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Bhasin et al. J Transl Genet Genom 2024;8:55-76  https://dx.doi.org/10.20517/jtgg.2023.46   Page 57


 Table 1. Major immune checkpoint inhibitor trials & outcomes

 Patients
 Trial ID  Phase Patients  Drug  Primary endpoint Outcome
 enrolled
 NCT00730639   Ib  mCRPC  17  Nivolumab  Safety tumor   Grade 3/4 TRAE 14%
 (14)  response   ORR 0.0%
 Pharmacokinetics
 NCT01375842   I  mCRPC  35  Atezolizumab  Safety activity  Grade 3/4 TRAE 11.4%
 (15)        Confirmed PSA 50 8.6%
             Median OS 14.7 (95%CI: 5.9-NE) months
 NCT03016312   III  mCRPC  759  Atezolizumab +   Overall survival  Median OS 15.2 months (95%CI: 14-17) in atezolizumab + enzalutamide arm vs. OS 16.6
 (16)  enzalutamide  (95%CI: 14.7-18.4) months in enzalutamide alone
 NCT03170960   Ib  mCRPC  132  Atezolizumab +   ORR  ORR 23%(95%CI: 17%-32%)
 (17)  cabozantinib  Grade 3/4 TRAE 55%
 NCT02484404   I/II  mCRPC  17  Durvalumab + olaparib  Safety PFS  Grade 3/4 TRAE 12% 12-month PFS 51.5% (95%CI: 25.7%-72.3%)
 (18)
 NCT02788773   II  mCRPC  52  Durvalumab +/-   ORR  ORR in durvalumab alone: 0% (95%CI: 0%-25%)
 (19)  tremelimumab  ORR in durvalumab + tremelimumab: 16% (95%CI: 6%-32%)

 NCT02787005   II  mCRPC  258  Pembrolizumab  ORR  Cohort 1:
 (20)            - ORR 5% (95%CI: 2%-11%)
                 - Median OS 9.5 months
             Cohort 2:
                 - ORR 3% (95%CI: < 1%-11%)
                 - Median OS 7.9 months
             Cohort 3:
                 - ORR < 1%
                 - Median OS 14.1 months
                 - Grade 3-5 TRAE 15%
 NCT02787005   III  mCRPC  126  Pembrolizumab +   ORR  Cohort 4:
 (21)  enzalutamide      - ORR 12.3% (95%CI: 6.1%-21.5%)
                 - Median OS 17.6 months (95%CI: 14-22.6)
                 - Grade 3/4 TRAE 27.2%
             Cohort 5:
                 - ORR NA
                 - Median OS 20.8 months (95%CI: 14.1-28.9)
             - Grade 3/4 TRAE 28.9%
 NCT02861573   Ib/II  mCRPC  104  Pembrolizumab +   Safety PSA response  PSA response 15%
 (22)  olaparib  ORR  ORR 8.5% (95%CI: 2.8%-19%)
             Median OS 14 months (95%CI: 10.4-18.2)
             Grade 3-5 TRAE 48%

 NCT01057810   III  Chemotherapy naïve   837  Ipilimumab  Overall survival  Median OS 28.7 months (95%CI: 24.5-32.5) vs. placebo 29.7 months (95%CI: 26.1-34.2)
 (23)  mCRPC  Median PFS 5.6 months ipilimumab vs. 3.8 months placebo
             PSA response rate 23% ipilimumab vs. 8% placebo
             Grade 3/4 Immune-related TRAE 31% ipilimumab vs. 2% placebo
 NCT00861614   III  mCRPC post radiation  998  Ipilimumab  Overall survival  Median OS 11.2 months (95%CI: 9.5-12.7) vs. 10 months (placebo) (95%CI: 8.3-11)
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