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Table 3 Details of ongoing clinical trials for avelumab in early-stage and advanced-stage lung cancer

From: Emerging therapies for non-small cell lung cancer

Objectives

Identifier

Title

Phase

Intervention

Study design

Population

Primary endpoint

Secondary endpoint

Status

Primary completion

Early-stage

NCT03050554

Phase I/II study of the safety, tolerability, and efficacy of stereotactic body radiation therapy (SBRT) combined with concurrent and adjuvant avelumab for definitive management of early stage non-small cell lung cancer (NSCLC)

I/II

Avelumab+SBRT

Single-arm trial

Stage I NSCLC with tumor(s) less than 5 cm in diameter or 250 cm3 in volume

Safety and tolerability, RFS

Locoregional control, OS

Recruiting

Oct 2020

Advanced-stage

NCT02576574

A Phase III, open-label, multicenter trial of avelumab (MSB0010718C) versus platinum-based doublet as a first line treatment of recurrent or stage IV PD-L1+non-small cell lung cancer

III

Avelumab

Randomized control trial

Metastatic or recurrent NSCLC without EGFR or ALK

PFS, OS

Best overall response, DOR, EQ-5D-5L

Active, not recruiting

2019 Oct

NCT03472560

A phase II, open-label study to evaluate safety and clinical activity of avelumab in combination with axitinib in patients with advanced or metastatic previously treated non-small cell lung cancer or treatment naive cisplatin-ineligble urothelial cancer (JAVELIN MEDLEY VEGF)

II

Avelumab+axitinib

Single-arm trial

Pretreated advanced NSCLC with no more than 2 prior lines and EGFR/ALK/ROS1 negative

ORR

TTR, DOR, PFS

Recruiting

Sep 2020

NCT03717155

A phase IIa, single-arm, multicenter study to investigate the clinical activity and safety of avelumab in combination with cetuximab plus gemcitabine and cisplatinin participants with advanced squamous non-small-cell lung cancer

II

Avelumab+cetuximab+gemcitabine+cisplatin

Single-arm trial

Advanced lung squamous carcinoma without EGFR mutation, ALK rearrangementand brain metastasis

Best overall response

Occurrence of treatment-emergent adverse events, PFS, DOR

Recruiting

Jan 2021

NCT03568097

Phased avelumab combined with chemotherapy as first-line treatment for patients with advanced small-cell lung cancer (SCLC)

II

Avelumab+cisplatin (carboplatin)+etoposide

Single-arm trial

Treatment-naive advanced SCLC with untreated stable brain metastasis

1-year PFS

OS, best overall response, ORR

Recruiting

Nov 2020

NCT02584634

A phase 1B/2, open-label, dose-finding study to evaluate safety, efficacy, pharmacokinetics and pharmacodynamics of avelumab in combination with either crizotinib or PF-06463922 in patients with advanced or metastatic non-small cell lung cancer

II

Group A: avelumab+crizotinib; group B: avelumab+PF-06463922

Non-randomized trial

Pretreated advanced NSCLC without ALK rearrangement for group A and unlimited prior lines with ALK positive for group B

DLT, overall response rate

DCR, OS

Active, not recruiting

Feb 2019

NCT03268057

Phase 1b/study of VX15/2503 in combination with avelumab in advanced non-small cell lung cancer

I/II

VX15/2503+Avelumab

Single-arm trial

No prior immunotherapy treated NSCLC

DLT, AEs

ORR, DOR, PFS

Recruiting

May 2020

NCT03317496

A multicenter, open-label, phase 1B/2 study to evaluate safety and efficacy of avelumab in combination with chemotherapy with or without other anti-cancer immunotherapies as first-line treatment in patients with advanced malignancies

II

Avelumab+pemetrexed/carboplatin

Non-randomized parallel trial

Untreated advanced non-squamous NSCLC without EGFR mutations or ALK rearrangement

DLT, ORR

PFS, DOR, TTR

Recruiting

Oct 2020

NCT03158883

A pilot study of avelumab and stereotactic ablative radiotherapy in non-responding and progressing NSCLC patients previously treated with a PD-1 inhibitor

I

Avelumab+Stereotactic ablative radiotherapy

Non-randomized parallel trial

Immunotherapy pre-treated advanced NSCLC without EGFR mutations or ALK rearrangement

Overall response rate

OS, PFS, DCR

Recruiting

Jun 2020

NCT02554812

A phase 1B/2, open-label study to evaluate safety, clinical activity, pharmacokinetics and pharmacodynamics of avelumab in combination with other cancer immunotherapies in patients with advanced maligancies

II

Avelumab+Utomilumab

Randomized parallel trial

Advanced NSCLC without EGFR mutation or ALK/ROS1 rearrangement regardless of prior lines treatment

DLT, ORR

TTR, DOR, PFS

Recruiting

Dec 2020

  1. PFS progression-free survival, OS overall survival, ORR objective response rate, DLT dose-limiting toxicities, DOR duration of response, TTR time to response