Nintedanib plus docetaxel after progression on immune checkpoint inhibitor therapy: insights from VARGADO, a prospective study in patients with lung adenocarcinoma

被引:27
作者
Grohe, Christian [1 ]
Gleiber, Wolfgang [2 ]
Haas, Siegfried [3 ]
Losem, Christoph [4 ]
Mueller-Huesmann, Harald [5 ]
Schulze, Mathias [6 ]
Franke, Christian [7 ]
Basara, Nadezda [8 ]
Atz, Judith [9 ]
Kaiser, Rolf [10 ,11 ]
机构
[1] ELK, Dept Resp Dis, D-13125 Berlin, Germany
[2] Univ Hosp Frankfurt, Pneumol Allergol, D-60590 Frankfurt, Germany
[3] Friedrich Ebert Hosp Neumuenster, Clin Hematol Oncol & Nephrol, D-24534 Neumunster, Germany
[4] MVZ Onkol & Hamatol Rhein Kreis Neuss, D-41462 Neuss, Germany
[5] Bruederkrankenhaus St Josef, Klin Hamatol & Onkol, D-33098 Paderborn, Germany
[6] Praxis Dr Schulze, D-02763 Zittau, Germany
[7] Facharztzentrum Sonneberg, D-96515 Sonneberg, Germany
[8] Malteser Hosp, Dept Internal Med, D-24939 Flensburg, Germany
[9] Boehringer Ingelheim Pharma GmbH & Co KG, Med Affairs Oncol, D-55216 Ingelheim, Germany
[10] Boehringer Ingelheim Pharma GmbH & Co KG, D-55216 Ingelheim, Germany
[11] Johannes Gutenberg Univ Mainz, Inst Pharmacol, D-55122 Mainz, Germany
关键词
angio-immunogenic switch; docetaxel; nintedanib; non-small-cell lung cancer; tumor microenvironment; VARGADO; RESPONSE RATES; CANCER; CHEMOTHERAPY;
D O I
10.2217/fon-2019-0262
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Aim: To assess outcomes in patients with advanced adenocarcinoma non-small-cell lung cancer who received nintedanib plus docetaxel after progression on prior chemotherapy followed by immune checkpoint inhibitor (ICI) therapy. Patients & methods: VARGADO is a prospective, noninterventional study. We describe initial data from a cohort of 22 patients who received nintedanib plus docetaxel after chemotherapy and ICI therapy. Results: Median progression-free survival with nintedanib plus docetaxel was 5.5 months (95% CI: 1.9-8.7 months). The objective response rate was 7/12 (58%) and the disease control rate was 10/12 (83%). Data for overall survival rate 12 months after the start of treatment (primary end point) are not yet mature and are not reported. Of 22 patients, 73% experienced drug-related adverse events; adverse events led to treatment discontinuation in 32% of patients. Conclusion: These data highlight the potential clinical benefit of nintedanib plus docetaxel in patients who failed prior ICI therapy.
引用
收藏
页码:2699 / 2706
页数:8
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