Biomarker-tailored and biomarker-independent therapies for immune oncology drugs

Tumor typePD-1 inhibitorsPD-L1 inhibitors
PembrolizumabNivolumabDostarlimabAtezolizumabAvelumabDurvalumab
Biomarker-tailored therapies for metastatic or unresectable disease
NSCLC without ALK/EGFR alterations, 1st lineSingle-agent, ≥ 1% PD-L1 positive tumor cellsIn combination with ipilimumab, ≥ 1% PD-L1 positive tumor cells-Single-agent, ≥ 50% PD-L1 positive tumor cells, or PD-L1 positive immune cells covering ≥ 10% of the tumor area--
NSCLC without ALK/EGFR alterations, previously treatedSingle-agent, ≥ 1% PD-L1 positive tumor cells-----
HNSCC, 1st lineSingle-agent, CPS ≥ 1-----
Triple-negative breast carcinoma, 1st lineIn combination with chemotherapy, CPS ≥ 10-----
Esophageal carcinoma, previously treatedSingle-agent, CPS ≥ 10-----
Gastric carcinoma, HER2-positive, 1st lineIn combination with trastuzumab, platinum and fluoropyrimidines, CPS ≥ 1-----
Gastric carcinoma, previously treatedSingle-agent, CPS ≥ 1-----
Urothelial carcinoma, cisplatin-ineligibleSingle-agent, CPS ≥ 10--Single-agent, PD-L1 positive immune cells covering ≥ 5% of the tumor area--
Cervical carcinoma, 1st lineIn combination with chemotherapy, CPS ≥ 1-----
Colorectal carcinoma, 1st lineSingle-agent, MSI-H/dMMR-----
Colorectal carcinoma, previously treatedSingle-agent, MSI-H/dMMRSingle-agent or in combination with ipilimumab, MSI-H/dMMR----
Endometrial carcinoma, 1st line--In combination with carboplatin and paclitaxel, following by single-agent, dMMR or MSI-H--In combination with carboplatin and paclitaxel, following by single-agent, dMMR
Endometrial carcinoma, previously treatedSingle-agent, MSI-H/dMMR-Single-agent, dMMR---
All tumor types (agnostic), previously treatedSingle-agent, MSI-H/dMMR-Single-agent, dMMR---
All tumor types (agnostic), previously treatedSingle-agent, high TMB (≥ 10 mutations per megabase)-----
Biomarker-independent therapies for metastatic or unresectable disease
MelanomaSingle-agentSingle-agent or in combination with ipilimumab or relatlimab-In combination with vemurafenib and cobimetinib for BRAF V600 mutated melanoma--
NSCLC without ALK/EGFR alterations, 1st lineNon-squamous: in combination with pemetrexed and platinum; squamous: in combination with carboplatin and paclitaxelIn combination with ipilimumab and 2 cycles of platinum-doublet-In combination with chemotherapy and bevacizumab-In combination with tremelimumab-actl and platinum
NSCLC, previously treated-Single-agent-Single-agent--
NSCLC, stage III, after chemo- and radiotherapy-----Single-agent
SCLC, 1st line---In combination with carboplatin and etoposide-In combination with platinum and etoposide
SCLC, previously treatedSingle-agent-----
Malignant pleural mesothelioma, 1st line-In combination with ipilimumab----
HNSCC, 1st lineIn combination with platinum and FU-----
HNSCC, previously treatedSingle-agentSingle-agent----
Esophageal carcinoma, 1st lineIn combination with platinum and fluoropyrimidinesIn combination with platinum and fluoropyrimidines, or in combination with ipilimumab----
Esophageal squamous cell carcinoma, previously treated-Single-agent----
Gastric carcinoma, 1st lineIn combination with platinum and fluoropyrimidinesIn combination with platinum and fluoropyrimidines----
Biliary tract carcinomaIn combination with gemcitabine and cisplatin----In combination with gemcitabine and cisplatin
Urothelial carcinoma, 1st lineIn combination with enfortumab vedotin-----
Urothelial carcinoma, platinum-ineligibleSingle-agent--Single-agent--
Urothelial carcinoma, previously treatedSingle-agentSingle-agent--Single-agent-
Classical Hodgkin lymphoma, previously treatedSingle-agentSingle-agent----
Primary mediastinal large B-cell lymphomaSingle-agent-----
Hepatocellular carcinoma, 1st line---In combination with bevacizumab-In combination with tremelimumab-actl
Hepatocellular carcinoma, previously treatedSingle-agentIn combination with ipilimumab----
Merkel cell carcinomaSingle-agent---Single-agent-
Renal cell carcinoma, 1st lineIn combination with axitinib or lenvatinibIn combination with ipilimumab or cabozantinib--In combination with axitinib-
Renal cell carcinoma, previously treated-Single-agent----
Endometrial carcinoma, without MSI-H/dMMR, previously treatedIn combination with lenvatinib-----
Cutaneous squamous cell carcinomaSingle-agent-----
Alveolar soft part sarcoma---Single-agent--
Neoadjuvant therapy
NSCLCIn combination with platinum containing chemotherapyIn combination with platinum doublet----
Triple-negative breast cancerIn combination with chemotherapy-----
Adjuvant therapy
MelanomaSingle-agentSingle-agent----
Urothelial carcinoma-Single-agent----
Esophageal carcinoma-Single-agent----
NSCLCSingle-agent--Single-agent, ≥ 1% PD-L1 positive tumor cells--
Renal cell carcinomaSingle-agent-----

CPS: combined positive score; dMMR: deficiency in mismatch DNA repair; HNSCC: head and neck squamous cell carcinoma; MSI-H: high-level microsatellite instability; NSCLC: non-small-cell lung cancer; SCLC: small-cell lung cancer; TMB: tumor mutation burden; FU: fluorouracil