Study study type PathologyT1T0Patientssample sizesROB Results

mNSCLC - L2 - PDL1 positive metastatic/advanced NSCLC (mNSCLC) - 2nd line (L2) mNSCLC - L2 - PDL1 positive

versus docetaxel
atezolizumab alone
OAK (PDL1 TC 1/2/3), 2016
  NCT02008227
RCTmNSCLC - L2 - PDL1 positiveatelozumabdocetaxelpatients with locally advanced or metastatic (IIIB and IV) non-small cell lung cancer (NSCLC) who have failed platinum therapy, only patients with PDL1 TC 1/2/3347 / 337some concern
conclusif
  • demonstrated 23 % decrease in deaths (OS) (PE)
  • statistically significant 8.6-fold increase in DOR
avelumab alone
JAVELIN Lung 200 (PDL1 >1%), 2018
  NCT02395172
RCTmNSCLC - L2 - PDL1 positiveavelumabdocetaxelpatients with stage IIIB, IV, or recurrent NSCLC with disease progression after previous platinum doublet treatment PDL1 positive population264 / 265some concern
suggested
  • inconclusive 10 % decrease in deaths (OS),deaths (OS) (PE)
pembrolizumab (10mg/kg)
KEYNOTE-010 (P:10 mg/kg), 2016
  NCT01905657
RCTmNSCLC - L2 - PDL1 positivepembrolizumab 10 mg/kgdocetaxelpatients with previously treated (one line or more) non-small-cell lung cancer with PD-L1 expression on at least 1% of tumour cells346 / 343high
conclusif
  • demonstrated 39 % decrease in deaths (OS) (PE)
  • suggested 21 % decrease in progression or deaths (PFS) (PE)
KEYNOTE-010 (P:10 mg/kg ; PDL1>50%), 2016
  NCT01905657
RCTmNSCLC - L2 - PDL1 positivepembrolizumab 10 mg/kgdocetaxelpatients with previously treated non-small-cell lung cancer with PD-L1 expression on at least 50% of tumour cells151 / 152high
conclusif
  • demonstrated 50 % decrease in deaths (OS) (PE)
  • demonstrated 41 % decrease in progression or deaths (PFS) (PE)
  • suggested 45 % decrease in deaths (OS) (extension)
  • suggested 43 % decrease in PFS (extension)
pembrolizumab (2mg/kg)
KEYNOTE-010 (P: 2mg/kg ; PDL1>50%), 2016
  NCT01905657
RCTmNSCLC - L2 - PDL1 positivepembrolizumab 2 mg/kgdocetaxelpatients with previously treated non-small-cell lung cancer with PD-L1 expression on at least 50% of tumour cells139 / 152high
conclusif
  • demonstrated 46 % decrease in deaths (OS) (PE)
  • demonstrated 41 % decrease in progression or deaths (PFS) (PE)
KEYNOTE-010 (P: 2mg/kg), 2016
  NCT01905657
RCTmNSCLC - L2 - PDL1 positivepembrolizumab 2 mg/kgdocetaxelpatients with previously treated non-small-cell lung cancer with PD-L1 expression on at least 1% of tumour cells344 / 343high
conclusif
  • demonstrated 29 % decrease in deaths (OS) (PE)
  • inconclusive 12 % decrease in progression or deaths (PFS) (PE)
versus Standard of Care (SoC)
durvalumab alone
ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020
  NCT02352948
RCTmNSCLC - L2 - PDL1 positivedurvalumabstandard of care : erlotinib, gemcitabine or vinorelbinepatients with PD-L1 positive locally advanced or metastatic non small cell lung cancer who have received at least 2 prior systemic treatment regimens including 1 platinum-based chemotherapy regimen for stage IIIB/IV locally advanced or mNSCLC;62 / 64some concern
suggested
  • suggested 37 % decrease in deaths (OS)