Immune checkpoint inhibitors + EGFR-TKI therapy
Study name | Setting | Drugs | Phase | Efficacy | AEs | References |
---|---|---|---|---|---|---|
CheckMate012 | ≥ 2nd | Nivolumab and erlotinib | Ib | ORR 15%, DCR 65%, PFS: 5.1 months | G3: 24%, no G4 or G5 TRAEs | [49] |
TATTON | ≥ 2nd | Durvalumab + osimertinib | Ib | ORR 43% | ≥ G3: 48%; ILD occurred in 22% (≥ G3, 8.7%) | [14] |
CAURAL | ≥ 2nd | Durvalumab + osimertinib | III | ORR 64% in the combination arm | Not sufficient data, grade 2 interstitial lung disease occurred in 1 patient. | [46] |
NCT02040064 | 2nd | Tremelimumab and gefitinib | I | PFS of 2.2 months | G3 TRAE 81% | [50] |
NCT01998126 | 1st | Ipilimumab and erlotinib | I | PFS 27.8 months | Four of the 11 patients had G3 colitis. | [51] |
NCT02013219 | 1st and any | Atezolizumab + erlotinib | Ib | PFS 15.4 months | G3 46%, no G4 or G5 TRAE. | [52] |
KEYNOTE 021 | 1st | Pembrrolizumab + gefitinib (cohort F), Pembrrolizumab + erlotinib (cohort E) | Phase I/II | ORR 41.7% in cohort F and 14.3% in cohort E | G3: 33.3% in cohort F, G3–4: 71.4% in cohort E | [44] |
ORR: objective response rate; DCR: dacryocystorhinostomy; PFS: progression free survival; TRAEs: treatment related adverse event; ILD: interstitial lung disease; EGFR: epidermal growth factor receptor; TKI: tyrosine kinase inhibitor