N Engl J Med; Volume 373(17):1627-1639; October 22, 2015 R3 이지훈 / Prof. 백선경
BACKGROUND 2nd line treatment for advanced NSCLC Docetaxel : anti-mitotics Pemetrexed (Alimta) : folate antimetabolites Erlotinib (Tarceva) : EGFR inhibitor
BACKGROUND Nivolumab a fully human IgG4 anti-PD-1 monoclonal Ab “Cancer Immunotherapy” Restore antitumor immunity In phase 1 studies Durable antitumor activity Encouraging results on survival in all NSCLC subtypes Response rate : 17.6% Overall survival : 42%(1yr) → 23%(2yrs) → 16%(3yrs) Progression-free survival : 18% at 1 year
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METHODS
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RESULTS
CONCLUSION Among patients with advanced nonsquamous NSCLC that had progressed during or after platinum-based chemotherapy, overall survival was longer with nivolumab than with docetaxel.