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
KA, TS, AI, TH, YG, NH, and MK: Writing—review & editing. KI: Writing—review & editing, Supervision. YO: Conceptualization, Data curation, Writing—review & editing. All authors read and approved the submitted version.
YO reports personal fees from Bristol Myers Squibb, Eli Lilly, Takeda, Daiichi Sankyo, AstraZeneca, Chugai Pharma, Amgen, and Novartis, and personal fees from Taiho outside the submitted work. YG reports personal fees from Bristol Myers Squibb, Eli Lilly, Takeda, AstraZeneca, Chugai Pharma, Taiho, and Boehringer Ingelheim outside the submitted work. NH received a research grant from Boehringer Ingelheim and lecture fees from GlaxoSmithKline, AstraZeneca, Novartis, and Boehringer Ingelheim, outside the submitted work. MK received personal fees from Bristol Myers Squibb, Eli Lilly, Takeda, Daiichi Sankyo, AstraZeneca, Chugai Pharma, MSD, and Taiho outside the submitted work. KI reports personal fees from GSK, MSD, Sanofi, AstraZeneca, and Chugai Pharmaceutical Co., and he received research grants from Chugai Pharmaceutical Co. and Taiho Pharmaceutical Co. The other authors declare that they have no conflict of interest.
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© The Author(s) 2024.