Review Article

Anti-PD-1/PD-L1 Therapy for Non-Small-Cell Lung Cancer: Toward Personalized Medicine and Combination Strategies

Table 3

Clinical trials of combination therapy with anti-PD-1/PD-L1 and targeted agents for NSCLC treatment.

PD-1/PD-L1 inhibitorTargeted agentPatients enrolledClinical setting(s)Design and statusPhaseClinical trial (NCT#)StatusEstimated completion date

PembrolizumabAfatinib38Stage IIIA/IIIB/IV NSCLC (EGFR+) with resistance to erlotinibAfatinib dimaleate (first) + pembrolizumab versus pembrolizumab (first) + afatinib dimaleate. Patients: recruiting participants.I/IbNCT02364609RecruitingDecember 2018
DurvalumabGefitinib56NSCLC (EGFR+)Durvalumab + gefitinibINCT02088112Active, not recruitingJune 14, 2019
AtezolizumabRociletinib (CO1686)3Advanced/metastatic NSCLC (EGFR+) regardless of T790M mutationRociletinib + atezolizumabIb/2NCT02630186Active, not recruitingJanuary 2017
DurvalumabOsimertinib (AZD9291)298Advanced NSCLC (EGFR+)AZD9291 + AZD6094 versus AZD9291 + continuous selumetinib versus AZD9291 + intermittent selumetinib versus AZD9291 + MEDI4736 versus AZD9291 + AZD6094 versus AZD9291 + selumetinib versus AZD6094 monotherapy (Japan only)INCT02143466December 28, 2018
Ipilimumab or nivolumabErlotinib or crizotinib14EGFR+ or ALK+ stage IV NSCLCErlotinib + erlotinib versus ipilimumab + crizotinib versus erlotinib + nivolumab versus crizotinib + nivolumabINCT01998126Active, not recruitingDecember 2017
AtezolizumabErlotinib/alectinib52NSCLC (EGFR+ or ALK+)Stage 1: alectinib + atezolizumab versus erlotinib + atezolizumab
Stage 2: alectinib + atezolizumab versus erlotinib + atezolizumab
IbNCT02013219Active, not recruitingDecember 1, 2018
NivolumabCrizotinib78NSCLC (ALK+)Ceritinib + nivolumabINCT02393625RecruitingOctober 2017
PembrolizumabCrizotinib70Advanced NSCLC (ALK+)Crizotinib plus pembrolizumabIbNCT02511184RecruitingSeptember 2018
NivolumabBevacizumab472Advanced NSCLC with response to platinum based chemotherapyNivolumab alone or +bevacizumab for maintenance treatmentINCT01454102RecruitingDecember 2018
PembrolizumabRamucirumab155Solid tumor including NSCLCRamucirumab + pembrolizumabIaNCT02443324Active, not recruitingAugust 2019
PembrolizumabNintedanib18Solid tumor including NSCLCNintedanib + pembrolizumabINCT02856425RecruitingJuly 2021

ALK: anaplastic lymphoma kinase; EGFR: epidermal growth factor receptor; NSCLC: non-small-cell lung cancer; PD-1: programmed death-1; PD-L1: programmed death-ligand 1. Information was summarized based on data published in https://www.clinicaltrials.gov/.