Table 1 ICB therapies approved by FDA or NMPA for the treatment of LSCC

From: Signaling pathways and targeted therapies in lung squamous cell carcinoma: mechanisms and clinical trials

Drug

Brand name

Developer

Target

Approved treatment options for LSCC

Approval time

Related trial

Nivolumab

Opdivo®

Bristol-Myers Squibb Co.

PD-1

Neoadjuvant treatment with platinum-doublet chemotherapy for adult patients with resectable NSCLC (The first FDA approval of a checkpoint inhibitor for neoadjuvant treatment of lung cancer)

3/4/2022

CHECKMATE-816 (NCT02998528)

First-line treatment plus ipilimumab and 2 cycles of platinum-doublet chemotherapy for patients with metastatic NSCLC, with no EGFR or ALK genomic tumor aberrations. (FDA)

3/26/2020

CHECKMATE-9LA (NCT03215706)

First-line treatment plus ipilimumab for patients with metastatic NSCLC whose tumors express PD-L1 (≥1%) with no EGFR or ALK genomic tumor aberrations (The first and currently the only FDA approval of a checkpoint inhibitor combination for the treatment of NSCLC)

3/15/2020

CHECKMATE-227 (NCT02477826)

Second-line treatment for patients with metastatic squamous NSCLC whose disease progressed during or following platinum-containing chemotherapy (FDA)

3/4/2015

CHECKMATE-017 (NCT01642004)

Pembrolizumab

Keytruda®

Merck & Co. Inc.

PD-1

First-line treatment for patients with stage III NSCLC who are not candidates for surgical resection or definitive chemoradiation or metastatic NSCLC. Patients’ tumors must have EGFR or ALK genomic aberrations and express PD-L1 (TPS ≥ 1%) (FDA)

4/11/2019

KEYNOTE-042 (NCT02220894)

First-line treatment with carboplatin and either paclitaxel or nab-paclitaxel for metastatic squamous NSCLC (FDA)

10/30/2018

KEYNOTE-407 (NCT02775435)

First-line treatment for patients with metastatic NSCLC whose tumors have high PD-L1 expression (TPS ≥ 50%), with no EGFR or ALK genomic tumor aberrations, and no prior systemic chemotherapy treatment for metastatic NSCLC (The first FDA approval of a checkpoint inhibitor for first-line treatment of lung cancer)

10/24/2016

KEYNOTE-024 (NCT02142738)

Second-line treatment for patients with metastatic NSCLC whose tumors express PD-L1 (TPS ≥ 1%), with disease progression on or after platinum-containing chemotherapy. (FDA)

10/24/2016

KEYNOTE-024 (NCT02142738)

Cemiplimab

Libtayo®

Regeneron Pharmaceuticals, Inc.

PD-1

First-line treatment for patients with advanced NSCLC (locally advanced who are not candidates for surgical resection or definitive chemoradiation or metastatic) whose tumors have high PD-L1 expression (TPS ≥ 50%), with no EGFR, ALK or ROS1 genomic tumor aberrations (FDA)

2/22/2021

EMPOWER-Lung 1 (NCT03088540)

Atezolizumab

Tecentriq®

Genentech, Inc.

PD-L1

Adjuvant treatment following resection and platinum-based chemotherapy in patients with stage II to IIIA NSCLC whose tumors have PD-L1 expression on ≥1% of tumor cells (The first FDA approval of a checkpoint inhibitor for adjuvant treatment of lung cancer)

10/15/2021

IMpower010 (NCT02486718)

First-line treatment for adult patients with metastatic NSCLC whose tumors have high PD-L1 expression (TC ≥ 50% or IC ≥ 10%), with no EGFR or ALK genomic tumor aberrations (FDA)

5/18/2020

IMpower110 (NCT02409342)

Second-line treatment for patients with metastatic NSCLC whose disease progressed during or following platinum-containing chemotherapy (FDA)

10/18/2016

OAK (NCT02008227)

POPLAR (NCT01903993)

Durvalumab

Imfinzi®

AstraZeneca Inc.

PD-L1

Treatment for patients with unresectable stage III NSCLC whose disease has not progressed following concurrent platinum-based chemotherapy and radiation therapy (FDA)

2/16/2018

PACIFIC (NCT02125461)

Ipilimumab

Yervoy®

Bristol-Myers Squibb Co

CTLA-4

First-line treatment plus nivolumab and 2 cycles of platinum-doublet chemotherapy for patients with metastatic NSCLC, with no EGFR or ALK genomic tumor aberrations (FDA)

3/26/2020

CHECKMATE-9LA (NCT03215706)

    

First-line treatment plus nivolumab for patients with metastatic NSCLC whose tumors express PD-L1 (≥1%) with no EGFR or ALK genomic tumor aberrations (The first and currently the only FDA approval of a checkpoint inhibitor combination for the treatment of NSCLC)

3/15/2020

CHECKMATE-227 (NCT02477826)

Sintilimab

Tyvyt®

Innovent Biologics (Suzhou) Co. Ltd.

PD-1

First-line treatment with gemcitabine and platinum for patients with locally advanced or metastatic squamous NSCLC (NMPA)

6/1/2021

ORIENT-12 (NCT03629925)

Camrelizumab

AiRuiKa®

Jiangsu Hengrui Pharmaceuticals

PD-1

First-line treatment with carboplatin and paclitaxel for patients with locally advanced or metastatic squamous NSCLC (NMPA)

12/10/2021

CameL-sq (NCT03668496)

Tislelizumab

BaiZeAn®

BeiGene

PD-1

Second-line or third-line treatment for patients with locally advanced or metastatic NSCLC with disease progression during or following treatment with at least one platinum-containing regimen

1/5/2022

RATIONALE 303 (NCT03358875)

First-line treatment with carboplatin and either paclitaxel or nab-paclitaxel for patients with locally advanced or metastatic squamous NSCLC (NMPA)

1/14/2021

RATIONALE 307 (NCT03594747)

Sugemalimab

Cejemly®

CStone Pharmaceuticals

PD-L1

First-line treatment with carboplatin and paclitaxel for patients with metastatic squamous NSCLC (NMPA)

12/21/2021

GEMSTONE-302 (NCT03789604)

  1. ALK anaplastic lymphoma kinase, CTLA-4 cytotoxic T-lymphocyte antigen 4, EGFR epidermal growth factor receptor, FDA Food and Drug Administration, ICB immune-checkpoint blockade, IC ≥ 10% PD-L1 stained tumor-infiltrating immune cells covering ≥10% of the tumor area, LSCC lung squamous cell carcinoma, NMPA, National Medical Products Administration, NSCLC non-small-cell lung cancer, PD-1 programmed cell death 1, PD-L1 programmed cell death ligand 1, TC ≥ 50% PD-L1 stained ≥50% of tumor cells, TPS tumor proportion score.
  2. ® Registered sign.