Switching administration of anti‐PD‐1 and anti‐PD‐L1 antibodies as immune checkpoint inhibitor rechallenge in individuals with advanced non‐small cell lung cancer: Case series and literature review

May 19, 2020Thoracic cancer

Switching between two types of immune checkpoint blockers for repeated treatment in advanced lung cancer: Case reports and review

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Abstract

Among 17 patients with advanced or recurrent non-small cell lung cancer, one (5.9%) achieved partial response after immune checkpoint inhibitor rechallenge.

  • Nine patients (52.9%) had stable disease following the rechallenge with .
  • The median after rechallenge was 4.0 months (range: 0.4-8.0 months).
  • The median from the initial immune checkpoint inhibitor treatment was 31.0 months (range: 7.6-46.8 months).
  • Of 10 patients with immune-related adverse events during the first treatment, five experienced these events again after rechallenge.
  • Four patients had relapsed immune-related adverse events, with two experiencing grade 3 or higher pneumonitis.
  • Almost all immune-related adverse events during rechallenge were manageable.

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Key numbers

1 of 17
Partial Response Rate
One patient achieved partial response after rechallenge.
9 of 17
Stable Disease Rate
Nine patients achieved stable disease after ICI rechallenge.
4.0 months
Median
Median after switching was 4.0 months.

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