Updated overall survival and safety profile of durvalumab monotherapy in advanced NSCLC.

Authors

null

Matthew D. Hellmann

Memorial Sloan Kettering Cancer Center, New York, NY

Matthew D. Hellmann, Scott Joseph Antonia, Ani Sarkis Balmanoukian, Julie R. Brahmer, Sai-Hong Ignatius Ou, Sang-We Kim, Myung-Ju Ahn, Dong-Wan Kim, Martin Gutierrez, Stephen V. Liu, Patrick Schoffski, Dirk Jaeger, Rahima Jamal, Joseph W. Leach, Guy Heinrich Maria Jerusalem, Jose Lutzky, John J. Nemunaitis, Yu Gu, Shaad Essa Abdullah, Neil Howard Segal

Organizations

Memorial Sloan Kettering Cancer Center, New York, NY, H. Lee Moffitt Cancer Center, Tampa, FL, The Angeles Clinic and Research Institute, Los Angeles, CA, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins University, Baltimore, MD, Department of Medicine, Division of Hematology Oncology, University of California Irvine School of Medicine, Irvine, CA, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea, Republic of (South), Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea, Republic of (South), Seoul National University Hospital, Seoul, Korea, Republic of (South), Hackensack University Medical Center, Hackensack, NJ, Georgetown University Medical Center, Washington, DC, University Hospitals Leuven, Leuven, Belgium, Medical Oncology, National Center for Tumor Diseases, University Hospitals Heidelberg, Heidelberg, Germany, Hôpital Notre-Dame, CHUM, University of Montréal, CHUM Research Center (CRCHUM), Montreal, QC, Canada, Oncology Research, Virginia Piper Cancer Institute, Minneapolis, MN, CHU Sart Tilman Liège and Liège University, Liège, Belgium, Mount Sinai Medical Center, Miami Beach, FL, Mary Crowley Cancer Research, Dallas, TX, MedImmune, Gaithersburg, MD

Research Funding

Pharmaceutical/Biotech Company

Background: Single-agent durvalumab is being evaluated in patients with advanced squamous and non-squamous NSCLC in an ongoing Phase 1/2 study (NCT01693562). Here we present updated survival and safety data in NSCLC patients. Methods: Treatment-naïve (1L) and previously treated (2L or 3L+) stage IIIB/IV NSCLC patients received durvalumab 10 mg/kg Q2W for up to 12 months. Patients were stratified by tumor PD-L1 expression (Ventana PD-L1 [SP263] Assay [PD-L1 high: ≥25% of tumor cells with membrane staining]), treatment line, and histology. Results: As of 05 September 2017, 304 NSCLC patients received durvalumab monotherapy. Median duration of follow-up was 35.6 (0.3–50.9) months. Investigator-assessed ORR ranged between 23.2% and 30.0% among PD-L1 high patients, and between 3.6% and 8.3% among PD-L1 low/negative patients. Median PFS and median OS were longer in PD-L1 high vs PD-L1 low/negative patients (Table). Any-grade treatment-related AEs (TRAEs) were reported in 57.2% of pts (including fatigue, 17.4%, decreased appetite, 9.2%, diarrhea, 8.9%); in 10.2% of pts these were Grade 3 or 4. TRAEs resulting in treatment discontinuation were reported in 17 patients (5.6%); 1 patient had a Grade 5 TRAE (pneumonia). Conclusions: In this ongoing phase 1 study, OS and safety profile appear encouraging in treatment-naïve and previously treated NSCLC patients, particularly among PD-L1 high patients. Further investigation regarding PD-L1 expression for selection of patients who most likely benefit from durvalumab is needed. Clinical trial information: NCT01693562

CohortPD-L1 highPD-L1 low/neg
1LN = 50N = 12
    ORR, % (95% CI)30.0 (17.9–44.6)8.3 (0.2–38.5)
    Median OS, mos (95% CI)21.9 (14.5–NE)7.4 (1.7–36.2)
    12-month OS, %70.546.9
    24-month OS, %47.037.5
2LN = 59N = 29
    ORR, % (95% CI)25.4 (15.0–38.4)3.6 (0.1-18.3)
    Median OS, mos (95% CI)17.1 (9.3–23.0)7.9 (4.2–13.8)
    12-month OS, %55.532.8
    24-month OS, %32.123.4
3L+N = 56N = 79
    ORR, % (95% CI)23.2 (13.0–36.4)6.3 (2.1–14.2)
    Median OS, mos (95% CI)13.4 (8.8–16.8)7.6 (5.4–12.8)
    12-month OS, %56.839.1
    24-month OS, %29.419.5

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Abstract Details

Meeting

2018 ASCO-SITC Clinical Immuno-Oncology Symposium

Session Type

Poster Session

Session Title

Poster Session B

Track

Developmental Therapeutics,Genitourinary Cancer,Head and Neck Cancer,Lung Cancer,Melanoma/Skin Cancers,Gastrointestinal Cancer,Breast and Gynecologic Cancers,Combination Studies,Implications for Patients and Society,Miscellaneous Cancers,Oncolytic Viruses,Hematologic Malignancies

Sub Track

Immune Checkpoints and Stimulatory Receptors

Clinical Trial Registration Number

NCT01693562

Citation

J Clin Oncol 36, 2018 (suppl 5S; abstr 169)

DOI

10.1200/JCO.2018.36.5_suppl.169

Abstract #

169

Poster Bd #

L2

Abstract Disclosures

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