TABLE 2

Approved drug combinations in lung oncology, 2000–2020

Chemical nameLine of therapyPhase ITrial leading to approvalSample sizeEMA approval dateApproval trial phaseHistologyClassMonoclonal antibodyRoute of administrationPrimary end-point trial leading to approval
Bevacizumab/paclitaxel/carboplatinFirstWillett (Phase I) [56]; Johnson (Phase II) [57]Sandler [58]n=87823 August 2007IIInsNSCLCTargeted agentYesi.v.MOS
Pemetrexed/cisplatinFirstThödtmann [59]Scagliotti [60]n=172528 October 2011IIInsNSCLCCT/CTNoi.v.MOS
Nintedanib/docetaxelSecondMross [61]Reck [62]n=132427 November 2014IIInsNSCLCTargeted agentNoOralPFS
nabPaclitaxel/carboplatinFirstRizvi [63]Socinski [64]n=10522 March 2015IIISqNSCLCChemotherapyNoi.v.ORR
Docetaxel/ramucirumabSecondSpratlin [65]Garon [66]n=182528 January 2016IIInsNSCLCTargeted agentYesi.v.MOS
Gemcitabine/cisplatin/necitumumabFirstKuenen [67]Thatcher [68]n=109324 February 2016IIISqNSCLCTargeted agentYesi.v.MOS
Pembrolizumab/(nab)Paclitaxel/carboplatinFirstGadgeel [69]Paz-Ares [70]n=55914 March 2019IIISqNSCLCICP/CT/CTYesi.v.MOS PFS
Pembrolizumab/pemetrexed/platinFirstGadgeel [69]Gandhi [71]n=61615 March 2019IIInsNSCLCICP/CT/CTYesi.v.MOS PFS
Atezolizumab/carboplatin/etoposideFirstHorn [72]Horn [72]n=4036 September 2019IIISCLCICP/CT/CTYesi.v.MOS PFS
Atezolizumab/nab-Paclitaxel/carboplatinFirstLiu [73]West [74]n=7236 September 2019IIInsNSCLCICP/CT/CTYesi.v.MOS PFS
Atezolizumab/paclitaxel/carboplatin/bevacizumabFirstLiu [73]Socinski [75]n=6926 September 2019IIInsNSCLCICP/CT/CT/TAYesi.v.MOS PFS

EMA: European Medicines Agency; nsNSCLC: nonsquamous nonsmall cell lung cancer; MOS: median overall survival; CT: chemotherapy; PFS: progression free survival; SqNSCLC: squamous nonsmall cell lung cancer; ORR: objective response rate; ICP: immune checkpoint; SCLC: small cell lung cancer; TA: targeted agent