Study study type PathologyT1T0Patientssample sizesROB Results

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

versus docetaxel
sotorasib
CodeBreaK 200, 2022
 
NCT04303780
RCTmetastatic/advanced NSCLC (mNSCLC) - 2nd line (L2)oral sotorasib (960 mg daily)intravenous docetaxel (75 mg/m2 every 3 weeks)KRAS G12C-mutated NSCLC who progressed after prior platinum-based chemotherapy and a checkpoint inhibitor169 / 151NA
conclusif
  • demonstrated 34 % decrease in progression or deaths (PFS),progression or deaths (PFS) (PE)
sotorasib NICE ITC 1 unpublished INDmetastatic/advanced NSCLC (mNSCLC) - 2nd line (L2)sotorasibdocetaxel monotherapySLECT 1 patients with KRASmutated (including KRAS p.G12C -mutated) NSCLC-/-NA
suggested
  • suggested 40 % decrease in deaths (OS),deaths (OS)
  • suggested 59 % decrease in progression or deaths (PFS),progression or deaths (PFS)
sotorasib NICE ITC Flatiron unpublished INDmetastatic/advanced NSCLC (mNSCLC) - 2nd line (L2)sotorasibdocetaxel monotherapy-/-NA
suggested
  • suggested 37 % decrease in deaths (OS),deaths (OS)
versus no control (uncontrolled study)
sotorasib
CodeBreaK 100, 2021
  NCT03600883
DESCKRAS gene alteration defined cancer, metastatic/advanced NSCLC (mNSCLC) - 2nd line (L2)otorasib, administered orally at a dose of 960 mg once dailypatients with KRAS p.G12C-mutated advanced NSCLC previously treated with standard therapies124NA
no results
    no results
trametinib plus dabrafenib
BRF113928 unpublished
 
NCT01336634
NRametastatic/advanced NSCLC (mNSCLC) - 2nd line (L2)dabrafenib (150 mg orally twice daily) and trametinib (2 mg orally once daily)patients with locally confirmed BRAF V600E mutation-positive metastatic NSCLC-/-NA
no results
    no results

mNSCLC - L2 - all population metastatic/advanced NSCLC (mNSCLC) - 2nd line (L2) mNSCLC - L2 - all population

versus docetaxel
atezolizumab alone
OAK (all population), 2016
  NCT02008227
RCTmNSCLC - L2 - all populationatelozumabdocetaxelpatients with locally advanced or metastatic (IIIB and IV) non-small cell lung cancer (NSCLC) who have failed platinum therapy613 / 612some concern
conclusif
  • demonstrated 20 % decrease in deaths (OS) (PE)
POPLAR, 2016
  NCT01903993
RCTmNSCLC - L2 - all populationatezolizumabdocetaxelpatients with locally advanced or metastatic non-small cell lung cancer who have failed platinum therapy144 / 143some concern
conclusif
  • demonstrated 27 % decrease in deaths (OS) (PE)
avelumab alone
JAVELIN Lung 200 (all population), 2018
  NCT02395172
RCTmNSCLC - L2 - all populationavelumabdocetaxelpatients with stage IIIB, IV, or recurrent NSCLC with disease progression after previous platinum doublet treatment396 / 396some concern
inconclusive
    no statistically significant result
nivolumab alone
CheckMate 078, 2019
  NCT02613507
RCTmNSCLC - L2 - all populationnivolumabdocetaxelPatients with stage IIIB or IV or recurrent squamous or nonsquamous NSCLC progressing during or after one previous platinumbased doublet chemotherapy regimen. (predominantly Chinese patient)338 / 166some concern
conclusif
  • demonstrated 32 % decrease in deaths (OS) (PE)
  • demonstrated 23 % decrease in progression or deaths (PFS) (PE)
  • suggested 25 % decrease in deaths (OS) (extension)
  • suggested 21 % decrease in PFS (extension)
  • more...
Tislelizumab
RATIONALE 303 unpublished
 
NCT03358875
RCTmNSCLC - L2 - all populationTislelizumabDocetaxelPatients With stage IIB or IV Non-Small Cell Lung Cancer Who Have Progressed on a Prior Platinum-Containing Regimen-/-NA
no results
    no results
According to BeiGene, in the interim analysis, the study achieved the primary endpoint of overall survival (OS) in the intent-to-treat (ITT) population

mNSCLC - L2 - EGFR mutant metastatic/advanced NSCLC (mNSCLC) - 2nd line (L2) mNSCLC - L2 - EGFR mutant

versus osimertinib
durvalumab plus osimertinib
CAURAL (EXPLORATORY), 2019
  NCT02454933
RCTmNSCLC - L2 - EGFR mutantdurvalumab plus osimertinibosimertinibPatients with EGFR T790M mutation positive locally advanced/metastatic NSCLC (stage IIIB–IV) (previous treatment 1 to >4)14 / 15some concern
inconclusive
    no statistically significant result

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

versus Standard of Care (SoC)
durvalumab plus tremelimumab
ARCTIC (DT ; study B ; PDL1<25%), 2020
  NCT02352948
RCTmNSCLC - L2 - PDL1 negativedurvalumab plus tremelimumabstandard 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;174 / 118some concern
inconclusive
  • inconclusive 20 % decrease in deaths (OS) (PE)
  • inconclusive 23 % decrease in progression or deaths (PFS) (PE)

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), 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)
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)
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)

non squamous - mNSCLC - L2 - all population metastatic/advanced NSCLC (mNSCLC) - 2nd line (L2) non squamous cell - mNSCLC - L2 non squamous - mNSCLC - L2 - all population

versus docetaxel
nivolumab alone
CheckMate 057, 2015
  NCT01673867
RCTnon squamous - mNSCLC - L2 - all populationnivolumabdocetaxelPatients with advanced (stage IIIb or IV or recurrent) nonsquamous NSCLC that had progressed during or after platinum-based chemotherapy292 / 290some concern
conclusif
  • demonstrated 27 % decrease in deaths (OS) (PE)
  • demonstrated 70 % increase in objective responses (ORR) (PE)

squamous - mNSCLC - L2 - all population metastatic/advanced NSCLC (mNSCLC) - 2nd line (L2) squamous cell - mNSCLC - L2 squamous - mNSCLC - L2 - all population

versus docetaxel
nivolumab alone
CheckMate 017, 2015
  NCT01642004
RCTsquamous - mNSCLC - L2 - all populationNivolumabDocetaxelPatients with stage IIIB or IV squamous-cell NSCLC who had disease recurrence after only one prior platinum-containing regimen135 / 137some concern
conclusif
  • demonstrated 41 % decrease in deaths (OS) (PE)
  • demonstrated 38 % decrease in progression or deaths (PFS) (PE)
  • suggested 69 % decrease in deaths (OS) (extension)
  • suggested 52 % decrease in PFS (extension)
  • more...