Conference Coverage

Atezolizumab bests chemo in NSCLC patients with high PD-L1 expression


 

REPORTING FROM SITC 2019

In the TC3/IC3 population, the median PFS was 5.0 months with chemotherapy and 8.1 months with atezolizumab (HR, 0.63; P = .0070). In the TC2/3 or IC2/3 group, the median PFS was 5.5 months with chemotherapy and 7.2 months with atezolizumab (HR, 0.67; P = .0030). In the overall population, the median PFS was 5.5 months with chemotherapy and 5.7 months with atezolizumab (HR, 0.77; P = .0104).

Safety

“The safety profile of atezolizumab was consistent with prior observations,” Dr. Giaccone said.

The incidence of treatment-related adverse events (AEs) was 90.2% in the atezolizumab arm and 94.7% in the chemotherapy arm. Rates of grade 3/4 related AEs were 12.9% and 44.1%, respectively. There was one grade 5 AE in the chemotherapy arm and none in the atezolizumab arm.

AEs that were more frequent with atezolizumab included increased aspartate aminotransferase, pruritus, and hypothyroidism.

This trial is sponsored by Hoffmann-La Roche, and Dr. Giaccone disclosed grants and nonfinancial support from the company.

SOURCE: Giaccone G et al. SITC 2019, Abstract O81.

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