TABLE 1

FDA–approved targeted therapies with specific FDA-labeled indications

This table gives an overview of clinical trials that led to approval of each drug and extension of the FDA label for particular indications following initial approval. Important key trials were added at the discretion of the authors. Accelerated approval of drugs for particular indications is highlighted in the indications column.

Drug, U.S. FDA-Labeled Approval(s)Study NamePhaseStudy Population, SizeIntervention(s)Primary Outcome(s)Selected Secondary OutcomesReference(s)
Alemtuzumab
 B-CLL, previously untreated3N = 297Alemtuzumab versus chlorambucilPFS: 14.6 versus 11.7 months*RR: 83.2% versus 55.4% *(Hillmen et al., 2007)
 Initial accelerated approval
N/AN = 149; 3 single-arm studiesAlemtuzumabPR: 21%–31%PI
CR: 0%–2%
Axitinib
 Advanced RCC after failure of prior systemic therapyAXIS3N = 723Axitinib versus sorafenibPFS: 6.7 versus 4.7 months*ORR: 19.4% versus 9.4%*(Rini et al., 2011)
Bevacizumab
 Metastatic CRC, with 5-FU, first- or second-line therapyStudy 21073Previously untreated, N = 813Bevacizumab versus placebo, with IFLOS: 20.3 versus 15.6 months*PFS: 10.6 versus 6.2 months*(Hurwitz et al., 2004)
ORR: 44.8% versus 34.8%*
E32003Previously treated, N = 829FOLFOX4, bevacizumab, versus bothOS: 12.9 (combination) versus 10.8 months (FOLFOX)*PFS: 7.3 versus 4.7 months*(Giantonio et al., 2007)
ORR: 22.7% versus 8.6% *
2Previously treated, N = 339Bevacizumab with 5-FU/LVORR 1%PFS: 3.5 months(Chen et al., 2006)
OS: 9 months
 Metastatic CRC, second-line after first progression on bevacizumab-based chemotherapyML181473N = 820Bevacizumab with chemotherapy (oxaliplatin- or irinotecan-based) versus chemotherapy aloneOS: 11.2 versus 9.8 months*PFS: 5.7 versus 4.1 months*(Bennouna et al., 2013)
 Advanced NSCLC, nonsquamous, with carboplatin/paclitaxel, first-lineE45993N = 878Paclitaxel and carboplatin +/− bevacizumabOS: 12.3 versus 10.3 months*PFS: 6.2 versus 4.5 months*(Sandler et al., 2006)
ORR: 33% versus 15%*
AVAiL3N = 1043Cisplatin/gemcitabine with bevacizumab 7.5 mg/kg versus bevacizumab 15 mg/kg versus placeboPFS: 6.7 (7.5 mg/kg) versus 6.5 (15 mg/kg) versus 6.1 months (chemotherapy) *OS: 13.1 (placebo) versus 13.6 months (7.5 mg/kg) versus 13.4 months (15 mg/kg)(Reck et al., 2009, 2010)
 Glioblastoma, progressive after prior therapyNCI-06-C-0064E2N = 48BevacizumabRadiographic response rate: 71%OS: 31 weeks(Kreisl et al., 2009)
 Accelerated approvalPFS: 16 weeks
BRAIN2First or second relapse, N = 167Bevacizumab +/− irinotecanPFS at 6 months: 42.6% bevacizumab versus 50.3% combination*OS: 9.2 versus 8.7 months (significance testing not provided)(Friedman et al., 2009)
 Ovarian cancer, advanced newly diagnosed and stage IV3N = 1873Carboplatin + paclitexal with placebo or bevacizumab initiation or bevacizumab throughoutPFS 10.3 versus 11.2 versus 14.1 monthsOS 39.3 versus 38.7 versus 39.7(Burger et al., 2011)
 Metastatic RCC, with INFαAVOREN Trial3Previously untreated, N = 649IFN-α2a with bevacizumab versus IFN with placeboOS: 23.3 versus 21.3 monthsPFS: 10.2 versus 5.4 months*(Escudier et al., 2007a, 2010)
Bortezomib
 Multiple myeloma, first-lineVISTA3Ineligible for stem cell transplant, N = 682Melphalan/prednisone +/− bortezomibTTP: 24 versus 16.6 months*CR: 30% versus 4%*(San Miguel et al., 2008)
OS, median: 56.4 versus 43.1 months *
 Multiple myeloma, relapsed/refractoryAPEX3Relapsed after 1-3 prior therapies, N = 669Bortezomib versus high-dose dexamethasoneTTP: 6.22 versus 3.49 months*ORR: 38% versus 18%*(Richardson et al., 2005, 2007)
OS: 29.8 versus 23 months*
SUMMIT2N = 202Bortezomib (+dexamethasone if poor response)ORR: 35%OS: 16 months(Richardson et al., 2003)
DR: 12 months
CREST2N = 54Bortezomib (two dosages, with dexamethasone if poor response)ORR: 50% (1.3 mg/m2), 33% (1 mg/m2)TTP: 11 months (1.3 mg/m2), 7 months (1 mg/m2)(Jagannath et al., 2004)
OS: median not reached (1.3 mg/m2) and 26.7 months (1 mg/m2)
 Multiple myeloma, SQ administration3Relapsed after 1–3 prior therapies, N = 222Bortezomib SQ versus i.v.ORR at 4 months: 42% in both groupsTTP: 10.4 versus 11.7 months(Moreau et al., 2011)
OS, 1 year: 72.6% versus 76.7%
 Mantle cell lymphoma, previously treatedPINNACLE2N = 155BortezomibTTP versus historical controls: insufficient controlsORR: 33%(Fisher et al., 2006)
DR 9.2 months
TTP: 6.2 months
Brentuximab vedotin
 Hodgkin’s lymphoma, relapsed/refractory after auto SCT or at least two chemotherapy regimens2N = 102Brentuximab vedotinORR: 75%PFS: 5.6 months(Younes et al., 2012)
 Accelerated approvalCR 34%OS: 22.4 months
 sALCL, after failed systemic therapy2N = 58Brentuximab vedotinORR: 86%DR: 12.6 monthsPI
 Accelerated approval
Carfilzomib
 Multiple myeloma, relapsed/refractory2N = 266CarfilzomibORR: 23.7%DR: 7.8 months(Siegel et al., 2012)
 Accelerated approvalOS: 15.6 months
PFS: 3.7 months
Cetuximab
 Metastatic CRC, K-RAS WT, EGFR+, with FOLFIRI, first-lineCRYSTAL3N = 1198FOLFIRI with versus without cetuximabPFS: 8.9 versus 8.0 months*OS (K-RAS WT): 23.5 versus 20 months*(Van Cutsem et al., 2009, 2011)
PFS (K-RAS WT): 9.9 versus 8.4 months*ORR (K-RAS WT): 59.3 versus 43.2%*
 Metastatic CRC, K-RAS WT, EGFR+, with irinotecan, in patients refractory to irinotecan-based chemotherapyBOND2N = 329Cetuximab with versus without irinotecanORR: 22.9% (combination) versus 10.8% (cetuximab)*TTP: 4.1 versus 1.5 months*(Cunningham et al., 2004)
OS: 8.6 versus 6.9 months
 Metastatic CRC, K-RAS WT, EGFR+, single agent, in patients who have failed oxaliplatin and irinotecan-based therapy or are intolerant to irinotecanN = 572Cetuximab versus BSCOS:6.1 months versus 4.6 months*PFS: HR 0.68*(Jonker et al., 2007)
 Locoregionally advanced SCCHN, with radiation therapy3N = 424Radiotherapy with versus without cetuximabDuration of disease control: 24.4 versus 14.9 months*OS: 49 versus 29.3 months*(Bonner et al., 2006)
PFS: 17.1 versus 12.4 months*
 Recurrent or metastatic SCCHN, with platinum-based therapy/5-FUEXTREME3N = 442Platinum-based chemotherapy with versus without cetuximabOS: 10.1 versus 7.4 months*PFS: 5.6 versus 3.3 months*(Vermorken et al., 2008)
ORR: 36% versus 20%*
 Recurrent locoregional/metastatic SCCHN, single agent, after failure of platinum-based chemotherapy2N = 103Cetuximab, with platinum-based chemotherapy if poor responseORR: 13%TTP: 70 days(Vermorken et al., 2007)
OS: 178 days
Crizotinib
 NSCLC, locally advanced or metastatic, ALK positiveStudy A2N = 136CrizotinibORR: 50%DR: 41.9 weeksPIa
 Accelerated approval
Study B1N = 119CrizotinibORR: 61%DR: 48 weeksb
PFS: 10 months
Dasatinib
 CML-CP, Ph+, newly diagnosedDASISION3CML-CP, N = 519Dasatinib (once daily) versus imatinibCCyR at 12 months: 77 versus 66%*MMR: 52% versus 34%*(Kantarjian et al., 2010, 2012)
Accelerated approval
 CML-CP, resistant or intolerant to imatinib, once daily dosing3CML-CP, N = 670Dasatinib dose optimizationMCyR:OS, estimated at 24 months(Shah et al., 2008, 2010)
 Accelerated approval for daily dosing140 mg daily: 63%140 mg daily: 94$
70 mg BID: 61%70 mg BID: 88%
100 mg daily: 63%100 mg daily: 91%
50 mg BID: 61%50 mg BID: 90%
START-C2CML-CP, N = 186Dasatinib BIDMCyR: 52%CHR: 90%(Hochhaus et al., 2007)
START-R2CML-CP, N = 150Dasatinib BID (70 mg PO BID) versus imatinibMCyR at 24 months: 53% versus 33%*CHR: 93% versus 82%*(Kantarjian et al., 2007a)
TTF: not reached versus 3.5 months*
PFS: HR 0.14*
 CML advanced phase or Ph+ ALL, resistant or intolerant to imatinib3CML-AP, MB, LB, Ph+ ALL, N = 611Dasatinib 140 mg daily versus 70 mg BIDMaHR: Daily versus BIDOS: 63 vs. 72% (no significant difference)(Kantarjian et al., 2009; Lilly et al., 2010; Saglio et al., 2010a)
 Accelerated approvalCML-AP: 66% versus 68%CML-AP: 63% versus 72%, Est 24-month
CML-MB: 28% versus 28%CML-MB: 7.9 versus 7.7 months, median
CML-LB: 42% versus 32%CML-LB: 11.4 versus 9.0 months, median
Ph+ ALL: 38% vs32%Ph+ ALL: 6.5 versus 9.1 months, median
START-A2CML-AP, N = 174Dasatinib BIDMaHR: 64%PFS, at 12 months: 66%(Apperley et al., 2009)
OS, at 12 months: 82%
START-B and START-L2CML-MB, N = 74Dasatinib BIDMaHR: 34% (CML-MB), 31% (CML-LB)PFS: 6.7 months (CML-MB), 3.0 months (CML-LB)(Cortes et al., 2007)
CML-LB, N = 42OHR: 53% (CML-MB), 36% (CML-LB)OS: 11.8 months (CML-MB), 5.3 months (CML-LB)
START-L2Ph+ ALL, N = 36Dasatinib BIDMaHR: 42%PFS: 3 months(Ottmann et al., 2007)
OHR: 50%OS at 24 months: 31%
Denileukin diftitox
 Persistent or recurrent CD25+ CTCL3CTCL, stage IA to III, N = 144Denileukin diftitox versus placeboORR: 49.1% (18 μg/kg)* versus 37.8% (9 μg/kg)* versus 15.9% (placebo)PFS: 971 days (18 μg/kg) * versus 794 days (9 μg/kg) * versus 124 days (placebo)(Prince et al., 2010)
 Initial accelerated approval
3CTCL, stage Ib to IVa, N = 71Denileukin diftitoxORR: 30%DR: 6.9 months(Olsen et al., 2001)
Erlotinib
 Locally advanced or metastatic NSCLC, maintenance after first-line therapySATURN3N = 889Erlotinib versus placeboPFS: 12.3 versus 11.1 weeks*OS: 12.0 vs11.0 months*(Cappuzzo et al., 2010; Shepherd et al., 2005).
 Locally advanced or metastatic NSCLC, after prior failed chemotherapy3N = 731ErlotinibOS: 6.7 versus 4.7 months*ORR: 8.9% versus <1%*
PFS: 2.2 versus 1.8 months*
 Locally advanced or metastatic pancreatic cancer, with gemcitabine, first-line3N = 569Gemcitabine with versus without erlotinibOS: 6.24 versus 5.91 months*One year survival: 23% versus 17%*(Moore et al., 2007)
PFS: 3.75 versus 3.55 months*
Everolimus
 Advanced HER2(−), HR(+) breast cancer, postmenopausal women, with exemestane, after failed letrozole or anastrozoleBOLERO-23N = 724Exemestane, with everolimus versus placeboPFS: 10.6 versus 4.1 months*ORR: 9.5% versus 0.4%*(Baselga et al., 2012a)
 Progressive PNET, locally advanced/metastatic diseaseRADIANT-33N = 410Everolimus versus placeboPFS:11.0 versus 4.6 months*(Yao et al., 2011)
 Advanced RCC, after failure of sunitinib or sorafenibRECORD-13N = 410Everolimus versus placeboPFS: 4.0 versus 1.9 months*OS: no significant difference(Motzer et al., 2008)
 Renal angiomyolipoma with TSC, not requiring immediate surgeryEXIST-23N = 118Everolimus versus placeboORR: 42% versus 0%*(Bissler et al., 2013)
 SEGA, TSC-associated, unresectableEXIST-13N = 117Everolimus (suspension) versus placebo50%+ reduction of target lesion volume: 35% versus 0%*Est PFS at 6 months: 100% versus 86% *(Franz et al., 2013)
 Accelerated approval for oral suspension and tablets
1-2N = 28Everolimus (tablets)Median reduction in primary lesion volume at 6 months: 0.80 cm3*Median one fewer seizure over 6 months*(Krueger et al., 2010)
Ibritumomab tiuxetan
 Follicular lymphoma, consolidation therapy after response to first-line therapyFIT3Stage III/IV, N = 414Ibritumomab regimen versus observationPFS: 36.5 versus 13.3 months*CR/CRu: 87.5% versus 53.3% (significance testing not provided)(Morschhauser et al., 2008)
 Relapsed/refractory low-grade or follicular non–Hodgkin’s lymphoma3Rituximab naïve, N = 130Ibritumomab regimen versus rituximabORR: 83% versus 55%*TTP: 12.1 versus 10.1 months(Witzig et al., 2002a)
 Accelerated approval
NSRefractory to rituximab, N = 54Ibritumomab regimenORR: 74%TTP: 6.8 months(Witzig et al., 2002b)
CR: 15%DR: 6.4 months
2N = 30Ibritumomab regimenORR: 83%TTP: 9.4 months(Wiseman et al., 2002)
CR 37%DR: 11.6 months
Imatinib
 Ph+ CML, chronic phase, newly diagnosedIRIS3N = 1106Imatinib versus INF-α + low-dose cytarabinePFS at 84 months: 81.2% versus 60.6%*OS at 84 months: 86.4% versus 83.3%*(O’Brien et al., 2003)
 Initial accelerated approvalCHR: 96.6% versus 56.6%*
MCyR: 85.4% versus 16.8%*
 Ph+ CML (CP, AP, or BC), after failed IFN-α therapy2CML, late chronic phase, N = 532ImatinibMCyR: 60%CHR: 96%(Hochhaus et al., 2008; Kantarjian et al., 2002)
 Initial accelerated approvalOS, 6 year estimated: 76%
CCyR 57%
2CML-AP, N = 235ImatinibCHR: 53%MCyR: 24%(Talpaz et al., 2002)
PFS, 12 month: 59%
OS, 12 month: 74%
2CML-blast crisis, N = 260ImatinibSustained hematological response, lasting at least 4 weeks: 30.6%DR, hematological: 10 months(Sawyers et al., 2002)
MCyR: 16.2%
OS: 6.9 months
 CML, pediatric (initial) accelerated approval2Pediatric CML-CP, N = 51ImatinibCHR 78% at 8 weeksCCyR 65%PI
1Pediatric CML-CP, recurrent, N = 14ImatinibCCyR 7/13PI
1CML-CP, resistant to IFN-α, N = 3ImatinibCCyR: 2 of 3 patientsPI
 KIT+ GIST, adjuvant treatment after resectionScandinavian Sarcoma Group XVIII/AIO3N = 397Imatinib for 12 versus 36 months5-year RFS: 65.6% versus 47.9%*5-year OS: 92% versus 81.7%*(Joensuu et al., 2012)
 Initial accelerated approval
ACOSOG Z9001 TrialN = 713Imatinib versus placebo1-year RFS: 98% versus 83%*1-year OS: No significant difference(Dematteo et al., 2009)
 KIT+ GIST, unresectable/metastaticSWOB S00333N = 746Imatinib daily versus BIDPFS: 18 months (daily) versus 20 months (BID)OS: 55 months (daily) versus 51 months (BID)(Blanke et al., 2008)
 Initial accelerated approval
EORTC Study STSBG620053N = 946Imatinib daily versus BIDPFS at median 760 day follow-up: 56% (one daily) versus 50% (twice daily)*CR: 5%, no significant difference between groups(Verweij et al., 2004)
 Ph+ ALL, relapsed/refractory2N = 48ImatinibCHR: 19%TTP 2.2 months(Ottmann et al., 2002)
OS: 4.9 months
 MDS/MPD, with PDGFR rearrangementNAPhase 2/case reports, N = 31ImatinibCHR 45%PI
MCyR: 39%
 ASM without c-Kit mutation/unknown c-Kit statusNAPhase 2/case reports, N = 28ImatinibCHR: 29%PI
Partial hematological response: 32%
 HES/CEL, with FIP1L1-PDGFRalpha or unknown statusNAPhase 2/case reports, N = 176ImatinibCHR: 61%PI
Partial hematological response: 13%
 DFSP, unresectable/recurrent/metastaticNAPhase 2/case reports, N = 18ImatinibCR: 39%PI
PR: 44%
Ipilimumab
 Melanoma, unresectable/metastatic3N = 676Ipilimumab with gp100 vaccine, versusipilumimab versus vaccineOS: 10.0 months (combination) * versus 10.1 months (ipilimumab)* versus 6.4 months (gp100)ORR: 10.9% (ipilimumab)* versus 5.7% (combination)* versus 1.5% (gp 100 alone)(Hodi et al., 2010)
Lapatinib
 HER2+ breast cancer, locally advanced or metastatic, with capecitabine, after prior therapyN = 399Capecitabine with versus without lapatinibTTP: 8.4 versus 4.4 months*ORR: 22% versus 14%*(Cameron et al., 2010; Geyer et al., 2006)
OS, adjusted for crossover: 75 versus 56.4 weeks*
 HER2+, HR+ breast cancer, metastatic, with letrozole, for postmenopausal women in whom hormonal therapy is indicated3N = 1286 (219 HER2+ patients)Letrozole with versus without lapatinibPFS (HER2+): 35.4 versus 13.0 weeks*ORR (HER2+): 27.9 versus 14.8%*(Schwartzberg et al., 2010), PI
 Accelerated approval
Nilotinib
 Ph+ CML-CP, newly diagnosedENESTnd3N = 846Nilotinib 300 or 400 mg PO BID versus imatinib12 month MMR: 44% (300 mg nilotinib)* versus 43% (400 mg nilotinib)* versus 22% (imatinib)CCyR at 12 months: 80% (nilotinib 300 mg)* versus 78% (nilotinib 400 mg) * versus 65% (imatinib)(Larson et al., 2012; Saglio et al., 2010b)
 Accelerated approvalOS at 3 years: no significant difference
 Ph+ CML, CP or AP, imatinib resistant/intolerant2N = 321(CP cohort) and 137 (AP cohort)NilotinibCP: MCyR: 59%CML - CP:(le Coutre et al., 2008, 2012; Kantarjian et al., 2007b, 2011)
 Accelerated approvalAP: Hematological response: 55%CCyR: 44%
Est OS, at 24 months: 87%
CML - AP:
CCyR 21%
Est OS at 24 months: 70%
Ofatumumab
 CLL, relapsed/refractoryNSN = 154OfatumumabORR: 42%DR: 6.5 months(Wierda et al., 2010), PI
 Accelerated approval
1/2N = 33Ofatumumab dose escalationORR: 44%(Coiffier et al., 2008)
Ponatinib
 CML or Ph+ ALL, resistant or intolerant to tyrosine kinase inhibitor therapyPACE2N = 444PonatinibMCyRTime to MCyR:(Cortes et al., 2012)
 Accelerated approvalCML-CP: 54%CML-CP: 84 days
MaHR:Duration of MaHR:
CML-AP:52%CML-AP: 9.5 months
CML-BP: 31%CML-BP: 4.7 months
Ph+ ALL: 41%Ph+ ALL: 3.2 months
Panitumumab
 Metastatic CRC, K-RAS WT, single agent, after progression on fluoropyrimidine, oxaliplatin, and irinotecan3N = 463Panitumomab versus BSCPFS: 8 weeks versus 7.3 weeks*ORR: 10% versus 0%*(Amado et al., 2008; Van Cutsem et al., 2007)
Retrospective:OS, K-RAS WT: 8.1 versus 7.6 months*
K-RAS WT: 12.3 versus 7.3 weeks*
K-RAS+: 7.4 versus 7.3 weeks
Pazopanib
 Advanced RCC3First-line or cytokine refractory, N = 435Pazopanib versus placeboPFS: 9.2 versus 4.2 months*ORR: 30% versus 3%*(Sternberg et al., 2010)
 Advanced soft tissue sarcoma, after prior chemotherapyPALETTE3N = 369Pazopanib versus placeboPFS: 4.6 versus 1.6 months*OS: 12.5 months versus 10.7 months(van der Graaf et al., 2012)
Pertuzumab
 Metastatic breast cancer, HER2+, no prior HER2 therapy or chemotherapy for metastatic disease, with trastuzumab/docetaxelCLEOPATRA3N = 808Trastuzumab plus docetaxel, with versus without pertuzumabPFS: 18.5 months versus 12.4 months*OS (median 19.3 month follow-up): 23.6% versus 17.2%*(Baselga et al., 2012b)
Rituximab
 Low-grade/follicular NHL, after response to first-line inductionPRIMA3After response to rituximab + chemotherapy, N = 1018Rituximab maintenance versus observationPFS at mean 36 months follow-up: 74.9% versus 57.6%*OS: no significant difference(Salles et al., 2011)
ECOG 14963N = 311CVP followed by rituximab versus observationPFS: 4.3 versus 1.3 years*3-year OS: 92% versus 86%*(Hochster et al., 2009)
 Follicular lymphoma, previously untreated3N = 321CVP chemotherapy with versus without rituximabTTF: 27 versus 7 months*CR: 30% versus 8%*(Marcus et al., 2005)
TTP: 32 versus 15 months*
 Follicular/low-grade NHL, relapsed/refractoryNSN = 166RituximabORR 48%(McLaughlin et al., 1998)
Estimated TTP: 12.5 months
2N = 37RituximabORR 57%(Piro et al., 1999)
TTP: not reached at 19.4 months.
2N = 60RituximabORR 40%(Davis et al., 2000)
Estimated TTP: 17.8 months
 DLBCL, in combination with CHOP or anthracycline-based chemotherapyMInT Study3Age 18–60 years, N = 824CHOP-like chemotherapy+/− rituximab3-year event-free survival: 79% versus 59%*OS, at 3 years: 93% versus 84%*(Pfreundschuh et al., 2006)
ECOG 4494 trial3Age 60–80, N = 632CHOP with versus without rituximab3-year FFS: 53% versus 46%*PFS, adjusted: 3.1 versus 1.6 years*(Habermann et al., 2006), PI
OS, 2 year, adjusted: 74% versus 63%*
GELA/LNH-98.53Age 60–80, N = 399CHOP with versus without rituximabEFS, at median 24 months: 57% versus 49%*OS: 8.4 versus 3.5 years*(Coiffier et al., 2002)
 Previously untreated follicular NHL or DLBCL, as 90-minute infusionRATENSN = 363Follicular lymphoma: R- CVPGrade 3–4 infusion reactions: 2.8% starting at cycle 2c
DLBCL: R-CHOP
 CLL3CLL, previously untreated, N = 817Fludarabine/cyclophosphamide with versus without rituximabPFS at 3 years: 65% versus 45%*OS at 3 years: 87% versus 83%(Hallek et al., 2010)
REACH3CLL, previously treated, N = 552Fludarabine/cyclophosphamide with versus without rituximabPFS: 27 versus 21.9 months*OS: No significant difference, crossover design(Robak et al., 2010)
ORR: 69.9% versus 58%*
Regorafenib
 Metastatic CRC, previously treated with fluoropyrimidine/oxaliplatin/irinotecan-based chemotherapy, VEGF therapy and anti-EGFR therapy if K-RAS WTCORRECT3N = 760Regorafenib versus placeboOS: 6.4 versus 5.0 months*PFS: 2.0 versus 1.7 months*(Grothey et al., 2013), PI
ORR: 1% versus 0.4%
Romidepsin
 CTCL after at least one prior systemic therapy2N = 96RomidepsinORR: 34%DR: 15 months(Whittaker et al., 2010)
Improved pruritus: 43%, median duration 6 months
2N = 71RomidepsinORR: 34%(Piekarz et al., 2009)
CRR 7%
DR: 13.7 months
 PTCL, after at least one prior therapy2N = 130RomidepsinCR+CRu: 14.6% (95% CI 9%–21.9%)ORR: 25.4%(Coiffier et al., 2012)
 Accelerated approvalTTR: 1.9 months
DR: 16.6 months
2N = 47RomidepsinORR: 38% (95% CI 24%–53%)
CR: 18%DR: 8.9 months(Piekarz et al., 2011)
Ruxolitinib
 Intermediate or high-risk myelofibrosisCOMFORT-I3N = 309Ruxolitinib versus placeboSpleen volume decreased by >35% at 24 weeks: 41.9% versus 0.7% *Symptom improvement: 45.9% versus 5.3%*(Verstovsek et al., 2012)
OS at median 51 weeks: 91.6% versus 84.4%*
COMFORT-II3N = 219Ruxolitinib versus best available therapySpleen volume decreased by >35%, at 48 weeks: 28 versus 0%*No significant difference in TTP or OS at 48-week follow-up(Harrison et al., 2012)
Sorafenib
 Advanced RCCTARGET3Refractory to standard therapy, N = 903Sorafenib versus placeboOS: 14.7 months versus not reached*PFS: 5.5 versus 2.8 months*(Escudier et al., 2007b)
2Refractory to standard therapy, N = 202Sorafenib versus placeboPFS at 24 weeks: 50% versus 18%*PFS: 24 versus 6 weeks*(Ratain et al., 2006)
 Unresectable HCCSHARP3No prior systemic treatment, N = 602Sorafenib versus placeboOS: 10.7 versus 7.9 months*Time to radiological progression: 5.5 versus 2.8 months*(Llovet et al., 2008)
Time to symptomatic progression: 4.9 versus 4.1 months
Sunitinib
 GIST, after imatinib resistance/intolerance3N = 312Sunitinib versus placeboTTP: 27.3 versus 6.4 weeks*PFS: 24.1 versus 6 weeks*(Demetri et al., 2006)
NSN = 55Sunitinib dose escalationPR: 9.1%PI
 Advanced RCC3No prior treatment, N = 750Sunitinib versus IFN-αPFS: 11 versus 5 months*ORR: 31% versus 6%*(Motzer et al., 2007)
 Initial accelerated approval
2Refractory to cytokines, N = 106SunitinibORR: 34%PFS: 8.3 months(Motzer et al., 2006a)
2Refractory to cytokines, N = 63SunitinibORR: 40% PRTTP: 8.7 months(Motzer et al., 2006b)
OS: 16.4 months
 PNET, unresectable or metastatic3N = 171Sunitinib versus placeboPFS: 11.4 versus 5.5 months*ORR: 9.3% versus 0%*(Raymond et al., 2011)
OS at 6 months: 92.6% versus 85.2%*
Temsirolimus
 Advanced RCC3Metastatic RCC, N = 626Temsirolimus versus IFN-α versus combinationOS: 10.9 months (temsirolimus)* versus 7.3 months (IFN) versus 8.4 months (combination)ORR: 8.6% (temsirolimus) versus 4.8% (IFN) versus 8.1% (combination)(Hudes et al., 2007)
Tositumomab
 Relapsed/refractory CD20+ NHL, progression after/on rituximab2N = 40Tositumomab therapeutic regimenORR: 68%PFS: 10.4 months(Horning et al., 2005)
CR: 33%
DR: 16 months
Trastuzumab
 Metastatic gastric or GE junction adenocarcinoma, HER2+ToGA3Previously untreated for metastatic disease, N = 594Capecitabine or fluorouracil, with cisplatin, with versus without trastuzumabOS: 13.8 versus 11,1 months*PFS: 6.7 versus 5.5 months*(Bang et al., 2010)
 Breast cancer, HER2+, adjuvantNCCTG N9831; NSABP B-313N = 3351Doxorubicin/cyclophosphamide with paclitaxel, with versus without trastuzumabDisease-free survival, median 4-month follow-up: 85.3% versus 67.1%*OS at 4 years: 91.4% versus 86.6%*(Romond et al., 2005)
HERA3N = 3401Trastuzumab versus observationDFS at 4 years: 78.6% versus 72.2%*OS at 4 years: 89.3% versus 87.7%(Gianni et al., 2011; Piccart-Gebhart et al., 2005)
BCIRG 0063N = 3222AC-T (doxorubicin + cyclophosphamide and docetaxel q3 weeks) versus AC-T with trastuzumab for 52 weeks versus docetaxel and carboplatin with trastuzumab for 52 weeks (TCH)DFS at 5 years (estimated): 75% (AC-T), 84% (AC-T + trastuzumab) * versus 81% (TCH) *OS at 5 years (estimated): 87% (AC-T) versus 92% (AC-T + trastuzumab) versus 91% (TCH) *(Slamon et al., 2011)
 HER2+ breast cancer, metastaticH0648g3Previously untreated, N = 469Paclitaxel or AC with versus without trastuzumabTTP: 7.2 versus 4.5 months*ORR: 45% versus 29%*(Eiermann, 2001; Slamon et al., 2001),PI
OS: 25.1 versus 20.3 months*
H0649g2Progressive despite 1–2 prior chemotherapy regimens, N = 222TrastuzumabORR: 15%DR: 9.1 months(Cobleigh et al., 1999)
OS: 13 months
Trastuzumab-DM1
 Metastatic breast cancer, HER2 +, second-line after prior treatment with trastuzumab and a taxaneEMILIA3N = 991Trastuzumab-DM1 versus lapatinib with capecitabinePFS: 9.6 versus 6.4 months*ORR: 43.6% versus 30.8%*(Verma et al., 2012)
OS: 30.9 versus 25.1 months*
Vandetanib
 Medullary thyroid cancer, symptomatic or progressive, and unresectable/metastaticZETA3N = 331Vandetanib versus placeboPFS: 30.5 versus 19.3 months*ORR: 45% versus 13%*(Wells et al., 2010, 2012)
Vemurafenib
 Melanoma, with the BRAF V600E mutation, unresectable or metastaticBRIM33Previously untreated, N = 675Vemurafenib versus dacarbazineOS at 6 months: 84% versus 64%*ORR: 48% versus 5%*(Chapman et al., 2011; Flaherty et al., 2010)
PFS: 5.3 versus 1.6 months*
BRIM22Previously treated, N = 132VemurafenibORR at 12.9-month follow-up: 53%DR: 6.7 months(Sosman et al., 2012)
PFS: 6.8 months
OS: 15.9 months
Vismodegib
 BCC, metastatic or recurrent locally advanced, not surgical or radiation therapy candidateERIVANCE2N = 96VismodegibORR: 30% (metastatic), 43% (locally advanced)DR: 7.6 months(Sekulic et al., 2012)
PFS: 9.5 months
Vorinostat
 CTCL, cutaneous manifestations, despite two prior systemic therapies2BN = 74VorinostatORR: 29.7%DR: Est 185+ days(Olsen et al., 2007)
2N = 33VorinostatORR: 24.2%DR: 15.1 weeks(Duvic et al., 2007)
Ziv-aflibercept
 Metastatic CRC, with FOLFIRI, after progression on an oxaliplatin-containing regimenVELOUR3N = 1226FOLFIRI with Ziv-aflibercept versus placeboOS: 13.5 versus 12.06 months*PFS: 6.90 versus 4.67 months*PId
ORR: 19.8% versus 11.1%*
  • AC, anthracycline plus cyclophosphamide; AC-T, anthracycline, cyclophosphamide, taxol; ALL, acute lymphoblastic leukemia; AP, accelerated phase; ASM, aggressive systemic mastocytosis; BCC, basal cell carcinoma; B-CLL, B cell CLL; BID, twice daily; BP, blast phase; BSC, best supportive care; CCyR, complete cytogenetic response; CEL, chronic eosinophilic leukemia; CHOP, cyclophosphamide, hydroxyldaunorubicin, oncovin, and prednisone; CHR, complete hematological response; CP, chronic phase; CR, complete response; CRu, unconfirmed complete response; CTCL, cutaneous T-cell lymphoma; CVP, cyclophosphamide, vincristine, and prednisone; DFS, disease-free survival; DFSP, dermatofibrosarcoma protuberans; DLBCL, diffuse large B cell lymphoma; DR, disease recurrence; EFS, event-free survival; FFS, failure-free survival; 5-FU, 5-fluorouracil; FOLFIRI, leucovorin, fluorouracil, irinotecan; FOLFOX, leucovorin, fluorouracil, oxaliplatin; GE, gastroesophageal; HCC, hepatocellular carcinoma; HES, hypereosinophilic syndrome; HR, hazard ratio; IFN-α, interferon-α; LB, lymphoid blast; LV, leucovorin; MaHR, major hematological response; MB, myeloid blast; MCyR, major cytogenetic response; MDS, myelodysplastic syndromes; MMR, major molecular response; MPD, myeloproliferative disease; N/A, not applicable; NHL, non–Hodgkin's lymphoma; NS, not significant; OHR, overall hematological response; ORR, objective response rate; OS, overall survival; PFS, progression-free survival; PI, package information, package insert; PO, by mouth; PR, partial response; PTCL, peripheral T cell lymphoma; R-CHOP, rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone; R-CVP, rituximab, cyclophosphamide, vincristine, prednisone; RFS, recurrence-free survival; RR, response rate; sALCL, systemic anaplastic large-cell lymphoma; SCCHN, squamous cell carcinoma of the head and neck; SCT, stem cell transplant; SEGA, subependymal giant cell astrocytoma; SQ, subcutaneous; TCH, docetaxel, carboplatin, trastuzumab; TSC, tuberous sclerosis complex; TTF, time to treatment failure; TTP, time to progression; TTR, time to recurrence.

  • a Crinò et al., 2011.

  • b Camidge et al., 2011.

  • c Dakhil et al., 2011.

  • d Joulain et al., 2012.

  • * Statistically significant difference (P < 0.05).