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Table 1 Characteristics of clinical studies on the combination therapy of SRS and ICI in brain metastases

From: Optimal timing and sequence of combining stereotactic radiosurgery with immune checkpoint inhibitors in treating brain metastases: clinical evidence and mechanistic basis

Author, year

NCT number

Type of Study

Type of cancer

No. of patients (intervention)

No. of patients (control)

No. of lesions (intervention)

No. of lesions (control)

Intervention arm

Control arm

Intervals*, months

Refs

Acharya, 2017

Retro

Melanoma

18

38

48

121

Concurrent SRS + ICI

SRS

3

[100]

Ahmed, 2016

Retro

Melanoma

21

20

59

79

Concurrent SRS + ICI (anti-PD-1)

SRS

4

[101]

25

20

73

79

Concurrent SRS + ICI (anti-CTLA-4)

SRS

4

An, 2017

Retro

Melanoma

66

33

 –

 –

Concurrent SRS + ICI

SRS after ICI

5.5

[102]

Anderson, 2017

Retro

Melanoma

11

15

23

27

Concurrent SRS + ICI (anti-PD-1)

SRS

4

[103]

20

15

31

27

Concurrent SRS + ICI (anti-CTLA-4)

SRS

4

Choong, 2017

Retro

Melanoma

39

26

 –

 –

Concurrent SRS + ICI

SRS

1.5

[104]

Cohen-Inbar, 2017

Retro

Melanoma

32

14

160

72

Concurrent SRS + /before ICI

SRS after ICI

1

[105]

Diao1, 2018

Retro

Melanoma

18

29

59

91

Concurrent SRS + ICI

SRS

1

[106]

25

29

160

91

Non-Concurrent SRS + ICI

SRS

1

Diao2, 2018

Retro

Melanoma

23

40

 –

 –

Concurrent SRS + ICI

SRS

1

[107]

28

40

 –

 –

Non-Concurrent SRS + ICI

SRS

1

Kaidar-Person, 2017

Retro

Melanoma

29

29

 –

 –

Concurrent SRS + ICI

SRS

1

[108]

Kiess, 2015

Retro

Melanoma

15

19

 –

 –

Concurrent SRS + ICI

SRS before ICI

1

[58]

12

19

 –

 –

SRS after ICI

SRS before ICI

1

15

12

 –

 –

Concurrent SRS + ICI

SRS after ICI

1

15

31

 –

 –

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

1

Knisely, 2012

Retro

Melanoma

27

50

 –

 –

SRS before/after/concurrent ICI

SRS

[109]

16

11

 –

 –

SRS before ICI

SRS after ICI

Lanier, 2019

Retro

Mixed

101

170

 –

 –

SRS before/after/concurrent ICI

SRS

[110]

Martins, 2020

Retro

Melanoma

28

 –

 –

 –

Concurrent SRS + ICI

2.25

[111]

Mathew, 2013

Retro

Melanoma

25

33

99

99

SRS before/after/concurrent ICI

SRS

[112]

Murphy, 2019

Retro

Melanoma

36

54

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

1

[45]

Patel, 2017

Retro

Melanoma

20

34

 –

 –

Concurrent SRS + ICI

SRS

4

[90]

Qian, 2016

Retro

Melanoma

33

22

 –

 –

Concurrent SRS + ICI

Non-concurrent SRS + ICI

1

[46]

Silk, 2013

Retro

Melanoma

17

16

 –

 –

Non-Concurrent SRS + ICI

SRS

6

[113]

Skrepnik, 2017

Retro

Melanoma

8

17

 –

 –

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

1

[47]

Stokes, 2017

Retro

Melanoma

93

376

 –

 –

Concurrent SRS + ICI

SRS

4

[114]

Williams, 2017

NCT01703507

Pro

Melanoma

11

5

22

30

Concurrent SRS + ICI

Concurrent WBRT + ICI

0.1

[115]

Yusuf, 2017

Pro

Melanoma

18

22

59

108

Concurrent SRS + ICI

SRS

3

[116]

7

11

21

38

SRS after ICI

SRS before ICI

3

12

6

41

18

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

1

Le,2022

Retro

Mixed

53

424

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

1

[48]

79

398

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

2

92

385

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

3

Scoccianti,2021

Retro

NSCLC

100

50

 –

 –

Concurrent SRS + ICI

SRS

1

[54]

90

10

 –

 –

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

0.21

Cabanie,2021

Retro

Mixed

13

46

14

79

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

0.21

[51]

35

24

40

53

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

0.5

59

 –

103

 –

Concurrent SRS + ICI

1

Enright,2020

Retro

NSCLC

33

44

64

68

Concurrent SRS + ICI

SRS

3

[117]

Weingarten,2019

Retro

Mixed

7

50

 –

 –

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

1

[118]

45

5

 –

 –

SRS before ICI

SRS after ICI

3

Chen,2018

Retro

Mixed

28

51

 –

 –

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

0.5

[53]

28

22

 –

 –

Concurrent SRS + ICI

SRS after ICI

0.5

28

29

 –

 –

Concurrent SRS + ICI

SRS before ICI

0.5

Ahmed,2017

Retro

NSCLC

13

4

35

14

Concurrent SRS + /before ICI

SRS after ICI

1

[119]

Hubbeling,2018

Retro

NSCLC

14

5

 –

 –

Concurrent SRS + ICI

SRS after ICI

1

[55]

12

23

 –

 –

Concurrent SRS + ICI

SRS before ICI

1

Schapira,2018

Retro

NSCLC

8

5

21

13

Concurrent SRS + ICI

SRS after ICI

1

[120]

8

24

21

51

Concurrent SRS + ICI

SRS before ICI

1

Kotecha,2019

Retro

Mixed

 –

 –

564

439

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

5

[49]

 –

 –

367

636

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

1

Khan,2021

NCT02858869

Pro

Mixed

25

68

Concurrent SRS + ICI

0.1

[121]

Li,2021

NCT02696993

Pro

NSCLC

13

Concurrent SRS + ICI

0.25

[122]

Wong,2021

NCT02978404

Pro

NSCLC

22

Concurrent SRS + ICI

0.5

[123]

Abdulhaleem,2022

Retro

NSCLC

80

235

369

522

Concurrent SRS + ICI

SRS

1

[124]

Koenig,2019

Retro

Mixed

27

70

359

221

Concurrent SRS + ICI

Non-Concurrent SRS + ICI

1

[52]

  1. * Intervals were defined as the time interval between the first day of SRS and the most adjacent day of ICI in the “concurrent” SRS + ICI treatments
  2. Retro  retrospective, pro prospective, NSCLC non-small cell lung cancer, SRS  stereotactic Radiosurgery, ICI immune checkpoint inhibitor