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Table 1 Comparisons of clinical outcomes of ICBs between NSCLC and SCLC

From: Potential immune escape mechanisms underlying the distinct clinical outcome of immune checkpoint blockades in small cell lung cancer

NSCLC

SCLC

Study

Design

ORR, PFS, and OS

TRAE

Study

Design

ORR, PFS, and OS

TRAE

First-line

NCT 00527735 [48]

II R 1: 1: 1

N = 204

1. Placebo+Pacl+Carbo

2. Concurrent Ipi+Pacl+Carbo

3. Phased Ipi+Pacl+Carbo

irBORR, 18%, 21%, 32%

mWHO-BORR, 14%, 21%, 32%

Median irPFS, 4.6 m, 5.5 m, 5.7 m

Median PFS, 4.2 m, 4.1 m, 5.1 m

Median OS, 8.3 m, 9.7 m, 12.2 m

G3-4

6%

20%

15%

NCT 00527735 [49]

II R 1: 1: 1

N = 130

1. Placebo+Pacl+Carbo

2. Concurrent Ipi+Pacl+Carbo

3. Phased Ipi+Pacl+Carbo

irBORR, 53%, 49%, 71%

mWHO-BORR, 49%, 33%, 57%

Median irPFS, 5.3 m, 5.7 m, 6.4 m

Median PFS, 5.2 m, 3.9 m, 5.2 m

Median OS, 9.9 m, 9.1 m,12.9 m

G3-4

9%

21%

17%

NCT01285609 [50]

III R 1: 1

N = 749

1. Phased Placebo+Pacl+Carbo

2. Phased Ipi+Pacl+Carbo

BORR, 47%, 44%

Median PFS, 5.6 m, 5.6 m

Median OS, 12.4 m, 13.4 m

G3-4

35%

51%

CA184-156 [51]

III R 1, 1

N = 954

1. Phased Placebo+Etop+Plat

2. Phased Ipi+Etop+Plat

BORR, 62%, 62%

Median PFS, 4.4 m, 4.6 m

Median OS, 10.9 m, 11.0 m

G3-5

11%

22%

IMpower131 [52]

III R 1: 1

N = 578

1. Atezo+Nab-Pacl+Carbo

2. Nab-Pacl+Carbo

ORR, 49%, 41%

Median PFS, 6.3 m, 5.6 m

Median OS, 14.0 m, 13.9 m

G3-5

67%

58%

IMpower133 [53]

III R 1: 1

N = 403

1. Atezo+Etop+Carbo

2. Placebo+Etop+Carbo

ORR, 60.2%, 64.4%

Median PFS, 5.2 m, 4.3 m

Median OS, 12.3 m, 10.3 m

G3-5

58.1%

57.6%

IMpower132 [54]

III R 1: 1

N = 403

1. Atezo+Pem+Plat

2. Placebo+Pem+Plat

ORR, 47%, 32%

Median PFS, 7.6 m, 5.2 m

Median OS,18.1 m, 13.6 m

G3-5

58.1%

57.6%

IMpower150 [55]

III R 1: 1

N = 692

1. Atezo+Bev+Pacl+Carbo

2. Bev+Pacl+Carbo

ORR, 63.5%, 48%

Median PFS, 8.3 m, 6.8 m

Median OS,19.2 m, 14.7 m

G3-5

58.5%

50%

Second-line and beyond

CheckMate 017 [56]

Squamous

III R 1: 1

N = 272

1. Nivo

2. Docetaxel

ORR, 20%, 9%

Median PFS, 3.5 m, 2.8 m

Median OS, 9.2 m, 6.0 m

1-year OS, 42%, 24%

G3-4

7%

55%

CheckMate 032 [57]

I/II NR, N = 216

1. Nivo 3 mg/kg

2. Nivo 1 mg/kg + Ipi 3 mg/kg

3. Nivo 3 mg/kg + Ipi 1 mg/kg.

ORR, 10%, 23%, 19%

Median PFS, 1.4 m, 2.6 m, 1.4 m

Median OS, 4·4 m, 7.7 m, 6.0 m

1-year OS, 33%, 43%, 35%

G3-4

13%

30%

19%

CheckMate 057 [58]

Nonsquamous

III R 1: 1

N = 582

1. Nivo

2. Docetaxel

ORR, 19%, 12%

Median PFS,2.3 m, 4.2 m

Median OS, 12.2 m, 9.4 m

1-year OS, 51%, 39%

G3-4

10%

54%

CheckMate 331 [59]

III R 1: 1

N = 569

1. Nivo

2. Topotecan/Amrubicin

ORR, 13.7%, 16.5%

Median PFS, 1.5 m, 3.8 m

Median OS, 7.5 m, 8.4 m

1-year OS, 37%, 34%

G3-4

4.7%

74%

KEYNOTE-010 [60]

PD-L1 ≥ 1%

II/III R 1: 1: 1

N = 1034

1. Pembro 2 mg/kg,

2. Pembro 10 mg/kg

3. Docetaxel 75 mg/m2

ORR, 18%, 18%, 9%

Median PFS, 3.9 m, 4.0 m, 4.0 m

Median OS, 10·4 m, 12.7 m, 8.5 m

1-year OS, 43.2%, 52.3%, 34.6%

G3-5

13%

16%

35%

KEYNOTE-028

KEYNOTE-158 [61]

Ib/II N = 83

Pembro

ORR, 19.3%

Median PFS, 2.0 m

Median OS, 7.7 m

1-year OS, 20.7%

G3-5

8%

POPLAR [62]

II R 1: 1

N = 287

1. Atezo

2. Docetaxel

ORR, 15%, 15%

Median PFS, 2.7 m, 3.0 m

Median OS, 12.6 m, 9.7 m

G3-4

11%

39%

IFCT-1603 [63]

II R 2: 1

N = 64

1. Atezo

2. Etop+Carbo/Topotecan

6-week ORR, 2.3%, 10%

Median PFS, 1.4 m, 4.3 m

Median OS, 11.4 m, 9.4 m

G3-4

4.2%

~ 35%

OAK [64]

III R 1: 1

N = 850

1. Atezo

2. Docetaxel

ORR, 14%, 13%

Median PFS, 2.8 m, 4.0 m

Median OS, 13.8 m, 9.6 m

G3-4

15%

43%

Maintenance

PACIFIC [65]

III R 2: 1

N = 709

1. CRT+Durva

2. CRT+Placebo

Median PFS, 17.2 m, 5.6 m

Median OS, NR, 28.7 m

1-year OS, 66.3%, 55.6%

G3-4

30.5% 26.1%

CheckMate 451

III R 1: 1: 1

N = 810

1. Nivo

2. Nivo+Ipi

3. Placebo

Maintenance nivo/nivo+ipi did not improve OS

NA

NCT02359019 [66]

II N = 45

Pembro

Median PFS, 1.4 m

Median OS, 9.6 m

~ 15%

  1. Abbreviations: ED extensive-stage, LD limited-stage, R randomized, NR nonrandomized, ORR objective response rate, PFS progression-free survival, OS overall survival, TRAE treatment-related adverse events, G3-5 grade 3-5, Pacl paclitaxel, Carbo carboplatin, Ipi ipilimumab, Etop etoposide, Bev bevacizumab, ir immune related, BORR best overall response rate, mWHO modified WHO, Plat platinum, Nivo nivolumab, Pembro pembrolizumab, Atezo atezolizumab