210-001

(NCT00729664)

1

Advanced solid tumors

Nivolumab

160

6

17 (10.6%)

Not reported

Not reported

4 (2.5%)

Brahmer 2012 [20]

CheckMate-003

(NCT00730639)

1

RCC

Nivolumab

34

8

10 (29.4%)

Not reported

Not reported

3 (8.8%)

MCDermott 2015 [21]

Melanoma

107

33 (30.8%)

Not reported

Not reported

4 (3.7%)

Topalian 2014 [22]

NSCLC

129

22 (17.1%)

Not reported

Not reported

6 (4.7%)

Gettinger 2015 [23]

CheckMate-004

(NCT01024231)

1

Melanoma

Nivolumab

30

8

6 (20.0%)

Not reported

Not reported

3 (10.0%)

Wolchock 2013 [24]

CheckMate-010

(NCT01354431)

2

RCC

Nivolumab

168

6

35 (20.8%)

38 (22.8%)

36 (21.4%)

2 (1.2%)a

Motzer 2015 [25],

George 2016 [8],

Pignon 2019 [6]

CheckMate-012

(NCT01454102)

1

NSCLC

Nivolumab

52

11

12 (23.1%)

Not reported

Not reported

3 (5.8%)

Gettinger 2016 [26]

CheckMate-017

(NCT01642004)

3

Squamous NSCLC

Nivolumab

135

9

27 (20.0%)

Not reported

27 (20.0%)

9 (6.7%)

Brahmer 2015 [27]

CheckMate-025

(NCT01668784)

3

RCC

Nivolumab

406

8

Not reported

Not reported

153 (37.7%)

20 (4.9%)

Escudier 2017 [28]

CheckMate-026

(NCT02041533)

3

NSCLC

Nivolumab

211

6

55 (26.1%)

Not reported

77 (36.5%)

Not reported

Carbone 2017 [29]

CheckMate 032

(NCT01928394)

1/2

SCLC

Nivolumab

98

6

10 (9.8%)

Not reported

30 (30.6%)

Not reported

Antonia 2016 [30]

UC

78

19 (24.4%)

Not reported

31 (39.7%)

9 (11.5%)

Sharma 2016 [31]

CheckMate-037

(NCT01721746)

3

Melanoma

Nivolumab

120

9

38 (31.7%)

Not reported

37 (30.8%)

10 (8.3%)

Weber 2015 [32]

CheckMate-057

(NCT01673867)

3

Non-squamous NSCLC

Nivolumab

292

9

56 (19.2%)

Not reported

71 (24.3%)

16 (5.5%)

Borghaei 2015 [33]

CheckMate-063

(NCT01721759)

2

Squamous NSCLC

Nivolumab

117

8

17 (14.5%)

Not reported

22 (18.8%)

4 (3.4%)

Rizvi 2015 [34]

CheckMate-066

(NCT01721772)

3

Melanoma

Nivolumab

210

9

84 (40.0%)

Not reported

54 (25.7%)

17 (8.1%)

Robert 2015 [35]

CheckMate-067

(NCT01844505)

3

Melanoma

Nivolumab

316

12

140 (44.3%)

Not reported

97 (30.7%)

Not reported

Wolchok 2017 [36]

CheckMate-141

(NCT02105636)

3

HNSCC

Nivolumab

240

9

Not reported

Not reported

62 (25.8%)

3 (1.3%)b

Haddad 2019 [7]

CheckMate-275

(NCT02387996)

2

UC

Nivolumab

265

8

52 (19.6%)

Not reported

70 (26%)

24 (9.1%)

Sharma 2017 [37]

FIR

(NCT01846416)

2

NSCLC

Atezolizumab

137

6

30 (21.9%)

32 (23.4%)

Not reported

2 (1.5%)

Spigel 2018 [38]

IMvigor210

(NCT02108652)

2

Urothelial cancer

Atezolizumab

310

9

45 (15%)

58 (19%)

121 (39%)

21 (6.8%)

Rosenberg 2016 [39]

IND 121564

(NCT02085070)

2

Melanoma

Pembrolizumab

18

8

4 (22.2%)

Not reported

1 (5.6%)

Not reported

Goldberg 2016 [40]

NSCLC

18

6 (33.3%)

1 (5.6%)

2 (11.1%)

Javelin Merkel 200

(NCT02155647)

2

Merkel cell carcinoma

Avelumab

88

6

28 (31.8%)

Not reported

Not reported

1 (1.1%)

Kaufman 2016 [41]

Javelin Solid Tumor

(NCT01772004)

1b

Adrenocortical

Avelumab

50

6

3 (6.0%)

3 (6.0%)

Not reported

1 (2.0%)

Le Tourneau [42]

NSCLC

184

22 (12.0%)

22 (12.0%)

Not reported

0 (0%)

Gulley 2017 [43]

Breast cancer

168

5 (2.9%)

Not reported

Not reported

2 (1.2%)

Dirix 2018 [44]

Ovarian cancer

125

12 (9.6%)

16 (12.8%)

Not reported

7 (5.6%)

Disis 2019 [45]

UC

161

27 (16.8%)

28 (17.4%)

Not reported

1 (0.6%)

Patel 2018 [46]

JAVELIN Solid Tumor JPN trial

(NCT01943461)

1

Advanced solid tumors

Avelumab

40 (dose- expansion cohort)

6

4 (10.0%)

4 (10.0%)

Not reported

Not reported

Doi 2019 [47]

KEYNOTE-001

(NCT01295827)

1

NSCLC

Pembrolizumab

550

12

121 (24.4%)c

145 (26.4%)

Not reported

Not reported

Garon 2015 [48], Garon 2019 [49]

Melanoma

327

Not reported

Not reported

Not reported

24 (7.3%)

Hodi 2016 [9]

581

194 (33.4%)

260 (44.8%)

Not reported

Not reported

Ribas 2016 [50]

KEYNOTE-002

(NCT01704287)

2

Melanoma

Pembrolizumab

361

12

84 (23.3%)

Not reported

72 (20.0%)

Not reported

Ribas 2015 [51]

KEYNOTE-011

(NCT01840579)

1

Multiple tumor types

Pembrolizumab

9

6

2 (22.2%)

2 (22.2%)

1 (11.1%)

1 (11.1%)

Shimizu 2016 [52]

KEYNOTE-012

(NCT01848834)

1b

UC

Pembrolizumab

27

8

7 (25.9%)

Not reported

Not reported

0 (0.0%)

Plimack 2017 [53]

HNSCC

56

12 (21.4%)

Not reported

Not reported

1 (1.8%)

Seiwert 2016 [54]

KEYNOTE-016

(NCT01876511)

2

CRC, MMR–deficient cancers

Pembrolizumab

35

12

9 (25.7%)

9 (25.7%)

Not reported

0 (0.0%)

Le 2015 [55]

KEYNOTE-224

(NCT02702414)

2

Hepatocellular carcinoma

Pembrolizumab

104

9

18 (17.3%)

18 (17.3%)

Not reported

Not reported

Zhu 2018 [56]

NCI-2016-00545

(NCT02721732)

2

Multiple rare cancers

Pembrolizumab

110

9

Not reported

15 (13.6%)

34 (30.9%)

6 (5.5%)

Naing 2020 [57]

OAK

(NCT02008227)

3

NSCLC

Atezolizumab

425

6

58 (13.7%)

68 (16.0%)

168 (39.5%)

Not reported

Gandara 2018 [10], von Pawel 2019 [58]

ONO-4538-25

(NCT02582125)

2

NSCLC

Nivolumab

53

6

5 (9.4%)

Not reported

17 (32.1%)

Not reported

Chen 2020 [59]

ONO-4538-07

(Not available)

2

Esophageal squamous-cell carcinoma

Nivolumab

64

6

14 (21.9%)

16 (25.0%)

Not reported

2 (3.1%)

Kudo 2017 [60]

NivoMes

(NCT02497508)

2

Mesothelioma

Nivolumab

34

6

9 (26.5%)

Not reported

Not reported

3 (8.8%)

Quispel-Janssen 2018 [61]

PCD4989g

(NCT01375842)

1

Urothelial bladder cancer

Atezolizumab

65

6

17 (26.2%)

Not reported

Not reported

1 (1.5%)

Powles 2014 [62]

RCC

62

9 (14.5%)

Not reported

28 (45.2%)

6 (9.7%)

McDermott 2016 [63]

HNSCC

32

7 (21.9%)

Not reported

10 (31.3%)

Not reported

Colevas 2018 [64]

Breast

115

11 (9.6%)

15 (13.0%)

Not reported

3 (2.6%)

Emens 2019 [65]

R2810-ONC-1540

(NCT02760498)

2

Cutaneous squamous cell carcinoma

Cemiplimab

78

8

41 (52.6%)

Not reported

Not reported

2 (2.6%)

Migden 2020 [66]

SARC028

(NCT02301039)

2

Sarcoma

Pembrolizumab

80

8

9 (11.3%)

10 (12.5%)

Not reported

3 (3.8%)

Tawbi 2017 [67]

Umin 000005714

(Not available)

2

Ovarian cancer

Nivolumab

20

8

3 (15.0%)

Not reported

Not reported

1 (5.0%)

Hamanishi [68]

  1. Abbreviations: CRC colorectal cancer; HNSCC head and neck squamous cell carcinoma, MMR mismatch repair, NCT ClinicalTrials.gov Identifier, NSCLC non-small-cell lung carcinoma, ORR overall response rate, PD progressive disease, RCC renal-cell carcinoma, RT radiotherapy, SCLC small-cell lung carcinoma, UC urothelial cancer
  2. aadditional 12 patients achieved < 30% tumor reduction
  3. boverall, 25 patients achieved < 30% tumor reduction
  4. cbased on centrally-assessed RECIST 1.1 data reported by Garon et al. 2015 on 495 patients